Permit CITY OF TIGARD MASTER PERMIT
1111
s COMMUNITY DEVELOPMENT Permit#: MST2021-00207
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2021
Tit,A I.T� 9 Parcel: 2S107AA21300
Jurisdiction: Tigard
Site address: 16580 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 213
Project: Polygon at Roshak Ridge, Lot 213
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1523 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28.5 Bathrooms: 3 Second: 1898 sf Garage: 688 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3421 sf Value: $452,166.06 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 Storm Sewer: 100
Drains: 0
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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<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'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3421
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 One Hour Fire Rated Eaves
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $45,817.62
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through� OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Holly VcwitDe W Permittee Signature: 0yv'4pP7 tort
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.
ib .,.
Building Permit Application 2
13- ,
Residential RECEIVE i FOR OFFICE ESE ONE)
City g kr t 1 �c Date/By: (/r/ aS1 Got/ C2 7
III of Tigard / Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Ap'a, Plan Review /,A
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: W 3 Other Permitsl(>� �—Qv1 3 3
TIGARD Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: /i
_ � lurs SeePage2forInternet: www.tigard-or.gov i3UILDING DIVISION` Nod:/A lie, Supplemental Information
TYPE OF WORK tttYYYREQUIRED DATA: -AND 2-FAMILY DWELLING
®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. lo
®1-and 2-family dwellingValuation: $ l5 a' `�t°
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms:.
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 y ' 09
Job site address: 16580 SW Townsville St New dwelling area: 3,421 square feet l SOtS
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: C88 square feet 16)3
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 I Lot no.: 213 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 3,421 s.f. (SFU) Valuation: $
Elevation: 222700 ER-Projected Start: October 2021 or before. Existing building area: square feet
Deferrals: N/A New building area: square feet
® 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:
® APPLICANT 0 CONTACT PERSON 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
Address:
703 Broadway St., Ste 510 FLS plan review fee(if applicable):
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.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver, WA 98660 and administrative fees):
Phone:( 360)695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: (:)hLCLL.ey l igeln /; This permit application expires if a permit is not obtained
Uwithin 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Date: 05/24/2021 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
, illechanical Permit ApplicatECEIVED FOR OFFICE USE,ONLY
Cityof Tigard '1Gvv Datei y. Pet rint No.: t / T202j iJ^2O 7
_ 't 13125 SW Hall Blvd.,Tigard,OR 97223
1 Phone: 503.718,2439 Fax: 503.598.1960 NII Lll - Plan n Review By: Other Permit:
Inspection Line: 503.639.4175 Dale/
'MART, CITY OF TIGARD Date Ready/By: luris: See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
Supplemental Information
3UILDING DIVISION --
TYPE OF WORK COMMERCIAL 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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT I SYSTEMS FEES*
IS I-and 2-family dwelling 0 Commerciallindustrial ❑Accessory building Far special information use checklist
I j Multi-family ❑Master builder ❑Other: Description Qty. Ea. T Total
JOB SITE INFORMATION AND LOCATION Heating/cooling,:
Job site address: 16580 SW Townsville St Air conditioning 46.75
Furnace 100.000 BTU(ductstvents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/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 waters stern 23.32
Residential boiler(radiator or
hydronic) 23,32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspnded,etc, 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge Lot no.: 213 Ocher 23.32
-- ____ Other fuel appliances:
Tax map/parcel no.: Water beater
23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
- — Flue vent for water heater or gas .® ._. _,
New Single Family fireplace
Lag lighter(gas) 23.32
'- - - Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
lEl PROPERTY OWNER ❑ TENANT Othe 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 0 CONTACT PERSON Other: 23.32
Fuel Fuel piping:
Bossiness name:Polygon R LH,LLC S14.15 for first four;S4.03 for Telt additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/"ZIP:Vancouver,WA 98660 Water beater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittalstgtaylormorriSon.Com Barbecue l
INk CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating BeCooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
-
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25-i of permit fee)
Phone:(360)270-1590 Fax:( ) _ State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180
G�1: f) r �, s„ days after it has been accepted as complete.
Authorized signature: W Jt�s.�i.t t.i t� ' Fer methodology set by in-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
rlmnu,s,,.\PormoetbMFr P.,mrt Ann mar itk,r
Electrical Permit Application RECERVE 1 rOtt o,,-1t 1_ i,sr ONI.y
City of Tigard Received Pixmitit IAS�Zo/1-C 207
179teIBy.
Gar
• 13125 SW Mall Blvd.,Tigard,OR 97223 4Af 2 4 2�?? Plan Review
' 1<' Phone. 503.7182439 Fax. 503.598.1960 �,Av. Related Permit 4:
Inspection Line: 503 639 4175 CITY OF TlLltlfl G/�RL Ready Datn/Fly runs: Ed See Page 2 for
TiL. L7 AR
Internet: www.Ugazd-or,gov Notified/Method, Supplemental Information
TYPE OF }..0
1 .1ILDINC DIViSIQR PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please Bieck all that apply(submit 2 sets of plans whtems choked)
0 Demolition ❑Other: ❑Sa rice or feeder 400 amps of inure Cl Building over three stones
where the mailable fault current 0 Marinas and benityar&
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building leas to pound,or exceeds 14,050 ❑Commercial-use agricultural
amps for all other installations buildni
❑Multi-family ❑Master builder ❑Other: p Fire
pump ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
❑Additinitofaew motor load of system.
16580 SW Townsville St
Job#: Job site address: 10011P or more. ❑"A,"E","1-2 "I 3",
.».- ❑Six or more residential units gernp ey'
City/StatelZIP: Tigard,OR 97140
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.At: 1 Project name: Polygon at Roshak Ridge ❑Hazardous locations Cl supply voltage for more than
Q Service or/cede[600 amps or more E1l0 Colts nominal.
Cross streetldirections to job site: FEE SCHEDULE
riracritama 1 Qtt. 1 Each ( Total i
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 213 includes attached garage.
Tax nlap/pEircel#: 1,000 ay ft or less 168 54 4
Fa.add'1500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
New construction.Type SFU (with above sq.ft) 75-00 2
Limited energy,multi-family
residential(with above sq.ft.) 75 00 2
Renewable Energy ❑ See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 100.70 .2
Address: 703 Broadway St.,Ste 710 — 201 amps to 400 amps 133.56 2
-- 401 amps In 600 amps 20)34 2
City/State/LIP: Vancouver,WA 98660 60f amps to 1,000 amps 301 04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: OAlamiAbouhafsrt@taylormorrison.corn-PermitSubmittalsitaylormorrison.coal relocation
Owner installation:This installation is being made on property that i own which is not 200 amps or lens 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps ri--125 08 2
Owner signature: Date 401 amps to 599 amps 16S 54 2
0 APPLICANTBranch circuits-new,alteration,or extension,per panel
.. 0 CONTACT PEItSOy A Fee for branch circuits with —
Business name: Polygon Homes WI.1{LLC above seance or feeder fee, 7.42
each branch circuit -
Contact name: Omar Alami Abouhafs B Fee for branch circuits without
seance 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 7.42 2
Phone: 360 946 8674Miscellaneous(sen-ice or feeder not included)
( ) Fax::( ) Each manufactured or modular 67 84 2
dwelling.scmoc aiidfor feeder
Email:O.AlamiAboullafs@taylormorrison.com-PermitSubmittalsfgtaylormorrison-coin Reconnect only 67 84 2
!.. CONTRACTOR Pump or to igation circle 67 84 2
Business name: Wallace Electric Sign or outline belting 67 84 2
Signal circuits)or limited-energy 0 see page 2 2
Address: 105 Dresden St _panel,alteration,or extension.
CityfStatelZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(l lir min) 66 25/hr
i Phone:(501 308 0563 Fax:( ) investigation(t hr min) 90.1Xll hr
Email: David@wallacewires.com Industrial plant(t hr min) 78 t st hr
Inspections For which no fee is
cal Lie.;224868 Electrical Li'- C1441 Su .I.' .• 6363S specificallylisted(i4hrmin)
900 hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: (�/�r‘'''',..--- Submtal•
Print name:DiN` Cf.. Date: ,y AI z f -_p,Plan Review Requited(25%of permit fee):
.- f_ -- State surcharge(12%of pemlit fee)
Authorized signature I!" TOTAL PERMIT 11
Print name: This permit appncalioa expires Ida permit is not obtained within I80
�.p � �, Date: [lays after It has been accepted as complete.
I ' Number of inspections allowed per permit
1.'diuddingVkrmilsSaCyer paApp_ELR ERE dre Rev 061112015 4 0-46157(11/05'C0M+WFB
Pi�Plumbing Permit Application r
Building Fixtures RFOR OFFICE USE ONLY //���/�
Received ST2o21.00�-"
- City of Tigard w _ Permit No,.
'r 131t 5 SW Hall BIvd.,Tigard,OR 97223p Date Dy:
7
t Phone: 503.718.2439 Fax: 503.598.19 Plan Review
Other Permit No.
CITY OF TIGARD Da-' :�
TIGARD Inspection Line 503.639.4175 Date Ready/By: turn: 11 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifiedr'Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
Z New construction ❑Demolition
For special information use checklist.
Description 1 Qty. 1 Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312,70
1-and 2-family dwelling ❑Commercial/industrial 5FR(2)bath 437.78
SFR(3)bath 500,32
❑Accessory buildine =-Multi-family - -
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16580 SW Townsville St Catch basin or area drain 18.76
-- - Drywell,leach line,or trench drain 18.76
CitylStatelZIP:Tigard,OR 97224 - -
-- _ Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name4ieeiw4r4iiwlgePolygon 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 Lot no.: 213 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
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon W'LH,1.1.0 Fixturdsewercap 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:$ ) 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:permitsubmittais@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G& B Plumbing&Sons Inc piping/DWV rP in `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: 572.50
Plan review (25%of permit fee)
CCB Lie.: 184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: y 10J-C T-. TOTAL PERMIT FEE
Print name:Steve Fowler Date: O/30/20 This permit application expires if a permit is not obtained within 180 days 1
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I'Building\Permits\PLMtl-PermitApp doe 10101,'O4 440.4616T{IO102/COMAVEBl
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
2
TIGARU Building Permit Review — Residential
Building Permit #: M S 1`Z0Z1- 00207
Site Address: 16580 SW Townsville St
Project Name: Polygon at Roshak Ridge Lot #: 213
Planning Review
Pr posal: New single detached house
Verify address/suite #active in Accela. In River Terr. e: ❑ No Yes, River Terrace Review Addendum
Si I Plan Elements: ,� r..:on Control
pies of site plan on 8-1/2"x 11"or 11 x 17"paper �' arced trees with drip line and tree protection measures
raven to scale(standard architect or engineer scale) :.otprint of new structure(including decks)and FFE
orth arrow A, tility locations&easements(required for new and additions)
to address,project or subdivision name and lot number Lide alk/driveway approach
aplicant information(name and phone number) ), ! ation of wells/septic systems
t dimensions and building k
re footage of buildings tosetb be dacemodilishedmensions /. eet tree size,type and location I. reet names
sting structures on site
q A orner elevations(2'contours if more than 4'diffe ential
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Q\i16Required: 0 Yes,applicant was notified Cl No Received: ❑Yes ❑No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
equired: ❑Yes,applicant was notified ❑No Received: ❑ Yes 0 No
DC Exemptin for ADU applied for: ❑Yes CI No S WReceived: ❑ Y s ❑No
ublic Faci s Improvement(PH) Permit:
Required: ILI Yes,applicant was notified ❑ No pplied For: Yes ❑No,stop intake
Mk d Use Case#: SUB201 5-00004 Zoning: R-4.5 & R-7
Kr' quired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20
uilding Height: Max. Height: NSA Actual Height:
NA Landscape Area: 20 % Lot Coverage Max: 80 0/0
Entrance back no more than 8'from street-facing wall n� Para o street or offset 45 degrees or less
Windows Minim %of area of all street-facing facades \\J(1
Garage Garage door is be ' widest street-facing wall Yes ❑ No,one of the following is met:
ElDoor extends no mor n 5'from w nd there is a covered porch extending beyond garage.
Door extends no more than 5 wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is or less r less of facade 60%or less and includes 7 of following:
Covered por Recessed entrance ffset 1'Roof eave Roof offset
Fire ' gles Lap Siding ❑Roof itch le,hi ,or gambrel roof Dormer
ccent siding Window trim LI Window recess dow projection ❑ Balcony
V ual Clearance Urban Fores Ian
A)V,ensitive Lands: ❑ Yes No Type:
Ya C. ditions met prior to issuance of building permit
No s: 111111Iiik
�.�,
7 Approved By Planning: '____ z, Date: ®2
i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 06/24/2021
Site Plans: # 3
Building Plans: # 3
Building Permit#: [ Enter building ermit# above. ��/
Workflow Routing: Planning Engineering Permit Coordinator E building
Workflow Sign-off: la Sign-off for Planning (include notes from planning review)
Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
[ Building: original permit application, site plans,building plans,engineer and
beam calculations an. I, st details,if applicable,etc.
Notes:
By Permit Technician: - -- /','/Jlfl/ Date: 05 26 2021
Engineering Review
Slope at building pad: .3
�y
L�� Conditions "Met"prior to issuance of building permit �76
gr, asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I f No
Assess Water Quantity Fee in-lieu: ❑ Yes t`J' No
FLIDA Facility on lot: ❑ Yes Er No
inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
2/Approved by Engineering: Date: G///, /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
ZConditions "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:
elaSDC Exemption: ❑ Received Does not apply
IZSDC Fees Entered: Wash Co Trans Dev Tax: Yes U N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes kr N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Date: (p (I l WA
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
INI :
r COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A u D River Terrace Building Permit Review Addendum
Building Permit #: M s i-20Z4-0O207
Site Address: 16580 SW Townsville St
Project Name: Polygon at Roshak Ridge Lot #: 213
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design 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. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.wide Gabled dormer
❑ ❑ ❑ ❑
/47
2. Eyes on`the street: a minim of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >/-20/,)
3. ntrances:At least one entrance must meet both of the foll ing standards:
Max. 8 ft. setback from ion st street facing wall Parallel to street,angle no more than 45° from street,
or en onto porch
E ance porch:opens to Yes 0 No
If , s,all the following apply: 115 sq.ft. min.
One street facing entry ft.max.roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4. etailed 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. deepOiC ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches ❑ ormer min. 4 ft.wide
Roof eave min. 12 inch projection0'47woof offset min.of 2 ft.'0
❑Roof shingles either tile or wood Id 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 L\d Window trim min. 2 1"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 cor 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.
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: c--- `2
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