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Permit
CITY OF TIGARD11 MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021 00208 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2021 T l t' �II.1.) 9 Parcel: 2S107AA14800 Jurisdiction: Tigard Site address: 16592 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 148 Project: Polygon at Roshak Ridge, Lot 148 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1107 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28.5 Bathrooms: 3 Second: 1461 sf Garage: 400 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2568 sf Value: $333,797.28 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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.'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 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 2568 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $42,171.76 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 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. Holly Van/De/Wege OwA7�y�L4.Ca-tIo-Vt Issued By: Permittee Signature: 1'f Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 13- 5124 l2 Residential RECEIVED FOR OFFICE ESE ONLY Received t,/6ri2„� �h Q City of Tigard Rece/By:D� �� Permit No.lit �(/ CC/Q " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (� I. Phone: 503.718.2439 Fax: 503.598.1960GIT tV OF TIGARD Date/By: (� �/ 2' 1 Other Permi (/'/�2ZOZ/-041 3 T I Ci A R D Inspection Line: 503.639.4175 Date Ready/By: / Ju ® See Page 2 for Internet: www.tigard-or.gov 3UILDING DIVISION Notified/ thod:� R ///. Supplemental Information TYPE OF WORK REQUIRED DATA:1-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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this applicatio3n ��',d6 ® 1-and 2-family dwelling Valuation: $ / r ❑Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 3 ,,t� JOB SITE INFORMATION AND LOCATION Total number of floors: 2 19 lob Job site address: 16592 SW Sunshine Coast St New dwelling area: 2,5C8 square feet ILliat City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet 1`01 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: frcsquare 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.: 148 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 2,568 s.f. (SFU) Valuation: $ Elevation: 222200 A-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: D APPLICANT 0 CONTACT PERSON Ut9 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 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 Photo Voltaic 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 Total fee due upon application: $201.60 Authorized signature: 631/1.LL 4e u b.eQ69LLI� This permit application expires if a permit is not obtained rl/f 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) N. ... .. -- ... _ .. -- _ • Mechanical Permit ApplicatitENE r FOR OFFICE LSE ONLY City of Tigard Received Permit No.: 2n 't 13125SWHallBlvd.,Tigard,OR 97223t �^oo'�� - Date/By;a Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: 7!frAlt17 Inspection Line: 503.639.4175 CITY OF TIGARG`pate Ready By: iuris 0 See Page 2 for - Intemef: www.tigard-of-goy BUILDING DIVISIO °"fiediMethod: Supplemental Information 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 EQUTIMENT/SYSTEMS FEES* (551 I.and 2-family dwelling ❑Commercial/industrial El Accessory building For special information use checklist 1 j Multi-family ❑Master builder ❑Other: Description _ Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling,: Air conditioning 1 46.75 Job site address: 16592 SW Sunshine Coast St Furnace 100,000 BTU(ducts/vents) 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 pump61.06 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 Subdivision: Polygon at Roshak Ridge Lot no.: 148 Other er 23 3�-- -.-.—- Other fuel appliances: _ Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 ______^ - New Single Family Flue vent for water heater or gas fireplace 23.32 Log liehter(gas) 23.32 - Wood/pellet stove 33.39 Wood fireplace/insert __ 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 e PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway Si,Ste.510 equipment 33.39 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 ❑ CONTACT PERSON Other: 23.32 -- Fuel piping: Business name:Polygon WLH,LLC 514.15 for first four:54.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway Si,Ste 510 Gas heat pump _ Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittals(tayIOf111OrriSOf1.COM Barbecue 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($90.00) Phone: Plan review(23%of permit fee) (360)270-1590 Fax:( ) State surcharge(12%of permit fee) ' 1 CCB lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO S�J b�i h n N days after it has been accepted as complete. Authorized signature: (�C w vt�t t� • Fee methodology set by Tri-County Building Industry Service Board I Print name:Elia Duran _ Date: 1 0/30/2(] i ,«a Electrical Permit Application FOR OFFICE E'si ONLY City of Tigard l�V�� V Received C•�-�-�I/��i��ff �i �j 17ate113p Priori!It JI WLV'Va Q -• 13125 SW Hall Blvd.,Tigard,OR 97223 a ' '" , Plan Review Related Permit ft: 2 Phone. 503.718.2439 Fax. 503.598 1960�+ ' OF (, [�t lxatcRy TIGARIJ: lntp etonwww.dgardor ov75 V�I ( T�GAf1L9 xe dyt)amBy Suns. id Ste Page zmr Notilied/bfcdad. S'pplamental Information TYPE OF WoI ILDING DIVISION' - PLAN REVIEW 7,1 New construction ❑Addition/alteration/replacement Please check all thai apply(submit 1 sets of plans wfitems chocked) 0 Demolition 0 Other: 0 s<raxe or feeder 400 amps in more ❑Budding over three stones. where the available fault current (]Marinas and bwty:ea, CATEGORY OF CONS"IRUCTION exceeds 10,000 amps at 150 volts or ❑bloating buildings M 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ic.s to 11ruirnd,or exceeds 14,000 0 Coinmetcial-use agricultural amps for all other installations buildings ❑Multi-family ❑Master builder ❑Other: 0 Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LO('.4 l'tON 0 Enicr1,,eney system larger separately denied ❑Addition of clew motor load of system. 16592 SW Sunshine Coast St Job#: Job site address: 100I1P or more. ❑"A,` ","i 2 "t 3", City/State/ZIP: Tigard,OR 97140 0 Six or more residential units occupancy ❑Health-care facilities. 0 Recreational,:ebide parks_ Suite/bldg./apt#: 1 Project name: Polygon at Roshak Ridge ❑tlazardous locations 0 Supply voltage for more than ❑Service or k-edei 600 amps or more 600 s•oIts nominal. Cross street/directions to job site: ... FEE SCHEDULE Description I Qty. I Each I 'total I New residential single-or multi-family dwelling unit Subdivision:Polygon at Roshak Ridge Lot#: 148 Includes attached garage. 1,000 sy It or less 168 54 4 Tax map/parcel#: En add'l 500 sq.R.or portion 33 92 I DESCRIPTION OF MORK _Limited energy,n sidtutiat New construction.Type e (with above sq.ft) 75 00 2 4 Limited coogy,multi-family 75 00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® 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 7I0 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200 34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 snips Sot 04 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or s=olds 552.26 2 Temporary services or feeders installation,alteration,andior Email: OAiamiAbouhafs@taylorntorrison.com-PermitSubmittals®tay'lormorrison.cout 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 to 400 amps 125 08 2 Owner signature: Date: 401 amps to 599 amps 168 54 2 ❑ APPLICA,NT ❑ CONTACT PERSON Branch circuits--new,alteration,or extension,per panel A Fee for branch circuits with Business name: Polygon Homes WLH LLC above seance or feeder fee, 42 each branch circuit - Contact name: Omar Alami Abouhafs n Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or leader fee,first 1 R 2 branch circuit City/State/ZlP:Vancouver,WA 98660 Each add'l brunch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )946 8674 Fax:: ( ) Each manufactured or modular G7 84 2 dwelling,service and/or feeder -.. .. Email:OAlamiAbouhafs i taylormorrison.com-PermitSubmittaLs taylnrmolrison_com Reconnect only 67 84 2 _4 CON'TRA(,"1'OR Pump or in igatiun circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67 84 2 — Signal circuit(s)or limited-energy Address: 105 Dresden St panel,ahcration,or extension. 0 See Page 2 2 City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66 25/hr Phone:(503 3118 0563 Fox:( ) investigation(l hr mitt) 90.0X1/hr Email: David@wallacewires.com Industrial plant(1 hr min) 78 18/hr Inspections for which nu fee is CCB Lie.:224868 Electrical Li 0- C 1441 Su . 1.• 6363S specifically listed CAhr min) 90.00/hr ELECTRICAI. PERMIT FEES Suprv.Electrician signature,required: ,/ Subtotal Print name: • G Date: y it, per mit 1 I ❑Plan Review Required(25%of fee): #- State surcharge(12%of permit fee) . Authorized signature TOTAL PERMIT FFG Tkia( application expires if a persit<a not obtained within ISO Print name: , Date: if/4r ram] days after It has been accepted as complete. f $ Number of inspections allowed per permit 1.'aoildingTenuits'.1iLt:Peril tApp_EI.R ERF'.ticc Rev 0602t2015 4 0-4615r(z IloSCO).t,VE Plumbing Permit Application Fixtures : FOR OFFICE USE ONLY Received c����y City of Tigard tt Date/By: Permit No.:�/' 'ZQu��l�/b 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -. _ Phone: 503.7182439 Fax. 503,598.196 Other Permit No TIGARD Inspection Line: 503.639,4175 ljI 1 t OF TIGARD Date Re /� pate Ready/By: Inris: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIOI`NoiifiediNethod: Supplemental Information - TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. [ Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 I-and 2-family.dwelling 0 Commercial/industrial SFR(2)bath 437.78 Accessory buildingy SFR(3)bath 500.32 ❑ -Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: _.- `_ .._r Fire sprinkler( sq,ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: _ Job site address: 16592 SW Sunshine Coast St Catch basin or area drain 18.76 City'State/Z1P:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 -- -• Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: Project name:44eei.rlrAiidiePolygon at Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes I8.76 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.: 148 Fixture or item: Tax map/parcel no.: Back-flow 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 _ ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/`floor sinklhub 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 I 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:permitsuhmittals@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water piping/DWV g/DWV 56.29 _ Address:P.U.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 Lie.no.:pb634 Plan review (25%of permit fee) - State surcharge(12%of permit fee) Authorized signature: y4.Qy^�. 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 i lBaiid,n0`.Pcrrnits\PlbN-PennitApp.doe 10./01,O5 440-4616T(I0'02/COM,WE.B) 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT• TIGAKD Building Permit Review — Residential Building Permit #: 4 ST2.021- O0ZUg Site Address: 16592 SW Sunshine Coast Street Project Name: Polygon at Roshak Ridge Lot #: 148 Planning Review Proposal: New house K Verify address/suite# active in Accela. © In River Terrace: ❑ No ® Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control C3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IVRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) $1Footprint of new structure(including decks)and FFE 1 1North arrow ®Utility locations&easements(required for new and additions) itt7Site address,project or subdivision name and lot number 1ESidewalk/driveway approach ]Applicant information(name and phone number) r®Location of wells/septic systems L]Lot dimensions and building setback dimensions ]Street tree size,type and location naSquare footage of buildings to be demolished $]Street names rl ]Existing structures on site ®Corner elevations(2'contours if more than 4'differential) &1Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? A❑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 X No Received: ❑ Yes ❑ No a SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake J Land Use Case#: PDR2015-0002/SUB2015-00004 ® Zoning: R-4.5 2C Required Setbacks: Front: 12 Rear: 10 Side: 3 Street Side: na Garage: 20 ® Building Height: Max.Height: na Actual Height: ® Landscape Area: 20 % ® Lot Coverage Max: 20 Entrance ack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 de re Windows ❑ Minim area of all street-facing facades Garage ❑ Garage door is be • trees-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%or less and includes 7 of following: ❑ Cover-. - ■ Recessed entrance ❑ Wall offset • -.ve ❑ Roof offset . - s ' gles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam.•- ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection • IN Visual Clearance 4E Urban Forestry Plan • Sensitive Lands: ❑ Yes ® No Type: ® Conditions met prior to issuance of building permit Notes: ' ki Approved By Planning: AV oetAiteirb Date: 5/25/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved 9) i I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Q5/4/202-1 Site Plans: # 3 Building Plans: # 3 Building Permit#: [R'Enter building permit#above. Workflow Routing: Ia'Planning Li"Engineering 111--Permit Coordinator Iv Building Workflow Sign-off: (a' 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 a rust details,if applicable, etc. Notes: By Permit Technician: Date: 76/lOZ/ En 'neering Review LrJ Slope at building pad: ,74 I/Conditions "Met"prior to issuance of building permit �j/f I 'Easements (encroachments)per engineering conditions of approval and plat I "Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes brNo Assess Water Quantity Fee in-lieu: ❑ Yes [P'No LIDA Facility on lot: ❑ Yes 6'No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: ��/�/ Revisions (after Building Submittal only Reviewer / Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 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: SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A Tigard Trans SDC: ' Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: !L Date: ( `�` 2421 I:\Buil din g\Forms\BI dgPermitRvwRE S_1224 I 9.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum ... } Building Permit #: M ST2021- 002O ' Site Address: 16592 SW Sunshine Coast Street Project Name: Polygon at Roshak Ridge Lot #: 148 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Plaor1ir 11evietp of1Vver terrace Plan District Desrl Standards (18.640.070.I.): Is the project subject to the plan district design standards? E 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 ffJ ❑ El ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 14% 3. Entrances:At least one entrance must meet both of the following standards: facing wall Parallel to street,angle no more than 45° from street, ® Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: IN Yes El No If yes,all the following apply: ® 25 sq.ft. min. l 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 façades: 54 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 XI Roof eave min. 12 inch projection ® Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ] Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade ® Window trim min. 2 1/2"wide by 5/8"deep inchesforall street facing ❑ Baywindow min. 5 ft.wide by2 ft. ❑ Window recess min 3 deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access ❑ Attached garage is 35% or less of street façade 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 El No. If No (Check one): f.if there is a covered front porch and garage does not extend beyond the front porch. ❑ Mayextend upto 5 t � g Y Cl 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 El 40%max. of street façade XJ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: ATMDate: 5/25/2021 I:\Bui IdingForms\BldgPermitRvw_RES_RT_121417.docx