Permit CITY OF TIGARD MASTER PERMIT
1111 1. ' COMMUNITY DEVELOPMENT Permit#: MST2021-00214
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2021
T t i:;;'�I=.�� g Parcel: 2S107AA14600
Jurisdiction: Tigard
Site address: 16537 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 146
Project: Polygon at Roshak Ridge, Lot 146
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 925 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1188 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2113 sf Value: $279,140.58 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp 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: 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: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2113
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $40,371.05
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232..19987 or 1.800.332.2344.
Issued By: Holly Vavl.De/We.ge Permittee Signature: 0yvAppLf catto-vt
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 8_5 2 21
Residential RECEIVE,- F/OR OFFICE USE ONLY J, /j/)
City of Tigard > , Date/By: A 2 2021
2I 'W Permit No: M ST202 —(/�
13125 SW Hall Blvd.,Tigard,OR 97223 iciy 2 9� Plan Review l Other Permit /� -fit 27
511111 _ '1 13125
503.718.2439 Fax: 503.598.1960 t Date/By: �/ �' /l SwR2 2j—QQI�J7
T I G A R D Inspection Line: 503.639.4175
03.63 g4175 CITY OF TIGARD Date Ready/By: l(( 1116r See Page 2 for
Internet: www.ti and-or. ov Notified/Method: SupplementalInformation
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 5$
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �. ) /
❑Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Z 5-3S
Job site address: 16537 SW Sunshine Coast New dwelling area: 2,113 square feet 1' tli3
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 422 square feet 01 2.5
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.: 146 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 2,113 s.f. (SFU) Valuation: $
Elevation: 222100 B -Projected Start: 11/2021 or before if available,. 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 CIO 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
Phone:(360) 695-7700 Fax: :( ) Amount received:
E-mail: Permitsubmittals@taylormorrison.com/OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 Total fee due upon application: $201.60
Authorized signature: I2192Q.A..4G aou "Ierifre. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 05/24/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I-
Mechanical Permit Applicati IOROFFICEUSEONLY
City of Tigard
ECEwE Received
t+ Permit No
• 'I 13125 SW Hall Blvd.,Tigard,OR 97223 ri? 2 q Plan Review
��F—7/�(J� McS'Tz�Z��OQZ�(�
I Phone: 503.715.2439 Fax: 503.59$.1960 DateBy. Other Permit:
TitiAl.Il Inspection Line: 503.639.4175 Date Rcad�1I3 : hats
Internet: uww.tigard-or.gov CITY OF TIGARD 7 y @ See Page 2 for
Notified/Method: Supplemental Information
BUILDING DIVISION --
i TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work _
®New construction p performed.Indicate the value(rounded to the nearest dollar)of all
❑Additiotlfalteration/re lacement
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
12 1-and 2-family
dwelling ❑Cotnmerciallindustrial ❑Accessory building For special Information use check/Lw.
1 1 I Multi-family mil ' ❑Master builder ❑Other: — Description Qty. Ea, Total
JOB SITE INFORMATION AND LOCATION HeatinafcaolinA:
-
1 Air conditioning 1 46.75
Job site address: 16537 SW Sunshine Coast St Furnace 100.000 BT U(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100 000 t 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 watcrtetn 23.32 ---
Residential boiler(radiator or
hydronic) _ 23.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc. 46.75 _
Fluelvent for any of above 23.32
Subdivision: Polygon at Roshak Ridge Lot no.: 146 Other. 23.32
_----- Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 --
DESCRIPTION OF WORK Gas tir lace/insert 1 33.39 _
New Single Family Flue vent for water heater or gas
fire,lace 23.32 _
..lighter gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
l Chimneyrliner/Oue/vent 23.32
i IN PROPERTY ONER ❑ TENANT Other. - 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes. er exhaust 33.39 _
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet com.artments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32 I
Business name:Polygon WLH,LLC Fuel piping: _____
514.15 for first four_ $4.03 for each additional
Contact name:Tonja Morris Furnace etc.
Address:703 Broadway Sc,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:permitsuhmittalsQtaylormorrison.Corn Barbecue
,.t 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)
Plan review(25%o of permit fee) _
Phone:(360)270-1590 Fax:( ) State surcharge(12°i0 of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE _
This permit application expires if a permit is not obtained within 180
ff�i� days after it has been accepted as complete.
Authorized signature: `'" a �u�'a' ' Fee methodolog•set by Tri•Counw Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
I tAniit,ne\Prr,v,,,\rr'i Vrrm.4n.i hail 11 a,. inn,, ,.,'rr.n�w+frtrtl2o'.
Electrical Permit Applicatio FOR OFFICE USE ONLY
Cityo Tigard DECEIVE , Received S`� OBI DanrrDV Permit a /!U I a
13125 SW Mall Blvd.,Tigard,OR 97223 ,3 + 1�
Phone, 503.71$2439 Fax 503 598.I960 " �� Plan Review Related Permit 8:
1Jatc By
T i CiA RlI Inspection Line 503.639 4175 CITY y '(' ] Ready Date/Fly runs' $1 Ste Page 2 for
lnteruet: www.tigard-or.gov CII i VF IIGAIiD _Notified/Method. Supplemental Information
i TYPE OF WeAWLDING DIVISION PLAN REVIEW
g,g New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans wtitcros checked)
0 Service or feeder 400 amps or more ❑Budding over three stories
❑Demolition Other: where the available fault current 0 Marinas and boatyard.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildu.gs
71 1-and 2-family dwelling ❑Commercialindustrial ❑Accessory building ir...to gnund,or exceeds 14,000 Cl Commercial-use agricultural
amps for all other installations building,.
❑Multi-family ❑Master builder ❑Other:
❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND 1,(W.ATUON 0 Emergency system larger separately derived
16537 SW Sunshine Coast 0001Addition of ore.motor load of system.
Jab#: Job site address: ioorlP or more. ❑"A�._k....1-2^,°`1-3",
City/State/ZIP: Tigard,OR 97140 ❑Six or more residential units occupancy
Cl—
limn-care facilities. ❑Recreational vehicle parks.
Suite/bldglapL#: 1 Project name: Polygon at Roshak Ridge ❑hazardous locations 0 Supply voltage for more than
❑Service or icedet 600 amps or more 600 volts nominal.
Cross street/directions to job Site: FEE: SCHEDULE
-. _ Description I ]. I tars _1 'Total 1 • .
New residential single.or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 146 Includes attached garage.
Tax map/parcel#: 1,000 sq ft.or less 168 54 4
Fa,add'1500 sq ft.or portion 33 92 1
DESCRIPTION OF WORK Limited energy,(OSitlevual
New construction.Type SFU (with above sq ft) 75.04 2
Limited i.i s gy,multi-family 75 00 2
residential(with above sq ft.)
PROPERTY OWNER Renewable Energy ❑ See Page 2
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 to 600 amps 200 34 2
City/State/ZIP Vancouver,WA 98660 601 amps to 1,000 amps 301 04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 tunps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: OAlamiAbouhafs@taylorntorrisou.com-PermitSubmittals@taylormorrison.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 to 400 amps 1 25-08 2
Owner signature: Date: 401 amps to 599 amps 168 54 2.
❑ APPI.IC ANT ❑ Branch circuits--new,alteration,or extension, er panel
I CONTACT PERSON A.Fee for branch circuits with
Business name: Polygon Homes W 1.H LI.0 above service or feeder foe, 7 45
each branch circuit _ -
Contact name: Omar Alami Abouhafs B Fee for branch circuits wirhnrtt
service or feeder fee,first Address: 703 Broadway St.,Ste 710 branch circuit 56.18 2
City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )946 8674 Fax::( ) Each manufactured or modular _
dwelling,service and/or feeder 67 84 2
Email:OAlamiAbonhafsAtaylormorrison.com-PetmitSubmittals@taylnrmorrison.com -
Reconnect ect only 67 84 2
CONTRA(.`I'OR _... Pump or in,gation circle 67.84 2
Business name: Wallace F.iectric Sign or outline lighting 67.84 2
Signal circuits)or limited-energy
Address: 105 Dresden St panel,alteration,or extension. ❑ 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
I Phone:(503 3)8 0563 Fax:( ) investigation(1 hr min) 90.00/hr
Email: David@wallaccwires.com Industrial giant([hrmin) 78 18+iv
Inspections for which no lee is
CCB i.ic.:224868 Electrical Li•' C 1441 Su v-1: .7 6363S specificatty listed('A hr min) 90 Oi?!hi
ELECTRICAL PERMIT FEES
Sttprv.Electrician signature.required: ,_. ^Subtotal
Print name: , F _LIE, Date_ /4 jz i _❑Plan Review Required(25%of permit fee):
O i( J
State surcharge(12% permito€ fee)
Authorized signature �� j "---_ TOTAL PERMIT Tl:l
This permit application expires if a permit is not obtained within I80
Print natn��i _ �,F Date: tl / days after it has been accepted as complete.
nt� _ r 7 !Tr.t .._ r Number of anspectnuns allowed per permit
I:tBurldingi&'crutils'EL.(:_PenugApp_FIR r:RE.dcc Res 06'I7,n015 4 ti-l515.1(11AWCOM/VER
`Plumbinv, Pel"1"• Applicati°1RECEIVE r
Building Fixtures I''''[[ FOR OFFICE USE ONLY
"1
City Of Tigard MY t 20 Y Received
Permit N ermo.: 7�
Datett3l•: P M 12o2.l-0024 L+
n 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.19€ITy OF TIGARD Plan Review
Date.!IIy Other Permit No.
TIGARD Inspection Line: 503.639.4175 n Date Rcady/fay: tun, El See Page 2 for
Internet: www tigard-or.gov BUILDING DIVISIONNotified'Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
►1 New construction 0 Demolition Far special in ormation use checklist.
Description I Qty. 1 Ea. J 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
nd 2-family dwelling ❑Commercial/industrialSFR(2)bath 437.78
1-a
❑Accessory building -Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder Other: Fire sprinkler( sq.ft.) Page 2
r._
JOB SITE INFORMATION AND LOCATION Site utilities: _
Job site address: 16537 SW Sunshine Coast St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dt}nvelt,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:dr+seitwlrniolrePolygon 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.: 146 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
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixiuredsewernap 25.02
Floor drain/floor sinkihub 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:S_) Page 2
Primer 12,51
1 Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 1111 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@polygonhontes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping.DWV 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 _ Minimum permit fee: S72.50
Plan review (25%of permit fee)
CCB Lie.:184372 Plumbing Lie.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: pq- TOTAL PERMIT FEE j
Print name:Steve Fowler Date: 10/30/20 1 This permit application expires if a permit is not obtained within 184 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1.kBuilding\PermirsitLMU-PermiiApp.dnc 10101r09 440-4616T(RPOLVCOM+WEB)
City of Tigard
II
' 111 COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A RD Building Permit Review — Residential
BuildingPermit #:
NtSf20Zt-OOZI LI
Site Address: 16537 SW Sunshine Coast
Project Name: Polygon at Roshak Ridge l Y9 Lot #: 146
Planning Review
I
P oposal: New single detached house
Verify address/suite #active in Accela. In River Terr e: ❑ No Yes, River Terrace Review Addendum
Si e Plan Elements: r ion Control
i', copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
Drawn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
• h arrow ty locations&easements(required for new and additions)
A' to address,project or subdivision name and lot number i alk/driveway approach
A pplicant information(name and phone number) cation of wells/septic systems
.t dimensions and building setback dimensions eet tree size,type and location
I quare footage of buildings to be demolished eet names
xi •
sting structures on site omer elevations(2'contours if more than 4'diffe ntial
I .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o
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):
Required: ❑Yes,applicant was notified ❑ No Received: ❑Yes ❑No
OiWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑No Received: ❑Yes No
DC Exempti for ADU applied for: ❑Yes ❑No Received: ❑Y No
pd P blic Facili 'es Improvement (PFI) Permit:
P
equired: Yes,applicant was notified ❑No pplied For: Yes ❑No,stop intake
�a d Use Case#: SUB2015-00004 Zoning: R-4.5
equired Setbacks: Front: 8 Rear: 0 Side: 3 Street Side: NSA Garage: 20
Building Height: Max.Height: N/A Actual Height: —2 e.
1 . dscape Area: % ❑ Lot Coverage , ax: 0/0
Entrance et back no more than 8'from street-facing wall v Ai Parallel to street or offset 45 degrees or less
Windows Minim., 2%of area of all street-facing facades 1`"
Garage Gara e door is .- :.d widest street-facing w. ❑Yes ❑ No,one of the following is met:
Door extends no mo .an 5'f• wall and there is a covered porch extending beyond garage.
Door extends no more o.. wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is 12'or less 1 t' . . less of facade 60%or less and includes 7 of following:
Covered .. — Recessed entrance 1 q.. • set ❑ 1'Roof eave Roof offset
Fire : gles — Lap Siding ElRoof itch I ,_ hi,,or gambrel roof ❑ Dormer
ccent siding Window trim U Window recess 1, •.w projection ❑ Balcony
diVV.ual Clearance Ly Urban Fores an
0N...ensitive Lands: ❑ Yes No Type:
w. nditions met prior to issuance of building permit
N es:
Approved By Planning: _____ C---?-ck
Date: S/2 rip/,2—/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
N
Building Permit Submittal
Original Submittal Date: 0v/24/021 `
Site Plans: # ,
Building Plans: #
Building Permit#: Enter building ermit# above. �� �/
Workflow Routing: ilanning engineering LR Permit Coordinator Ili building
Workflow Sign-off: 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 and •n.t details,if applicable,etc.
Notes:
By Permit Technician: i er / Date: 05 27 021
En ineering Review
S ope at building pad:
Ltd Conditions "Met"prior to issuance of building permit .49 9
Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes V.No
Assess Water Quantity Fee in-lieu: ❑ Yes � No
LIDA Facility on lot: Ely L'7 Yes No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ..•011."_ Date: .'j2/
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 a ly
SDC Fees Entered: Wash Co Trans Dev Tax: i
Yes II N/A
Tigard Trans SDC: 5Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes E N/A
fif OK to Issue Permit
Approved by Permit Coordinator: /—L, Date: 1p f t 120Z I
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
q
COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: fvf ST202(-002/'-
Site Address: 16537 SW Sunshine Coast
Project Name: Polygon at Roshak Ridge Lot #: 146
(New dwelling=subdivision name;Addtion or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ict Design Standards (18.640.070.L):
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. 5 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
❑ ElCI ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 11-2 7a
II
3. trances:At least one entrance must meet both of the folio ' g standards:
Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street,
or o n onto porch
Entr nce opens to a porch: Yes ❑No
If s,all the following apply: J sq.ft.min.
6 ne street facingen ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
P g
4. a ailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:projection
overed porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inchesv
I] ormer min. 4 ft.wide
Roof eave min. 12 inch of offset min.of 2 ft.
❑Roof shingles either tile or wood able hip or gambrel roof desig
n
❑Roof pitch oriented south min. 500 sq. lap ft. orizontal sidingmin. 3-7 inches wide
❑Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by5/8"deep
ee p
❑Window recess min. 3 inches for all street facingBay❑ window min. 5 ft.wide by2 ft. deep
ee P
0 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 ❑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)
❑ 2-foot-wide garage door ❑40%max. of street façade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ----- ->----.. Date: S---t4; 2/
I:1Building\Forms\BldgPennitRvw_RES_RT_121417.docx