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Permit
CITY OF TIGARD MASTER PERMIT III a ' COMMUNITY DEVELOPMENT Permit#: MST2021-00216 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2021 Parcel: 2S 107AA 14500 Jurisdiction: Tigard Site address: 16553 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 145 Project: Polygon at Roshak Ridge, Lot 145 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1220 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1723 sf Garage: 486 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2943 sf Value: $383,873.58 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 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: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits I 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 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 2943 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: $43,656.50 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 Vow/De/Wege Permittee Signature: OwArplicart,on 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 so • ... ,aI_ Residential RECEIVE it FOR OFFICE USE()Nix Received�f/ pT !�/� City of Tigard Dateiv vt�'a� O2/ i/ ' Permit No:MJ 1 2021'VV2 , III q 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 it 2021 Plan Review ZOZ�t„�1 ' Phone: 503.718.2439 Fax: 503.598.1960 21 Other Permit 3 8 2 Date/By: T IGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: �/ /��' 1 � ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION No' d/Method: , Supplemental Information ` TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. IQ) 0 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3(63/c'13 ElAccessory building El Multi-familyNumber of bedrooms: 5 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3929 Job site address: 16553 SW Sunshine Coast New dwelling area: 2,943 square feet 1.77,3 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet I D_D.6 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: e 4 square feet Cross street/directions to job site: Deck area: I,i square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge I Lot no.: 145 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 2,943 s.f. (SFU) valuation: $ Elevation: 222300 A-Projected Start: 11/2021 or before if available. Existing building area: square feet Deferrals:N/A New building area: square feet 0 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: 0 APPLICANT 0 CONTACT PERSON 4)0 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* 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. Permit Fee(includes plan review City/State/ZIP:Vancouver, WA 98660 $180.00 and administrative fees): Phone:( 360)695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: t 7 t44. 41a.401.4.4 Y i. nt 4eisLL/,:azie, This permit application expires if a permit is not obtained �� within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 05/24/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) V! Mechanical Permit .&pplicatFECElVE FOR OFFICE USE ONLY �J� City of Tigard Date/By: M ST2O? -W L 1( b t�,, Received Ptrmft No.: 13125 SW Hall Blvd.,Tigard,OR 97223 1 r,a 2 a: 2117 .�.._ l Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit: 71{iA11.11 Inspection Line: 503.639.4175 CITY OF TIGNHL Date ReadY Y/B : ions L Ste Page 2 for Internet www.tigard-or.gov NotifiedtMethod BUILDING DIVISIQI Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CRECKLIST Mechanical permit fees*are based on the value of the work CONew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENI7AL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Conunercial/industrial ❑Accessory building For special information use checklist. 1 j Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total _ JOB SITE LNFORATION AND LOCATION Heating/cooling: M Air conditioning 1 iI 46.75 Job site address: 16553 SW Sunshine Coast St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,0004 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 water system 23.32 ` Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), M in-wall.in-duct,suspended.etc. 46.75 _ Flue/vent for any of above 23.32 Subdivision: Polygon at Roshak Ridge Lot no.: 145 Other: 23.32 ____ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK _Gas fireplace/insert 33.39 - Flue vent for water heater or gas New Single Family fireplace 23.32 Log lighter(gas) 23.32 ` — - Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTYOWNER 0 TENANT Other: 1 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 {'l 3339 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 Pi APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLII,LLC Fuel piping: S14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. s Address:703 Broadway St.,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.permitsubmittalsrtaylormorrison.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating do Cooling Other: MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 I. days after it has been accepted as complete. Authorized signature: '-a � 'n' ` Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran __.1 Date: 10/30/20 I rt,,LI,inoiPnrrtora,/F!'P.P.,.:r4n,.Mn11A An. e..n..r.rn„mnvv.e+mn:o. Electrical Permit ApplicationRECEIVE r FOR OFFICE USE ONLY IliCity of TigardReceived�l 2 202' Received Permit a I..4 S 1"ZOZI-002_1 to 13125 SW Ball Blvd.,Tigard,OR 97223 r /► Planthit Review Related Permit>: 2' Phone: 503.718 2439 Fax. 503.598 196°CITY OF TIGARL) Da-1 Inspection Line: 503.639 4175 head L)ata'R furls TI GA.Rr� BUILDING DIVISION y y seePnKc2for Internet WWw.lt$aid 4r,g4V Notched Irthod- Supplemental Information r— TYPE OF WORK PLAN REVIEW - El New construction ❑Addition/alteratiou/replacement Please check all that apply(submit`sets of plans wlitcros checked) ❑Sczvice or feeder 00 am El Demolition ❑Other: 4 let of more El 13uddmg over three stones where the available fault current ❑Marinas and boatyard., CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts era 0 Floating humidities ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building icy,tc ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other wstaliations burldint 0 Multi-family ❑Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑limergeacy system larger separately derived 16553 SW Sunshine Coast ❑Addite,nofnewmotorladof system. Job#: Job site address: loollp or more. City/Slate/ZIP: Tigard,OR 97140 0 sex or mOt't residential units occupancy -- ._.. CI health-care facilities. CIReacanonal vchrck parks. Suitc/bldgiapt.#: Project name: Polygon at Roshak Ridge ❑hazardous rccatrarrs 0 Supply voltage for more than .-,..._-- ❑Service or feeder 600 amps or mare 600 volts nominal Cross street/directions to job site: FEE )1CIIEDULE Description I Qia. I Pleb 1 'total I • New residential singir-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge 1 Lot 4: 145 Includes attached garage. Tax map/parcel#: 1,000 sq ft.or less 168 54 4 Fa add'1500 sq.E.or portion 33 92 1d DESCRIPTION OF WORK Limited enemy,res total New construction.Type SFU (with above sq.ft) 75.04 7 .... Limited energy,multi-family 75 00 2 residential(with above sq.ft.) Renewable.Energy ❑ See Pa e 2 ® PROPERTY OWNER 0 TENANT Services or feeders installationalleration,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 amps or volts 552.26 2 Email: OAlamiAboullafs[taylonnorrison.com-PermitSubmittal a lormorrison.com Temporary services or feeders installation,alteration,and/or Y 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 16854 2 0 AFPI.IC.1Yl ( 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel • A Fee for branch circuits with Business name: Polygon limes WLH LLC above service or feeder fee, 7 42 each branch circuit - Contact name: Omar Alami Abouhafs B Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56 I R 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add't branch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67 84 2 Email:OAlamiAbouhafs taylormortison.cam-PclmitSubmittals(gtaylonnorrison.com dwelling,service arMv°r feeder _ --. - Reconnect only 67 84 2 r CONTR:\("I'OR Pump or irrigation circle 67.84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Address- 105 Dresden St — Sindi Sinai circuit(s)or Molted-energy El See page 2 2 panel,alteration,or extension. Ci /StatefZIP: Each additional inspection over allowable Iii any of the above tY Astoria.OR 97103 F Phone:(5(13 3�3 0563 ,-Fax: Additional inspcc�ttort(1 hr min) 66 25/hr ( ) Investigation(1 hr min) 90.00/ltr Email: Davidfn4wal laccwires.com _ Industrial plant(1 hr ruin) 78 IV hr CCIl Lie.:224868 Inspections for which no tee is 90 00/hr Electrical Li - C 11 1 Su v-I.' .: 6363S specifically listed(16 hr min) + ELECTRICAL PERMIT FEESSuper.Electrician signature,required: 1�/�--�'-- Subtotal • Print name:DA)•pmt Date: y/L,Z f 0 Plan Review Required(25 f of permit fee): State surcharge(12%of peit fee) Authorized signature. TC)`tAL P1 RMIT I l 1:: This permit application expires if a permit is not obtained within 1710 Print non �m! eLl !)ate; days after it has been accepted es completes r�•t+! t • Number o£inspections allowed per permit. 1:d3urlibrt 9'crtnite'ELC_PcrntitApp_F.LR L1RE.dcc Rev 06117/2015 ,fn-46l5T(litevc0MWFB ,Plumbing Permit Applicatio Building Fixtures RECEIVE r FOR OFFICE USE ONLY Ilh City of Tigard Received Permit No.:i(S�ZOZI'OOLr(0-0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R FI i Plan Rev iew Phone: 503.718.2439 Fax: 503.598.196a.�/OF r� Date/By Other Permit No Inspection Line: 503.639.4175I 1 1 Gr TIGARD �"` TIGARD Date ReadyrBy: kids: 21 See Page 2 for Internet: www.tigard-or.gov R11II DING DIVJSIO NotifedlMethod: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition Far special information use checklist. Description I Qty. I Ea. I Total 0 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 XI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16553 SW Sunshine Coast St 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.: Project name:44imilsolikialeoPolygon 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.: 145 Fixture or item: Tax map/parcel no.: Back-flow prevented r 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 ❑ TENA.NT 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:S ) Paget Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basintlavatory 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@polygonbomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water Pin iP g 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 y Minimum permit fee: S72.50 Plan review (25%ofpermit fee) CCB Lie.: 184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: . TOTAL PERMIT FEE I Print name:Steve Fowler +� Date: O/3O/ZO This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1•.iluiidine`PermnsiPLMti-PermitApp.doe 10,01,09 440.461 ET(10,02'CQM'WEB) Nu City of Tigard 74 COMMUNITY DEVELOPMENT DEPARTMENT T I C;A R D Building Permit Review — Residential Building Permit #: pi5TJ921- ed2,JC Site Address: 16553 SW Sunshine Coast St Project Name: Polygon at Roshak Ridge Lot #: 145 Planning Review Proposal: new house * Verify address/suite#active in Accela. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum Site Plan Elements: ]Erosion Control C73 copies of site plan on 8-1/2"x 11" or 11 x 17"paper laRetained trees with drip line and tree protection measures CJDrawn to scale (standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE *lNorth arrow ®Utility locations&easements (required for new and additions) ®Site address,project or subdivision name and lot number IC Sidewalk/driveway approach kiApplicant information(name and phone number) 11aLocation of wells/septic systems ®Lot dimensions and building setback dimensions O Street tree size,type and location IASquare footage of buildings to be demolished ®Street names Existing structures on site E Corner elevations(2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Wits ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No El Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified El No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified 1E1 No Received: ❑ Yes ❑ No I SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No 7 Public Facilities Improvement (PF1) Permit: Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2015-00004 ® Zoning: R-4.5 x❑ Required Setbacks: Front: 12 Rear: 10 Side: 3 Street Side: na Garage: 20 ® Building Height: Max.Height: na Actual Height: 30 E7 Landscape Area: 20 % © Lot Coverage Max: 80 Entrance no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees Windows ❑ Minimum a of all street-facing facades Garage ❑ Garage door is behin t-facing wall ❑ Yes ❑ o the following is met: ❑ Door extends no more than nd there is a c rc extending beyond garage. ❑ Door extends no more than SEE RIVER TERRACE ADDENDUM >ove garage on 2nd floor. ❑ Garage door width is ❑ 12'or 1 /o or less of faca %or less and includes 7 of following: ❑ Covered porch essed entrance ❑ Wall offset ❑ 1' ❑ Roof offset ❑ F • ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro ormer ccent siding ❑ Window trim ❑ Window recess ❑ Window projection Visual Clearance /0 Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: f7 Conditions met prior to issuance of building permit Notes: le Approved By Planning: Date: 5/27/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: i5¢71202/ Site Plans: # 3 Building Plans: # 3 Building Permit#: lee-Enter building permit# above. Workflow Routing: IP-Planning [Engineering 1�Permit Coordinator [Building Workflow Sign-off: —Sign-off for Planning(include notes from planning review) Route Application Documents: 11YEngineering: (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 t .etails,if applicable,etc. Notes: j By Permit Technician: -)P WOO' Date: 167 012/ Engineering Review L(d'Slope at building pad: /P IV Conditions "Met"prior to issuance of building permit /// ' ETY/Easements (encroachments)per engineering conditions of approval and plat I{d Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes TY No Assess Water Quantity Fee in-lieu: ❑ Yes LP' No LIDA Facility on lot E Yes 1' No 'final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: CC/Approved by Engineering: Date: ��/'2„� 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 yr Does not apply fZ(SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: N Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ffe N/A OK to Issue Permit Approved by Permit Coordinator: ram--} Date: (p (Z"l Z021 V :=1 I:\Building\Forms\BldgPermitRvw RES_122419.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT C TI c RD River Terrace Building Permit Review Addendum Building Permit #: i‘/I S1r2421-OOz/lv Site Address: 16553 SW Sunshine Coast St Project Name: Polygon at Roshak Ridge Lot #: 145 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planninj-Review of-River ?'+errace Plan bistrict.bcssii Standards (18 640.070 I.): 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 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13% 3. Entrances:At least one entrance must meet both of the following standards: PE Max. 8 ft. setback from longest street- facing wall ® Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: J Yes ❑ No If yes,all the following apply: © 25 sq.ft. min. ❑ One street facingentry ® 12 ft.max.roof above floor of porch KI 5 ft. depth min. ® 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: © Covered 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 ❑ Dormer min. 4 ft.wide ® 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 mini 40%of street facade ® Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft.deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ® Yes ❑ 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: AtV Date: 5/27/2021 I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx '