Permit FOR OFFICE USE ONLY—SITE ADDRESS: ,$/1 6/47/ -,j
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
li _ " Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti¢ard-or.eov
TO: Hc con Cr DA MEWL V C V
DEPT: BUIL'ING DIVISION
p AUG 2 6 ?A21
FROM: 5
s------ �h� CITY OF TIGARD
COMPANY: 1 tom MR (y6tras<91,v BUILDING DIVISION �
PHONE: 3CO 'N-(:, �� I By:t� `
EMAIL: €--OdE.lvrn: ,r-Lnt9kali- t. It i,,. .. ' . ..
RE: l6G c;tk1 `T<i7(.11nsu' Op A ? 15T d2o9 — 00.2.41
(Site A dress) (Permit Number)
.A I .1? p,A.2„. &II- lc,
Proje ache or sub ivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
1'Copies: 1 Description: I`Copies: ' Description:
Additional set(s) of plans. Revisions: j p,,y , ,qi... 7 toh (IAA
Cross section(s) and details. Wall bracing and/or lateral a alysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
rMARKS: 7te,a ser ,e,iIcej s -rerP- A 1- re In red, /PVT
t
A
FOR OFFICE USE ONLY
Routed to Pen/TTechnician: Date: ,,liZl2( Initials: 4--
Fees Due: VM Ids ❑ No Fee Description: Amount Due:
I $
I � $
Special 1
Instructions:
Reprint Permit(per PE): ❑ Yes I [No f
LIIDone
Applicant Notified: ,�� Date: �7 [`� l,�l Initials:
•
V r
1:\Building\Forms1TransmittalLetter-Revisi ons_073120.doc
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N _ " Transmittal Letter
TIciARD) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.eov
TO: U � evrnci-Poo DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: ( l M\ il06z RECEIVED
AU6 18 2011
COMPANY: 1ptz 1-{n(Y4&91,. CITY OF TIGARIJ
PHONE: (b ' tb AGf4 BUILDING DIVISION By 4.1.-
EMAIL:
. mEMAIL: 9 Il cyn, 0L eu Irl @ tisi ijoitioDee,sk, , cA"-..
RE: A6 96 cW Tall r).CuiUrt S,i---- " 1415T 10M_ — no 9_4/L
(Site Address)) (Permit Number)
o �A ,� s�R12 4— lc-
( ct name or subdivision name and lot number) —
ATTACHED ARE THE FOLLOWING ITEMS:
'Copies: I Description: I Copies: I Description: I
Additional set(s)of plans. Revisions: sly ee f- il- (leonclQ6u, )
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): r y D
REMARKS: ?len c/' CCP dice et ce43 9i/if:41-41 c Jerl- iN,S
rxriA P,Wtisz_ .7r) atct. [ptrowl Whi;:,..)
FORpFVICE USE ONLY ,, i1
Routed to Permit Technician: /rate: 1 /Z!21 Initials: AA
Fees Due: Ell Yes Vo► ee Description: Amount Due:
$ g5fr,./_ .
j e) L $
Special
Instructions:
Reprint Permit(per PE : El Yes I No -' ❑ Done
Applicant Notified: Date: • /9 ),/
Initials: /(�
I:1B ui I d ing\Forms\Tran sm ittal Letter-Revisions_073120.doc
CITY OF TIGARD MASTER PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: MST2021-00241
Date Issued: 09/22/2021
T I[l Ali I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S107AA15700
Jurisdiction: Tigard
Site address: 16695 SW TOVVNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 157
Project: Polygon at Roshak Ridge, Lot 157
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1211 sf Basement: 783 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 4 Second: 1715 sf Garage: 485 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3689 sf Value: $478,271.64 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: t Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckftw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=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: 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 Y
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 3689
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 98680 2 Geo Tech Report Required
Prior To Pour
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $46,768.05
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
059-nni-nnin mrn,,na OAR oc91y11_(V10f1 Vnu ma.,nhtain a rnn.,M tE.n Jae nr dirart m,aetinne in ni auct m,raiiinn cnn 949 1057 nr 1 Fnn YQ9 9'lAA
Issued By: Ho-W4 Vain..Pe.Wege Permittee Signature: OK,ArzptitaFiosi,
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
Residential tjfr: V L) I OR(11 1 1( I l 7.+I: 0VI.1
City of Tigard JUN 23 2021 Dat By i 7 y -2! Permit No.:MS1X)2I^U]241
114 a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviews/yIL y�_ 9 fj 7� yy�
SDateBy: 1 Zi "1- Other Permit'']y V 1/ 2°21 I.LJ 147�
Phone: 503.718.2439 Fax: 503.598.196(CITY�OF j`j(j��Q) /
T I G A IL D Inspection Line: 503.639.4175 �.)l i DIN n 1 n l t1 Dare ReadyBy: RIM ®See Paget for
lntemet: www.tigard-orgov lJdl liar"' otified/Method: �� Suppkmental Information
TYPE OF WORK QUIRED 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION -work indicated on this application 2 aGrjl
Valuation: $
® 1-and 2-family dwelling ❑Commercial/industrial /
❑Accessory building 0 Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors:3 LI I
Job site address: 16695 SW TOWNSVILLE St New dwelling area: 3,689 square feet 1-11�
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 485 square feet call
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: 1 'L square feet -7, 3
Cross street/directions to job site: Deck area: 12,1S yam` square feet
Other structure area: ,^� square feet
REQUIRED DATA:COMMERCIAL-USEER CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 157 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to
near
Tax map/parcel no.: equipment,materials,labor,overhead,e and the profitst dollar)ofor the
DESCRIPTION OF WORK work indicated on this application.
New Construction/Type: SFU/Elevation plan: 222803BR Valuation: $
Projected start:November 2021 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 ❑ CONTACT PERSON ()51 BUILDING PERMIT FEES* 1
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)946-8674 Fax::( )360 693-4442
E-mail: permitsubmittals@taylormorrison.com-OAlamiAbouhafs@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.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 Total fee due upon application: $201.60
Authorized signature: 7(fl t .rY 1ezo a .ry eB ziez et. This permit application expires if a permit is not obtained
(' within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 06/22/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building1 Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 l/02/COM/WEB)
4
h
Mechanical Permit Applicatic 1R EC F l VE 3 FOR OFFICE USE ONLY ,:
Received a A e.-ry n-r/-/7p�e�y f,'
City of Tigard Received
Perot No. (�6$Jt _02f 002 r
'1 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 3 2021 -
i lino Review
Phone: 503.718.2439 Fax: 503.598.1960 Daidgyt Other Permit:
ii{i{r i;�7 Inspection Line: 503.639.4175 CITY OF TIGARD Dale Ready/By: Jails: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION NoUtied/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEES SCHEDULE USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®1-and 2-family dwelling 0 Commercial/industrial ❑Arw-ssory building For special information use checklist.
1 j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/coaling;
Job site address: 14.7d'4 TOWNSVILLE ST Air conditioning 46.75
aY�dID Furnace 100,000 BTU( ishxnisl 46.75
City/State/ZIP:Tig ,C7j R97224 Furnace 100,000+BTU(ducWveets) 54.91
Suite/bldgJapt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06
Duct work 23.3232
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,stu-pmtdeel etc. 46.75
Flue/vent for any of above 23.321
Subdivision: Polygon at Roshak Ridge Lot no.: 157 Other. 23.32 I
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 SFU construction fireplace 23.32
Loa lighter(gas) , 23.32
Wood/pellet stove 33.39
_ Wood fireplace/insert 23.32
Chimney/liner/flue/vent . 23.32
Other:
® PROPERTY OWNER ❑ TENANT 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/crawlspacefans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first roar;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspeadedhunit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(taylormorrison.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Coaling Other
MECHANICAL PERMIT FEES'
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(121,0 of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
'l � ^ „ days after it has bees accepted as complete.
Authorized Signature: �� w l�i.4..!L+ • Fee methodology set by To-County Building industry Service Board
Print name:Elia Duran Date: 10/30/20
,i,.it nrnWPnm:r.ieAef P-.m:.a,...Ma111 A..e ncn ner+r a r r as+v»r emea'.
Electrical Permit Application RECEIVE FOR OFFICE USE ONLY
City of Tigard Perm"- IA�t202.)-O 21.1I
`i + 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 2 3 "[D 7_` y
n g osto'BPlan New Related Patent#:
7 Phone: 503.718.2439 Fax: 503.598.1960 ba�Ry.
Tfcnru impaction Line: S(t3639.4175 CITY OF"iIGARD Ready Denny finis: 65See Paget for
lntemet: www.tigard-or.gov BUILDING 1DIV SION. NoufcdfMcd d. Supplemental In formation
TYPE OF WORK PLAN REVIEW :
®New construction ❑Addition/alteration/replacement Please cheek all that apply(submit;sets of plans wiiaems checked)
El Demolition 0 Other: ❑Se sicc or feeder 400 Imps ormom ID Budding three uee Manes.
where the mailable Moult curtrat ❑Marinas and huarvardY
CATEGORY OF CONSTRUCTION =coeds 10,000 amps at 150 voles or ❑1lcatmg building
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building lap to mound,or exceeds 14,000 0 Coon ttrc d-use ag cultural
❑Multi-family ID Master builder 0 Other amps for all mho mmtlai Ens buildings
❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION El agency system larger separately derived
Job#: Job site address:16714 SW TOWNSVILLE ST ❑wdditianof new reeler load of ar'am
iPOfTPmmore.
City/State/ZIP: Tigard,OR 97140 16b9rj ❑six a more residential anus y
❑Health-care facilities. ID Reaunoasl vehicle parks.
Suite/bldg.apt.#: Project name: Polygon at Roshak Ridge ❑hazardous locations ❑Supply voltage for more then
0 Service or fctdu 600 amps or more. 600 volts nominal--
Cross street/directions to job site: FEE SCHEDULE. .
Oarriptee I Qty. I each I Taw I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 157 Iaciudes attached garage.
1,000 aq.It or less 168 54 4
Tax map/parcel#:
Ea add'1500 sq.0.or portion 33.92 I
DESCRIPTION OF WORK Limited mann,,residential 75.00 2
New construction.Type SFU (with above sq.R)
Limited energy,multi-family 7s.00 2
residential(with above sq.ft.)
® PROPERTY OWNER TENANT Renewable Energy ❑ Scr Paget
Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or has 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 —
2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: OAltmliAboubafs@taylormorriron.com-PermitSubinittals(taylonnorrison.com relocation
Owner installation:This installation is being made on properly 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 in 400 amps 125.08 2
Owner signature: --.. ._.. Date: 401 amps to 599 amps 168.54 7.
❑ APPLICANT ' 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WI.I{LLC above service or Realm foe, 7 42
each branch c.mua - •
Contact name: Omar Alamo Abouhafa B.Fee for branch circuits witJaoa t •
Address: 703 Broadway St,Ste 710 service or foe,firstbranch circuuitit56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone 360 )946 8674Miscellaneous(service or feeder not included)
( Fax::( ) _. Each manufactured or modular 67.84 2
Email:OAlalniAbalhafs(gtaylormorrison.com-Permit5ubmittals(dstaylarmorrison.cmn dwelling,service and/or rm�kr
Reconnect only 67 84 2
CONTRACTOR Pump or irrigation meek 67.84 2
Business name: Wallace Electric Sig,or outline lighting 67.84 2
1 Address: 105 Dresden St Signal cimut(s)or Golfed-energy 0 See Page 2 2
panel,alteration,or cataracts. ag
City/State/ZIP: Astoria OR 97103 Each additional inspection aver allowable in any of the above
Additional inspection(I br mia) 66.25/hr
Phone:(503 3)8 0563 Fax:( ) Investigation(I hr min) 90.00/hr
Email: David@wallaccwires.com Industrial plant{t hr min) 78 11i/hr
—
Inspections for which no fee is 90.00/hr
CCB Lie.;224868 Electrical I: • CI 441 Su 1; .• 6363S specifically listed(A lir min)
ELECTRICAL PERMIT-ILLS
Suprv.Electrician signature,required:
Subtotal
Print name:D140 cp Date: irt4 A r ❑Plan Review Required(25%ane
mia nemia Sae'.
State surcharge(129L of permit fee):
Authorized signature C�LrGGK1�"r- TOTAL PERMIT li Ai:
L
This permit application expires if a permit is not obtained within'um
—
Print name: tp I.044.4../Pi.e. _._.._ Date: £ f/L i- I . dart.after a has been accepted as complete.
7 b Number of inspections allowsd per permit.
l il.SO itELC_pama IIB IRE.die Rev 06/170011 4 0-46lST(1i#158OM/WS
A
Plan # 222S63,8g.Floors Large �r
Bedroom S Small (p7i 6.7-eb l Lo— lie-,aji-C--(2_ .--1Th
WC 4
LAV 4
Tub Basement /lQ IZ
0 ,)--,,,,&.. 0 6_,,,
Vent 1st Floor r c il' L S1•Ako S ` c...,'
Water Heater 1 2nd Floor I-7 IS'
AC �(,.C� 3rd Floor �/. q
School `�� R-3 Total Ju'� I
Y� D` Garage �s�
_"'1 Total Li 1 -71-f
3 lacesteLL 6 ''lam
1213 it #for Elec —7
I' S` lcvn s e`er P -L- ,n s4 - , ��
k�.,rc_. c�c. .pLa-c-e- p u l l , nS 4 c - O"
,2-.) Qv:AP I \ /ct.ca_ JI-Ak-Al" -,./4---‘`-''n I'S t(/ br\C-orr.e.f.---C- r-AtA-2,s b 0
1^-oJ .. /( , . }7rvw,-,:hv
i/ (3,a,4-cpif c.„L.A ,_,Lairis ,, .
(. ,,,ti . , y r -p, 3
,,
pr 5 144, � v,1 r.o s
,� .� Gr -g`t--(_J e,,r, , s `l
4.. : n ti rr\%o n-) o 19% th-cJ pp cr (r—c A- 4,,oj' or)
- e„"7 7IDl , I (2-)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I It 1� Building Permit Review — Residential
Building Permit #: µ S-(`Z021-002(4(
Site Address: J i % 'A--) �LOh,gV///-e SL-
Project Name: Polygon at Roshak Ridge Lot #: 1S
Planning Review
Pr posal New single detached house
d 7 Verify address/suite# active in Accela. In River Te e: ❑ No ,NJ,(Yes, River Terrace Review Addendum
Si Plan Elements: r ion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) ' otprint of new structure(including decks)and FFE
trth arrow tlity locations&easements (required for new and additions)
o address,project or subdivision name and lot number alk/driveway approach
plicant information(name and phone number) -anon of wells/septic systems
of dimensions and building setback dimensions ' eet tree size,type and location
�\ re footage of buildings to be demolished eet names
isting structures on site orner elevations(2'contours if more than 4'diffe•-ntial
Not area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Li es o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?, l', es o
nClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified ❑ No Received: ❑Yes ❑ No
❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
DC Exemptio for ADU applied for: ❑ Yes ❑ No Received: El Yes El No
pL Public Facili - s Improvement (PF1) Permit V
Required: Yes,applicant was notified El plied For: Yes 11 No,stop intake
and Use Case#: SUB2015-00004 L✓J Zoning: -7- I J�12-
wgaited Setbacks: Front: 8 Rear: 10 Side: 3 Street Side:I\( Garage: 20
ilding Height: Max.Height: N/A Actual Heig t: -2
`�
WA Landsca e Area: -2-0 % Lot Coverage Max: 1 _
Entrance t back no more than 8'from street-facing wall ❑ Parallel to street or et 45 degrees or less
Windows Minim °/u of area of all street-facing facades \�
Garage Garage door is e - widest street-facing wall 1-' No,one of the following is met:
Door extends no mor 5' from wall and t s a covered porch extending beyond garage.
Door extends no more than 5' and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is 12' s 5 less of facade 60°/u or less and includes 7 of following:
Covered porch ecessed entrance W et 1'Roof eave Roof offset
Fire s es Lap Siding ❑ Roof itch a i ,or gambrel roof Dormer
ccent siding Window trim U Window recess rojection ❑ Balcony
\11III Visual Clearance Urban Forest 7 lan
II ensitive Lands: ❑ Yes No Type:
7 Co Lions met prior to issuance of building permit
Not
Approved By Planning: ` ` Date: //JmZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 4 /Z 3/202 f
Site Plans: #
Building Plans:
Building Permit#: E ter building4errtnit #above. �Uy
Workflow Routing: l Planning Engineering la-Permit Coordinator t5uilding
Workflow Sign-off: {d'ln�Sign-off for Planning(include notes from planning review)
Route Application Documents: ky Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
LzN Building: original permit application,site plans,building plans,engineer and
beam calculations a : r st details, if applicable, etc.
Notes: / ,
By Permit Technician: .- .,///7177„ Date: /t{/)O2/
Engineering Review
Er Slope at building pad: Zs2
EtConditions "Met"prior to issuance of building permit/l,-
Easements (encroachments) per engineering conditions of approval and plat
Er Water Quality/Quantity Facility.
Assess Water Quality Fee in-lieu: ❑ Yes 17@ No
Assess Water Quantity Fee in-lieu: ❑ Yes IJ�7y No
,y, LIDA Facility on lot ❑ Yes L'_I No
ll Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
,Notes:
E Approved by Engineering: Date: 7/6'��
Revisions (after Building Submittal only) Reviewer ` Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
krConditions "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:5
CI Received Does not a ly
SDC Fees Entered: Wash Co Trans Dev Tax: Yes U N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA es ,ON/A
,a OK to Issue Permit
Approved by Permit Coordinator: V d'1✓ Date: 71(o 1202,1
I:\Building1Fomms\BldgPermitRvw_RES_I22419.docx
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
r
Building Permit #: 4812020-PO 241 Site Address: /(Q& 9C-- S7 ) "7)10/Q/d/e_ 94-
Project Name: Polygon at Roshak Ridge Lot #: / 7--
(New dwelling= subdivision name;Addition or Alteration_last name of owner)
Plannnig Review of River Zierrace Plan Disc t Desik Standards (18.640.070.4):
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. 5deep ft. deep min. 2ft., 5 Et.wide min. 2 ft., 6ft.wide Gabled dormer
�Qf CICICI ❑
2. Eyes on the street: a minimuo f 12%f each street facing facade must include windows or entrance doors.
Percentage Shown: /2 0 a
3.Lntrances:At least one entrance must meet both of the foil ng standards:
Max. 8 ft. setback from ion st street- facing wall Parallel to street, angle no more than 45° from street,
or open onto porch
E trance opens to a porch: Yes CI No
I -es,all the following apply:
g sq.ft. min.
One street facing entry 2 ft. max. roof above floor of porch
L5 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:
tLCovered porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft. wide x 2 ft. deep
❑ 'all offset min. 16 inches ❑Dormer min. 4 ft.wide
EA Roof eave min. 12 inch projection ❑l o•f offset min. of 2 ft.
❑Roof shingles either tile or wood Bia C.ble,hip or gambrel roof design
❑Roof pitch oriented south min. 500 sq. ft. 7 orizontal lap siding min. 3-7 inches wide
❑Accent siding min. 40%of street facade 11 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 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)
❑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: -Ct 2/
1kl3uilding\Form s\R1dgPermitRvw_RES RT l21417docx