Permit ligCITY OF TIGARD MASTER PERMIT
_ ' COMMUNITY DEVELOPMENT Permit#: MST2021-00228
Date Issued: 09/23/2021
ii I G A li D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S107AA16400
Jurisdiction: Tigard
Site address: 16571 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 164
Project: Polygon at Roshak Ridge,Lot 164
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1227 sf Basement: 763 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 4 Second: 1726 of Garage: 486 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3716 Sf Value: 5481,626.36 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: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckilw Prevntr: 0
Drywall-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 3716
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 2 One Hour Fire Rated Eaves
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $46,814.61
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
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Issued By: Ho61-Ad Va.w DI'Wege Permittee Signature: Ow Aptat.i4ctfizw,
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 3—tp !'j f2
Residential RECEIVED
FOR OFFICE USE ONLY �y�
City of Tigard g 1�4J 4,-�' DataByy:d6,6 7 •e� i Permit No:4.S-20��-W228
4 13125 SW Hall Blvd.,Tigard,OR 97223 ryry ti Plan Review
1. 2' Phone: 503.718.2439 Fax 503.598.1960 J U N 0 9 LO 1.i Dete/By: C 3.0
24
J o Other Permi g_2C2jJ-a),61
T'1 G A R D Inspection Line: 503.639.4175 T Date Ready/By: t %. la See Page 2 for
Internet: www.tigard-or.gov GI 1 1� OF' 1 iUh�i1✓ ed/Method: / 0 1 1 Supplemental Information
TYPE OF WORK REQUIRED A:1-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.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ Li ` IUlt 3(41
0 Accessory building El Multi-familyNumber of bedrooms: 5
❑Master builder 0 Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors:3 W')-
Job site address: 16571 SW Townsville Stree New dwelling area: 3,716 square feet (1` 1Q
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 486 square feet I aD.1
Suite/bldg./apt.no.: Project namte:Polygon at Roshak Ridge Covered porch area: ...asquare feet `--Aa
Cross street/directions to job site: Deck area: V i square feet
���..��t rrr���
Other structure area: y square feet
REQUIRED DATA:COMMERCIAL-USE_ CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 164 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- Total R3 Occupancy: 3,716 SF(SFU) Valuation: $
Elevation: 222803E-Projected Start: October 2021 Existing building area: square feet
Deferrals:N/A New building area: square feet
El PROPERTY OWNER ❑ 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:
la APPLICANT 0 CONTACT PERSON 09 BUILDING PERMIT FEES'
Business name:Polygon Homes WLH LLC (Please refer m 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
Phone:(360) 695-7700 Fax::( ) Amount received:
E-mail: Perm itsubmittals@taylormorrison.com I OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist.
c;ty/state/zrP:Vancouver, WA 98660 Permit Fee(includes plan review $l80 00
and administrative fees):
Phone:( 360)695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.:207247 Total fee due upon application: $201.60
Authorized signature: ne1242.4."e ,, 6B 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: 06/07/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits1BUP-RESPermitApp_doc 02/24/2011 440-46I3T(11/02/COM/WEB)
A
• • Mechanical Permit Application FOR OFFICE USE ONLY
a�•� Received e c7 r1 7 q
City of Tigard {,.,�ECE�VE Pennft No.: M5T2.o2J-00 GAS
13125 SW Hall Blvd.,Tigard,OR 4722J l Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 palelBy_ Other Permit:
T itil.ItI) Inspection Line: 503.639.4175 JUN 0 9 LU L Date Ready/By: O See Page 2 for
Internet: www.ti rdor. ov 1um:
8a g Notified/Method: Supplemental Information
CITY OF o IGAf J
TYPE OF WO II-�ING�IVtS1ON COMMERCIAL FEE* SCHEDULE:— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
el New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,tabor,overhead,and profit.
Value:S
CATEGORY_OF CONSTRUCTION RESTENTIAL EQUIPMENT(SYSTEMS FEES*
®1-and 2-family dwelling ❑Commercial/industrial 0 Aro'ssory building For special information use checklist
1 j Multi-family ❑ Master builder ❑Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Airconditioning I 46.75
Job site address: 16571 SW TOWNSVILLE ST Furnace 100,000 BTU(ducatvenu] 46.75
City/State/ZIP:Tigard,OR97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump - 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,snryv'nded etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge I Lot no.: 164 Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
DESCRIPTION OF WOlUC Gas fireplace/insert 33.39 -
New SFII type construction Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
-Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 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 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:( ) Artic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.I5 for first four;S4.03 for each addition at
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
WaWsuspended/unit heater -
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:permitsubmittalsstaylormorDSOn.corn Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES'
Address: NW Aloelek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Phone:(360)270-1590 Fax:( ) Plan review(2S 6 of permit fee)
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 190
®i days after it has been accepted as complete.
Authorized signature: ' ' Fee methodology see by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
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I
Electrical Permit Application ` p FOR OFFICE USE ONLY
City of Tigard ECEI V E '; ' Pgamtg. MI ST2021-00 z2s
1 41 13125 SW Ball Blvd.,Tigard,OR Plan Review
I' Phone: 503.71.8.2439 Fax: 503.5913.1960 UardH • Related PermitX:
Tla.\�U Inspection Line: 503.639.4175 ,��N ® " Z� ' ReadyDalr/ayr kris ®peePage2forormafion
z Internet: wWw.Ggard-or.gov - ' Notified/Method.
CITY OF illar'dli,s
TYPE OF WOl�li nING bwi sin/, PLAN REYIEW -
IN New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets orphan writrros chocked)
0 Demolition ID Other: ❑Stxvioe or feeder 400 amps m more ElBuilding over three stones.
suture the available fault current 0 Mantas tad bemoan&
CATEGORY OF CONSTRUCTION ....coals 10,000 amps at 150 suIrs Of 0 Among beildmes
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building lean to mound,er exceeds 14,000 Q Cummerei d_aso agricultural
El Multi-familyLi Master builder El Other: amps for o he installations buildings.
❑Fitt pump.. 0 Itste1lllatatisw o(150 R:vA or
JOB SITE 1NF01Rh1ATION Arch LOCATION t]Emergency system. larger separately derived
CI Job#: Job site address:16571 SW TOWNSVILLE ST Additi°t°fae"m°t°`tpd°f y"ma
10911P m Marc. O"A",-E",-1-2"."1-3
City/State/ZIP: Tigard,OR 97140 ❑Six or tome residential malts oemmotty
❑healthcare facilities ❑Docreaatmd vehicle parks.
Suite/bldg./apt.#: Project name: Polygon al Rosbalc Ridge 0 Hazardous buttons 0 Supply voltage for mere than
0 Service or fecdot 600 amps or more 600 volts nominal.
Cross street/directions to job site: FEE SCIIEULII E'
Description I SKY. I Each J Total I •
New residential single-or multi-family dwelling malt,
Subdivision:Polygon at Roshak Ridge Lot#: 164 Includes attached garage.
Tax map/parcel#: 1,000 sq rt.or less 168 54 4
En.add'!500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
New construction.Type SFIJ (with above sq.tt)
Limited energy.mtdti•family
_ residcntml(with above Eq.ft) 75.00 2
® PROPERTY OWNER ❑ 7F.l�AI�I Renewable Energy 0 Scr Page 2
Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps ea less 190.70 2
Address: 703 Broadway St.,Ste 710 201 anon En 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/S tate/Z I P: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )946 8674 Fax:( ) Ova 1,00o amps or volts 55226 2
Temporary services or feeders installation,alteration,and/or
Snail: 0AlamiAbouhafs@taylormorrison.com-PermitSubmittals@tayIormomson.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 ea400 _.� 125.08 2
Owner signature: _. Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT' I 0 CONTACT PERSON Branch circuits-new,alteration,or extension, ,er panel
A.Fee for Manch circuits with
Business name: Polygon Homes WI.H LLC above service or feoclm fee, 7 az
each
Contact name: Omar AlamiAbouhafa H.Fee for branch circuits
wu wrthnarr
service or feeder fox,first Address: 703 Broadway St.,Ste 710 branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Eedr add'I blanch circuit 7.42 2
360946 8674Miscellaneous(service or feeder not included)
Phone
( ) Fax::( ) Each manufactured or modular
dwelling.service and/or feeder 67 84 2
Email:0AlamiAbouhafs@laylormorrison.com tlretrmeetrmty 6784 2
CONTRACTOR Pomp or irrigation circle 67.84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden St signal citeurt(s)or limited-energy ❑ See Page 2 2
moot alteration,or extension. . •
City/State/ZIP: Astoria OR 97103 _Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/br
Phone:(503 308 0563 Fax:( ) investigation(I hr min) 90.00/hr
Email: Davidt wal lacewires.com tndustr al plant(1 hr errs) 73.181 hr
—
inspections for which no fee is 90.00f hr
CCB Lie.:224868 Electrical Li • C1441 Su v_I. .: 6363S specifically listed(14 hr min)
ELECTRICAL PERMIT"FEES
Suprv.Electrician signature,required: ..--- Subtotal
Print name:'DJQti ap Date: et/6 Iz 1 0 Plan Review Requited(25%of permit fee):
Iawe/ State surcharge(12%of permit fee):_
Authorized signature TOTAL PERMIT FEE:
This permit application expires if a permit Is not obtained within 1811
Print name: �}1r. _ _ U Date: tip.�L f days aver It has beat accepted as complete.
CJr • Number of inspections alloHcd per permit
tatuthb i(Pamistl7.C_Permtapp,E1I)ERE.dx Ray 86/17/2015 4L4615RIVOSCOMAYEll
Plumbing Permit Application
Building Fixtures RECEIVE* FOR OFFICE USE ONLY
City Tigard
ofTi d Received
IPermit No.:Gd m87-2(921-062
m 13125 SW Hall Blvd.,Tigard,OR 97223 j N N 0 9 202 y I
Phone: 503.718.2439 Fax: 503.598.1960 PlanRe Review
Date/Hy: Other Permit No.:
T 1 c,t R D Inspection Line: 503.639.4175 CITY OF I I CARD Dec Rcady/By: Jwia: ® See Page 2 for
Internet: www.tigardor.g)V BuII PIING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For speria/info tin a/ion use chec_klisr.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Xl-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: 16571 SW TOWNSVILLE ST Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywall.leach line,or trench drain 18.76
Footing drain(no.linear ft.:, ) Page 2
Suite/bldgdapt.no.: I Project name:Rasulan:Rrdgapolygon 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.: 1 Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: 1 Page 2
Subdivision:I Polygon at Roshak Ridge I Lot no.: 164 Fixture or item:
Tax map/parcel no.: Bacldlow preventer - 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFU type construction
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT 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 Interceptorigrease trap 25.02 1
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal
E-mail:permItsubmittals@polygonhomes.com 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29
Address:P.O.Boa 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
CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
l State surcharge(12%of permit fee)
Authorized signature: , 1 < z TOTAL PERMIT FEE
Print name:Steve Fowler Date: 0/30/20 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:‘Buildiag`.PermitsfPLMU-PermitApp.doc 10/01/09 440-4616T(re"MJCOM'WEB)
Plan # 28a3E rz r- \ C,,,Liz-i V
Floors 7J �r �
Large 'Lc
Bed rooms J Small lP
WC 14
LAV
Ly
Tub Basement 7(-
3
Vent Gp 1st Floor aa7
Water Heate1 2nd Floor 1'—ja(e
AC n 3rd Floor
School � .o-v---e0 R-3 Total 31
D k._ 12ce, Garage 4/84
Total l{ 00....
#for Elec
City of Tigard
• Illi
. COMMUNITY DEVELOPMENT DEPARTMENT
T l G n :D Building Permit Review — Residential
Building Permit #: MS ( 2O2 H-0012
Site Address: 16571 SW Townsville St
Project Name: Polygon at Roshak Ridge Lot #: /(4
Planning Review
P posal: New single detached house
Verify address/suite #active in Accela. LU�/In River Terr e: ❑ No ✓Yes, River Terrace Review Addendum
Si'- Plan Elements: E� .: .n Control
a •opies of site plan on 8-1/2"x 11"or 11 x 17"paper k�r At.' ed trees with drip line and tree protection measures
J. ewn to scale(standard architect or engineer scale) !!ootprint of new structure(including decks) and FFE
Jt4• h arrow J, '.'ty locations&easements(required for new and additions)
U. to address,project or subdivision name and lot number S.id- . alk/driveway approach
K, .plicant information(name and phone number) Il''s cation of wells/septic systems
WI •t dimensions and building setback dimensions PI eet tree size,type and location
11 Il.quare footage of buildings to be demolished PI. -et names
II xisting structures on site 7 orner elevations(2'contours if more than 4'diffe ntial
II t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es It •
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 El No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
��\,1-1 uired: ❑Yes,applicant was notified CI No,, ,
Received: ❑Yes ❑ No
DC Exemptio for ADU applied for: Yes ❑No Received: El Ye El No
Public Facilt Improvement (PFI) Permit:
equired: Yes,applicant was notified ❑ No nd Use Case#: SUB2015-00004
pplied For: Yes ❑ No,stop intake
Zoning: R-4.5
equired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20
Building Height: Max.Height: N/A Actual Height:
. -. cape Area: % ❑ Lot Coverage :
Entrance sack no more than 8'from street-facing wall 1 Parallel , eet or offset 45 degrees or less
Windows Minimum —' of area of all street-facing facades\�
Garage Gara e door is behin. ...:- t street-facing wall Yes ElNo,one of the following is met:
❑gDoor extends no more than ...: . all and there is a covered porch extending beyond garage.
uuDoor extends no m_o - . .n 5'from wa I . ere is a 12 sq ft.window above garage on 2°d floor.
❑ Gar.:e door '. 12'or less ❑ 50°/u or less o : ...c 60%or less and includes 7 of following:
. ered porch Recessed entrance ❑ Wall offset ' t oof eave Roof offset
Fire shingles Lap Siding ❑ Roof itch ❑ Gable, ,or g. - . - roof Dormer
Accent siding Window trim li Window recess U Window projection I Balcony
V' ual Clearance X Urban Pores
W:-nsitive Lands: ❑ Yes No Type:
PI Co itions met prior to issuance of building permit
No s: !
Approved By Planning: Date: /9h/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPerm itRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: QG/o 9/icii •
Site Plans: # 3
Building Plans: # 3
Building Permit#: a� Enter building permit#above. n�
Workflow Routing: Planning ,� Engineering Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
n'
ISM Building: original permit application, site plans, building plans, engineer and
beam calculations and s. details,if applicable,etc.
Notes:
By Permit Technician: Date: at/16/LC1L/
Engineering Review
�E Slope at building pad: (3
,3 N
I Conditions "Met"prior to issuance of building permit
a-Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes RNo
Assess Water Quantity Fee in-lieu: ElYes In No
LIDA Facility on lot: ❑ Yes Ro
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: A42-4<t›./ Date: 6/ti/e.z)2./
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
ermit Coordinator Review
C. ditions "Met"prior to issuance of building permit
pproved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Re .sion Notice 2: Date Sent to Applicant:
L ❑ RecJ 10C Exemption:',
eived Does not a5 ly
SDC Fees Entered: Wash Co Trans Dev Tax: s I N/A
Tigard Trans SDC: es ❑ N/A
i
! Parks SDC: Yes ❑ K/A
LIDA ❑ Yes N/A
U OK to Issue Permit
Approved by Permit Coordinator: ��'="`_ •---�- Date:
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City of Tigard
NI COMMUNITY DEVELOPMENT DEPARTMENT
e River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: M STZ02-I-00 22B
Site Address: 16571 SW Townsville St
Project Name: Polygon at Roshak Ridge Lot #: 164
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ❑Yes ❑No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. ft. deep ft. deep❑ min. 2ft., 5 ft.wide
❑ min. 2 ft., 6ft.wide
❑ Gabled dorm r
G
2. Eyes on tithe street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >/2°/n
3.Intrances: At least one entrance must /meet both of the foll wing standards:
Max. 8 ft. setback from lost street- facing wall Parallel to street,angle no more than 45° from street,
or o en onto porch
En ante opens to a porch: Yes ❑No
e ,all the following apply: �5 sq.ft.min.
Ifne street facing entry Vft. max.roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4. etailed Design: All buildings shall indude n. of five of th following elements on all street-facing facades:
®Covered porch min. 5 ft.wide x 5 ft. deep' ❑ cessed entry area min. 5 ft.wide x 2 ft. deep
❑yll offset min. 16 inches
®Dormer min. 4 ft.wide Ro
eof cave min. 12 inch projection of offset min.of 2 ft. `
Roof shingles either tile or wood Gable,hip or gambrel roof design
Voof pitch oriented south min. 500 sq. ft. ❑ zontal lap siding min. 3-7 inches wide
ccent siding min. 40% of street facade indow 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 r 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:
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