Permit CITY OF TIGARD MASTER PERMIT
x - COMMUNITY DEVELOPMENT Permit#: MST2021-00261
Date Issued: 09/23/2021
T I C;A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S107AA15900
Jurisdiction: Tigard
Site address: 16679 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 159
Project: Polygon at Roshak Ridge,Lot 159
Project Description: New single detached house
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1093 sf Basement: 862 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 4 Second: 1447 sf Garage: 400 sf Front. 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3402 sf Value: $439,020.12 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw 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: 6 201-400 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 3402
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 98880 VANCOUVER,WA 98660 2 Gee Tech Report Required
Prior To Pour
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $45,559.90
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: I-jo{.I.y Vow Pe,Wege Permittee Signature: Ow ApptizadierK,
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.
r
Building Permit Application --:, Z3 Z!
NOISIAIO ONIOfi{i
Residential (7s.,t;91-I_:C AID
City of Tigard Received
ate/B a �r /e, - MST2ort• oq�(
�� R 6 Nflf e Pem�itNo.
IIIi 13125 SW Hall Blvd.,Tigard,OR 97223 i Plan Review p
_ ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i Li( 2I kfr thher P°rn t: Q2p2(-CO 7i
T I GAR❑ Inspection Line: 503.639.4175 Jfiy Date Ready/By: tart: VI See Page 2 for
Internet: www.tigard-or.gov 8 9 • edR"letbod: { AU/ Supplemental laformation
TYPE OF WORK REQUIRED DATA. -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
O Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. oat)
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: S 1 1 1 ,�
❑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 to()
-
Job site address: 16679 SW TOWNSVILLE St New dwelling area: 3,402 square feet ‘4y-7
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet '09/ � 3
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 8�02
Cross street/directions to job site: Deck area: ''L square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 159 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Construction/Type: SFU /Elevation plan: 222603DR valuation: $
Projected start: December 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 0 CONTACT PERSON 09 BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:polygon Homes WLH LLC
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)946-8674 Fax::( )360 693-4442 Amount received:
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: $201.60
Authorized signature: 014iU4.. ,cy 1(2411.G rY Cl0. This permit application expires if a permit is not obtained
II(•/ within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-Canty Building Industry
Print name:Omar Alami Abouhafs Date: 06/22/2021
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati ECElVE D` FOR OFFICE USE,ONLY
City of Tigard Recei DateBvedy: ' t Perms No.; S
1114 't 13125SW Hall Blvd.,Tigard,OR97223 II qf1? ���� �r ��21-�
Phone: 503.718.2439 Fax: 503.598.1960 Jl.i� f.+J Plated3y: w Other Pannic(^ p CO(AaIUBY: SGtI fZ2oZ�- 0
1 I 4 R I i Inspection Line: 503.639.4175 Ci7 Y V 1 i i lUAi-f i) Date RndyBy: 1wa, O See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Melhodr Supplemental information
TYPE OP WORK COMMERCIAL.FEE' SCHEDULE—USE Cf3ECKLIST
Mechanical permit fees*art based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
i j Multi-family ❑Master builder 0 Other: Description Qty. Es. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning i 46.75
Job site address: 16679 SW TOWNSVILLE ST Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000f BTU(ductslveuts) 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,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge Lot no.: 159 Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gas fireplace/insert 33.39
New SFU construction Flue vent for water heater or gas
fireplace 23.32
Log ti titer(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney\7iner/flue/vent 23.32
IN PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLI3,LLC Range hood/other kitchen
equAddress:703 Broadway St.,Ste.510 lo
Clo 33.39
Ctheess d drryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
514.15 for first four;54.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittatsCatayIOrr110rfISOf1.COm Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25a%a of permit fee)
State surcharge 02%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180
P/ days after it has been accepted as complete.
Authorized signature: a' ' ' Fee methodology set by Tri-Comfy Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
l aanilAina\Pnm'vsa leC wnn'Ann IYn111 A.v �.n�[r+r...w+✓»r.mxv.
Electrical Permit Application FOR OFFICE USE ONI.t"
" 1.R ,ed ��S:I Pan,/■. Mgt - .,z�l.
.t city of Tigard t,ae�t
! • 13125 SW Hall Blvd.,Tigard,OR 97223 f
ID Plan Review (�7-.'`n -coil
Phone: 503.71$.2439 Fax: 503 59$.1960 _i "� 2 UawnV' Rdoted Permit 4: >1l�Ac Z�(
T i[i n 1:[� Inspcdion Line: 503.639.4175 Ready Datahly ..... Iris: iL See Page 2 for
Internet: www.tigard-or•gov CITY Ui- s�.a.-.rs3 Notihcd2Mlahod. Supplameotaliaformadm
TYPE OF w .IILDING DIVISION PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check as that apply(submit Z seta of plans whereas checked):
❑Demolition ❑Other: 0 S amen afeeder 400 amps a mar 'ClBudding ova three stones
where the available fault current Cl Marinas eat hoatysde
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Cl Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building has to Fpa,md,or exceeds 14.000 0 Commaci l-tee agricultural
❑Multi-family 0 Master builder ❑Other �fm <h uth«installations buildings.
❑Fite pomp
. 0 Installation of 150 KVA or
JOR SOT INFORMATION AND I.00A1107.0 ❑Emergency system. larger separately doeved
Job#: Job site address:16679 SW TOWNSVILLE ST ❑Addduro of'new motor load nf ayWmo
100IIP or more. ❑"A""E""i Z".-1-3"
Chy/State/ZmP: Tigard,OR 97140 0 Sex a more resideetiai ousts occupancy
0 Stealth-core facilities, 0 Recreational vehicle park.
Suiteibldgiapt.#: Project name: Polygon at Roshak Ridge 0 dun
SIIna>ar u a recdt Epp spa a more Cl Supply whs nog sal.more
Cross street/directions to job site: - FEE SCHEDULE .
t muc,a a OI Otr. I Each raw I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Radial(Ridge Loll: 159 includes attached garage.
1,000 sq.R or Tess 168 54 4
Tax map/parcel#: Fa.add'l 500 eq.0.or portion r 33.92 1
DF.SCRtPTION OF WORK Limited energy'residential 75.00 2
New constnlction.Type SFU (with above a4.it)
Limited mew,multifamily 75.00 2
residential(with above sq.ft)
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT" Services or feeders insWlatIo.Lllteration,and/or relocation
Name: Polygon Homes Will LLC 200 amps or less 100.70 2
Address: 703 Broadway St,Ste 710 tot amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/StatelZIP: 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
Temporary services or feeders installation,alteration,and/or
Emil: 0AlamiAbouhafs@titylormortison.com-PennitSubmittals@taylormorrison.com relocation
Owner insUllation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 snips to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168 54 2
0 APPIdCANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch exrcuits with
Business name: Polygon Homes Wi.H LLC above service or feeder fee,
ch branch con 7,42 _
ea ceit
Contact name: Omar Alarm Abouhafs B.Fee for branch circuits without
sAdtlres 703 Broadway St.,Ste 710 branch
or[ fee'fax
mdoch circuit,ra9wt 56.18 2
City/State/ZIP: Vancouver,WA 98660 Each add'l bleach cironit 7.42 2
Phone: 360 )946 8674Miscellaneous(service or feeder not included)
( Fax::( ) loch manufactured or modular
Email:OAlamiAbouhafs@(aylormotrison.com-PtnmitSubmtttals@a taylormorrison.com dwelling,service raver Frieda67 84 •
Reconnect only 67 84 2
CONTRACTOR Pump or rm&t¢on circle 67.84 2
•
Business name: Wallace Electric Sign or outline lighting - 67.84 2
Address: 105 Dresden St Sill ciecutgs)or bruited-energy CI See Page 2 2
panel,aherabat,o i exhasiem.
Ci /State/ZIP' Each additional iospecfmn over allowable in any f the above
tY Astoria OR 97103 Addtuunel inspection(1 br min) 66 25/hr
Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) 90.00f la '
Finail: David@wallaccwires.com Industrial plant(ihran) 78,18/br
CCB Lie.:224868 Inspections for which no fee is
90.00/he
Flectrical Li C1441 1' . 6363S specifically listed 04 hr min)
E1.EC71t[CAL PER
,../
Suprv.Electrician signature,required:
a.,,,,-- 8uhtaral-
Print name:DAt1 op . Date: kr/L 1�I _❑Plan Review Requited(25%of permit&c):
t / State surcharge(12% f foe):
Authorized signature TOTAL PERMIT 1TE:
Print name: This permit application expires ifs permit is not ehininrd within 18t1
i�w _ to ___._ Date: 4 `Li days after It has hems accepted as complete.
�'•r'�/I' ! ' Number of inspections aliowul per permil.
tlEtdidag�ennitiUcj' naApp_ELS ERE.dcc Rev0617f1015 4 C 4615T(11/05/C01f/VEB
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t
Plumbing Permit ApplicatioRECE \i o
. ' Building Fixtures 1� I� T r► FOR mir N
OFFICE USE ONLY
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City of Tigard J U N 23 >`.I �i iaeya cD Ail-2( Pao.: .�1ara-coZ0I
0 a IIIPhone:SW Hall 18.243.,Tigard,OR 9722 Plan Rcvew OtherPermitNo. atp (-�(7i
Phone: 503.718.2439 Fax: 503.598.MO Y Oh i IltAiy;.: pater:
TIGARp Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: runs: 51 Sec Page 2 for
Internet: www.tigard-orgov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCI-EDULE
®New construction 0 Demolition For special information use checklist.
___ --- Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
1-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 ❑Other: Fire sprinkler(__sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16679 SW TO W NS V ILLE ST Catch basin or area drain 18.76
Drywell,leach line,or trencb drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suitelbldg./apt no.: I Project name: Polygon 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 It.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Polygon at Roshak Ridge Lot no.: 159 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFU construction
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewercaP 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 12.5)
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:5 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
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:C&B Plumbing&Sons Inc Water piping/DW V 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: 572.50
CCB Lic.:184372 Plumbing Lic.no,:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
'Fee methodology set by Tri-Counry Building Industry Service Board.
113uadinngiPasin1PLMU-PermitApp.d°e I Ot01N9 14a-461ST(I t'OaCOMNfEa)
�` City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T l�,ni D Building Permit Review — Residential
Building Permit #: Mfi-202) - bl l
Site Address: /ode-9-9 ,s,k) 'GonsvjJLe V-
Project Name: Polygon at Roshak Ridge Lot #: Jci
Pl ning Review
Pr posal: in
Verify addressNew/ssuitegle# active indetached Accela.house. In River Terr e: ❑ No Yes, River Terrace Review Addendum
Sits Plan Elements: .ion Control
2/ opies of site plan on 8-1/2"x 11"or 11 x 17"paper ;0 twined trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) �6otprint of new structure(including decks)and FFE
rth arrow 'ty locations&easements (required for new and additions)
'to address,project or subdivision name and lot number 'ide alk/driveway approach
_/pplicant information(name and phone number) cation of wells/septic systems
, .of dimensions and building setback dimensions ' reet tree size,type and location
lj`��jquare footage of buildings to be demolished Weet names
; .isting structures on site .Corner elevations(2'contours if more than 4'diff ential
SLot 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
II Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): \\
Required: ❑ Yes,applicant was notified ❑No Received: ❑ Yes ❑ No
Q, II Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
II SDC Exempti n for ADU applied for: ❑Yes ❑No Received: ❑ es ❑ No
YA Public Facili s Improvement (PFI) Permit:
Required: applicant was notified ❑ No plied For: Yes ❑ No-stop intake
6C1 nd Use Case-Y.:SUB2015 00004 Zoning E?- tk- £1--2-
Actual equired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: Garage: 20
wilding Height: Max.Height: N/A Actual Heigh
NJ Landscape Area: -20 % Lot Coverage Max: %`
Entrance 9 -t back no more than 8'from street-facing wall Parallel to . -et or offset 45 degrees or less
Windows I Minim °• of area of all street-facing facades
Garage g I Garage door is behm. •- •-st street-facing wall I Yes ❑ No,one of the following is met:
RDoor extends no more than • wall , •. ere is a covered porch extending beyond garage.
Door extends no more than 5'f • wa I a = •ere is a 12 sq ft.window above garage on 2"a floor.
❑ Garage door width is I 1 ' .r ess 0 50%or less o . •:• I 60°/u or less and includes 7 of following:
I Covered pore. ii Recessed entrance ❑ Wall offset il ' •.f eave ❑ Roof offset
I Fire g es ❑ of Lap Siding Ro itch 11hi Gable, ,or am. •.f Dormer
1111 ccent siding I Window trim U Window recess U Window projection SI :alcony
Visual Clearance Ei Urban Forest an
ensitive Lands: ❑ Yes t No Type:
Co tions met prior to issuance of building permit
No s:
Approved By Planning: Date: -21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
C\Building\Forms\Bl dgPermitRvw_RES_122419.docx
Building Permit Submittal -.,
Original Submittal Date: 60/73/0/
Site Plans: # 3
Building Plans: #. 3
Building Permit#: u Enter buildin permit#above. G.-Permit
Workflow Routing: Planning is�Engineering t ermit Coordinator Er-Budding
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ginal plan review routing form.
I Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: `
By Permit Technician: Date: bb/u ZJ
En 'veering Review
clope at building pad: 2 0, f/
Conditions"Met"prior to issuance of building permit!v C��
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility.p
Assess Water Quality Fee in-lieu: ❑ Yes ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: El No
LI/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:�te
I.W Approved by Engineering: Date: /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
,Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
,�.Revision Notice 2: Date Sent to Applicant: ry rrJ DC Exemption: ElReceived ,LEI Does not apply
'L SDC Fees Entered: Wash Co Trans Dev Tax: Yes U N/A
Tigard Trans SDC: 3 Yes ❑ N/A
Parks SDC: aYes ❑ N/A
LIDA ❑ Yes •N/A
2OK to Issue Permit
Approved by Permit Coordinator: R/---• Date: 1 1512t)24
I\B u i ld in g\F o rms\Bl dgPerm itRvw_RE S_122419.docx
s
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City of Tigard
NIr COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: Mgt naLI"O ( n
Site Address: /�0,9-9 ,a) 7 T)wygz ii&
Project Name: Polygon at Roshak Ridge Lot #: l S 2--
(New dwelling= subdivision name;Addition or Alteration_last name of owner)
P1w ii Review of River ?grace Plan bistr' t 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.
Porch min. ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ ElCI ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >/2 % v
ntrances:At least one entrance must meet both of the foll fc cvtng standards:
3. Max. 8 ft. setback from long t street- facing wall Parallel to street, angle no more than 45' from street,
or o en onto porch
Entrance opens to a porch: Yes ❑No
If1es, all the following apply: sq.ft. min.
fJne street facing entry JAL ft. max. roof above floor of porch
I J5 ft. depth min. 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
eil
all offset min. 16 inches ❑Dormer min. 4 ft.wide
Roof cave min. 12 inch projection of offset min. of 2 ft.
Roof shingles either tile or wood LOCI ble,hip or gambrel roof design
oof pitch oriented south min. 500 sq. ft. ❑ onzontal lap siding min. 3-7 inches wide
Accent siding min. 40%of street facade Window trim min. 21"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)
❑ foot-wide garage door ❑40%max. of street facade
ufi
50% max. of street facade with 7 detailed design elements
Notes: ------
Approved By Planning: ®----- Date: .2 Z
I:\Bwlding\Forms lildgPermitRvw_RES_RI_I2I4l7.doOx
Plan # 22Z(p03 DK 6:1 l:-c.,V ` 0,,,j._ R,,, Y,k
Floors -j Large 2c,
Bed rooms 6 Small 5-7
WC Li
LAV ( ,,ccam�
Tub %., Basement -C7(DZ
Vent 1st Floor 1.b4315
Water Heater , 2nd Floor tLI 4 -7
AC •(.[-5 3rd Floor
School —t-rbGr" R-3 Total 151.
r:.(_ e(Ax...2� Garage (--160' w �',A � T Total 3S 62...
if \e (fir l
r1 zQ2 me #for Elec
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