Permit CITY OF TIGARD MASTER PERMIT
t COMMUNITY DEVELOPMENT Permit#: MST2021-00210
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2021
Parcel: 2S 107AA21200
Jurisdiction: Tigard
Site address: 16549 SW DARWIN LOOP
Subdivision: ROSHAK RIDGE Lot: 212
Project: Polygon at Roshak Ridge,Lot 212
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1525 sf Basement: 862 sf Left: 3 Parking Spaces: 0
Height: 28.5 Bathrooms: 4 Second: 2175 sf Garage: 705 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 4562 sf Value: $596,481.42 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 1 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: 2 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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 9 201-400 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 4562
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 Geo Tech Report Required
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour
2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: 550,383.83
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: Permittee Signature:
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 iob site at the time of each inspection.
.-.. W _ ...,
iwer
Building Permit Application f ._ ,
Residential RECEIVE , OR OFFIC USE ONj
City of Tigard Received N. / MN/
�r2n� „O b
202 Date/By:(/✓ - Permit No: i(J
- " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review W 2/n, (� Other Permit '-�/.3�j
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Ve !i1
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date: ady/By: Isla. ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N. ied/Metho i // Supplemental Information
A. I'.[LI..
TYPE OF WORK ' QUIRED D•TA: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 ❑Other: ,equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. u
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 51�l I `'
ElAccessory building El Multi-familyNumber of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: !�
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ��(e 7
Job site address: 16549 SW Darwin Loop New dwelling area: 4,562 square feet )l 7S"
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 705 square feet I SZJ
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet $6 2
Cross street/directions to job site: Deck area: `5(ip square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 212 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 residential construction-Type: R3 Occupancy 4,562 s.f. (SFU) valuation: $
Elevation: 223003 G-Projected Start: October 2021 or before. 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 U9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer tojeeschedule)
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*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 lic.:207247 Total fee due upon application: $201.60
Authorized signature: 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
Print name:Omar Alami Abouhafs Date: 05/24/2021 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicat C
RicEI 1l �` >MOROFFICEr USE
•
City of Tigard Received �,/
Tigard 'AU 2 Pumit No 2n+�' �y
11 13125 SW Hall Blvd.,Tigard,OR 97223 lad4Date/By: r i��WU-UQ�-.--.---
Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Other Permit:
'VICAR •
Inspection Line: 503.639.4175 CITY OF TIGARD DDate Re
Internet: www.tigard-or.gov Date cady,By: furls H See Page 2 far
3UILDING DIVISION N°uficdlMethod: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
/N New 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:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
Cg 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
1 j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB STYE INFORMATION AND LOCATION HeaYin;teoniinn:
Air conditionin I 46.75
Job site address: 16549 SW Darwin Loop Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100 000+BTU(ductsivents) 54.91
I
Suite/bldglapt.no.: 1 Project name: Polygon at Roshak Ridge Heat pump 61.06
Duct work _ 23.32 _
Cross street/directions to job site: Hydronic hot water stem - 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.: 212 Other:---- 23.32
----- Other fuel appliances:
Tax map/parcel no.:_ 3
Water heater 2.3.3<2
DESCRIPTION OF WORK Gas fire•lace/insert 33.39
Flue vent for water heater or gas
New Single Family fireaacc 23.32
_
Log lighter(gas) 23.32
--__... - Wood/ ellet stove 33.39
Wood tire.lace/insert 23.32
Chimney/liner/Oue/vent 23.32
® PROPERTY OWNER 0 TENANT Other I 23.32 —
' -- Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
.___ Clothes. •er exhaust 33,39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
1 -_- toilet com.artments,utility rooms) 23.32
1 Phone:(360)695-7700 e _ Fax:( ) Attic/crawls.ace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: ___ ___ 23.32
1 Business name:Polygon WLH,LLC Fuel piping:
514.15 for first four:$4.03 for each additional
Contact name:Tonja Morris Furnace etc. 1
Address:703 Broadway St,Ste 510 Gas heat.um
Wallisus.ended/unit heater I
City/State/ZIP:Vancouver,WA 98660 -"
Water heater _ -
Phone.(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(taylOrMOrriSO11.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)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/Q;v - l � L days after it has been accepted as complete.
Authorized signature: v c • Fee,methodology set by Tri-Coup ty Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
I 111nilr4,nn\Pr,nu,,\ ui P.rmi,Ann WI I3.4,..
3
Electrical Permit Application E1VErh. rOR OFFICE USE ONLY-
City of Tigard ' 4 Received Mcs7-021-00�U
` �atl ���•' Pcrnntk
13125 SW Ball Blvd.,Tigard,OR 97223.11111
stjw. ° —
Plan Review
Phone:
507l8 4363F Fax:
503.5981960 r;ITV(\L TIGARL llateIR Related Permit 4:
Inspection 3-
T i C A F[ll Ready Date/Ry Suns: 0gee Page 2 for
(ntenlel: www.11gard-argot/ '1 IIf-I'1fNG DIV!SIQj Notthcdimcfiod. Supplemental Information
TYPE OE WORK Lt9lVl� PLAN REVIEW
IN New construction ❑Addition/alteration/replacement Please check all that apply(submit;sets of plans wfitcros checked)
0 Same or feeder 400 amps in more 0 Building over three stones
❑Demolition ❑()tiler: where the available fault current ❑Marinas and boatyard.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 oaks or 0 floating buildtnga
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ies4 to mound,or exceeds 14,000 0 Commercial-use agricultural
amps for all other Installations buililmes
❑Multi-family ❑Master builder ❑Other
❑Fire PAP 0 Installation of 150 KVA or
JOB STYE INFORMATION AND Lo( >TION 0 Emergency system larger separately derived
Job#: 3ob Site address:
16549 S W Darwin 0 Addition of new motor load of system.
Loop 1001IP or more. ❑"A","k""1-2"."'1-3",
City/State/ZIP: Tigard,OR 97140 ❑six or more residential units oecuparn:y
""" ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldgiapt.#: I Project name: Polygon at Roshak Ridge ❑hazardous locations 0 Supply voltage lot more than
-•-.. 0 Service or tonic'600 amps or more. 6{00 volts anrninal.
Cross street/directions to job site: FEE SCHEDULE neseriptioa I Qty. I Each 1 Total I
New residential singJk-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 212 includes attached garage.
fax map/parcel#: 1,000 MO.or less — 168 54 4
F.A.add'1500 sq.ft or portion 33 92 1
— DESCRIPTION OF WORK Limited energy,rtnideutiat
New construction,Type SF(J (with above sq.ft.) 75.00 2
_ Limited energy,multi-family 75 00 2
residential(with above sq.fi.)
ISI Renewable Energy ❑ Sec Page 2
PROPERTY OWNER
.. 0 7FNAl\l Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 100.70 2
Address: 703 Broadway St,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 2(10 34 2
City/Stater ZIP: Vancouver,ty A 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: OAIamiAbouhafs@taylormorrison.com-PermitSubmittal s@taylormorrison.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 far 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 168 54 2
0 APPI.IC'tN ❑ C'OIVTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WT.H 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 r feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Vancouver,WA 98660 Each add11 branch circuit 7.42 2
Phone:(360 )94b 8674 Fax:: Miscellaneous(service or feeder not included)
( ) Lich manufactured or modular 67 84 2
dwelling,service ors for feeder
Email:OAlamiAbouhafs^aflaylarmorrison.com-Pe1-mitSubmittals(rntaylormorrison.com Reconnect only 67 as 2
CONTRA('IOLi Pump or irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Signal circuit(s)or malted-cxicrgy g
Address: 105 Dresden St panel,alteration,or extension free page 2 2
t City/State/ZIP: Astoria,OR 97103 _ Each additional inspection over allowable in any of the above
- Additional inspection(1 hr min) 66 25/hr
Phone:(501 3)8 0563 Pox:( ) Invu-stigation(1 hr min) vital/Fir
Email: David@wallaccwires.com Industrial plant(1 hr min) 78 18/hr
Inspections for which no fee IS 90 00/hr
CCl31.ie.:224868 Electrical Li ' C1441 Su .1. .: 6363S specifically listed(h hr min)
ELECTRICAL, PERMIT FEES
Suprv.Electrician signature,required: Subtotal
Print name: EQ 2/1r-r..' Date: rt/4 /z 1 �❑Plan Review Required(25%of permit fee):
t State surcharge(12%of permit fee)
Authorized signature J it
TOTAL PERMIT Flli:
This permit application expires if a permit is not obtained within 180
Print goof: ,{yy, t L!i a w,.F Date: tl days after it bus been accepted as complete.
''�+t-"V KYI¢�rs+'+f'fir" 7 f l't-I ._ a Plumber of tnspcttium allowed per permit.
I.'tBuildireermits'd[d:.PeriartApp_an ER€.dcc Rev 06u'177015 .1 t-4615'r(t 13t15.'comwEn
Plumbing Permit Application
Building Fixtures ECEIVE E , FOR OFFICE USE ONLY
City of Tigard
d '> AY 2 4 202] Received Mg ZI-OOZI 0
Date/By: Pcnnit No.:
Rip
13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax; 503.548.1 flan Review
TIGARD Datet$y: Other Permit No
TIGARD inspection Line: 503.639.4175 OF IG�nDt Date Ready/By: Suit- Ed See Page 2 for
Internet: www.tigard-or.gov 3UILDING DIVISION Notif cct'Mcthod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
For special
2]New construction 0 Demolition information use checklist.Y
--. Description I Qty. I Ea. J 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
I-and 2-family dwelling 0 Commercial/industrial 4.
SFR(2)bath 437.78 '
SFR(3)bath 500.32
❑Accessory building Ail-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: 16549 SW Darwin Loop 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/bldg./apt.no.: Project name: idgePolygon 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.: 212 Fixture or item:
Tax map/parcel no.: Backflow preventer _ �_ 31.27
DESCRIPTION OF WORK Backwater valve 12.51 -
New Single Family Clothes washer 25.02
Dishwasher 25.02
_ Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,EEC Fixturc`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
0 APPLICANT 0 CONTACT PERSON Interceptodgrease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink basin/lavatary 25.02 1
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:per mitsubmittals(ir:polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
-
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water Pm 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 Minimum permit fee: S72.50
Plan review (25%of permit fee)
CCB Lie.: 184372 Plumbing Lic.no.:pb634
(�
State surcharge(12%of permit fee)
Authorized signature: �Jt°.� ef."-- -� TOTAL PERMIT FEE
Print name:Steve Fowler Date:
10/30/20 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 aiiking''Perrnics,PLNfr.PermitApp-doc 1501Nt 440-4616T110,02/COM,WSB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T1GaRD Building Permit Review — Residential
4.
Building Permit #: Q21—d C .jO
Site Address: 16549 SW Darwin Loop
Project Name: Polygon at Roshak Ridge Lot #: 212
iPl nning Review
P oposal: New single detached house
Verify address/suite #active in Accela. In River Terr e: ❑ No Yes, River Terrace Review Addendum
Si Plan Elements: A •. on Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper .Z :' ed trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
` h arrow 1 J6lity locations&easements(required for new and additions)
V e ddress,project or subdivision name and lot number iid alk/driveway approach
,�/ plicant information(name and phone number) ml ation of wells/septic systems
t dimensions and building setback dimensions f'reet tree size,type and location
uare footage of buildings to be demolished It:,./et names
'fisting structures on site .1 orner elevations(2'contours if more than 4'diff- ential
__;_.ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? V es o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown. ' d es o
❑ Clean 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
equired: ❑Yes,applicant was notified ❑No Received: ❑ Yes ❑No
SDC Exempti n for ADU applied for: El Yes El No Received: ❑ Yes ❑No
ublic Facilds Improvement(PFI) Permit:
equired: [ Yes,applicant was notified ❑No pplied For: L`J Yes ❑No,stop intake
d Use Case#: SUB2015-00004 Zoning: R-4.5 & R-7
equired Setbacks: Front: 8 Rear: 1 0 Side: 3 Street Side 8 Garage: 20
u kii
i1ding Height: Max. Height: NSA Actual Height: ��.�
L.andsca e Area: 20 % Lot Coverage Max: 80
Entrance ack no more than 8'from street-facing wall Parallel to s or offset 45 degrees or less
Windows Minimum ° of area of all street-facing facades Al
Garage Gara e door is behi 'dest street-facing wall \ Yes ❑ No,one of the following is met
Door extends no more ' from wall an ere is a covered porch extending beyond garage.
Door extends no more than 5'fro and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 12' ess El 50%o of facade — 60%or less and includes 7 of following:
Covered porch Recessed entrance El Wall o 1'Roof eave Roof offset
Fire s ' es Lap Siding El R0.04,itch ❑ Gab or gambrel roof Dormer
ccent siding Window trim U Window recess Win ojection ❑ Balcony
!A V•sual Clearance Urban Fores an
la o'.ensitive Lands: ❑ Yes No Type:
1, Co ditions met prior to issuance of buildingpermit
No s:
it Approved By Planning: — Date: -2C12-/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: d5/2q/202
Site Plans: #
Building Plans: #
Building Permit#: I Enter building ermit# above. -
Workflow Routing: Planning Engineering lermit Coordinator I tuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: tihngineering: (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 trust details,if applicable,etc.
Notes: ,c,�
By Permit Technician: Date: //�/1(JJ?—/
Engineering Review
Slope at building pad: ��O
Conditions "Met"prior to issuance of building permit //i/or
REasements (encroachments)per engineering conditions of approval and plat
IJ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Er/Approved
by Engineering: Date: ��/e/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit/' Coordinator Review
,,L�J Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
,SDC Exemption: ❑ Received Does not ajly
/lavSDC Fees Entered: Wash Co Trans Dev Tax: ZYes LJ N/A
Tigard Trans SDC: ZYes ❑ N/A
Parks SDC: Z./Yes
❑ N/A
LIDA ❑ Yes �N/A
ZOK to Issue Permit
Approved by Permit Coordinator: 140W3
Date: (Q 112
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
•
City of Tigard
11111 p COMMUNITY DEVELOPMENT DEPARTMENT
N
T 1 G A R n River Terrace Building Permit Review Addendum
Building Permit #: MSTZOZ-002-i D
Site Address: 16549 SW Darwin Loop
Project Name: Polygon at Roshak Ridge Lot #: 212
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? ['Yes ❑No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide
CICICIGabled dor er6i
2. Eyes o the street: a minimum f 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /..2 f D
3. ntrances:At least one entrance must meet both of the foll ing standards:
fromlong street- facing wall
Parallel to street,angle no more than 45° from street,
Max. 8 ft. setback o st ac
gg
or o en onto porch
i
En ance porch:opens to Yes CINo
If s,all the following apply: M/5 sq.ft. min.
One street facing entry ft.max. roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
i
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
dCovered porch min. 5 ft.wide x 5 ft. deep' 0 ecessed entry area min. 5 ft.wide x 2 ft. deep
❑ all offset min. 16 inches Dormer min. 4 ft.wider
Roof eave min. 12 inch projection oof offset min. of 2 ft.
❑Roof shingles either tile or wood able,hip or gambrel roof design
loof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 inches wide '3
E Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8" deepf
❑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: S—Aniir2
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