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Permit
141 n CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00304 Date Issued: 11/04/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA20900 Jurisdiction: Tigard Site address: 16567 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 209 Project: Polygon at Roshak Ridge,Lot 209 Project Description: New single detached house. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES PAID BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1238 sf Basement: 763 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 4 Second: 1718 sf Garage: 486 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3719 sf Value: $513,831.02 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 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: 3 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'l 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 3719 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 Geo Tech Report Required Prior To Pour PHONE: PHONE: 360-695-7700 FAX: Total Fees: $40,558.77 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 oc9_nn1-nnln thrniinh riAR oc9-nnl-noon Vnii mmu nhtnin n rnnu of tho ndoe nr rlircrt nilnefinne to cm Wr`km rallinn cry;719 10A7 nr 1 ann 719 91.4.4 Issued By: HPI(y Vavv De Wege Permittee Signature: OK Ap10 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. ' Building Permit Application L'Or AO , ' -'1 21 2 Residential RECEIVED FOR OFFICE USE ONLY Received City of Tigard JULU 70� Date/By: � 272 f-lj-- PermitNo.: MS ZI—G0301,4 1, • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 ► ' I Phone: 503.718.2439 Fax: 503.598.eV OF TIGARD Date/By: I 2' ' Other Permit: s(�) .2�('QU j"( T I GA K D Inspection Line: 503.639.4175 yr�I�I 11 Date Ready/By: („I',. . ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION' '1 led/Method: ,,.' //�� r Supplemental Information #//L/� TYPE OF WORK REQUIRED DATA: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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ''"- Valuation: $ ® 1-and 2-family dwelling El Commercial/industrial 5-13 �3'� ❑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 Lf'Z 65 Job site address: 16567 SW DARWIN LOOP New dwelling area: 3,719 square feet (1(CS City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet 11„3$ Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: _4 square feet '7�� Cross street/directions to job site: Deck area: 12fa ,` square feet Other structure area: .. square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge I Lot no.: 209 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 Construction/Type: SFU/Elevation plan: 222803DR Valuation: $ Existing building area: square feet V Projected start: January 2022 Deferrals:deferral of payment of transportation&park SDCs to occupancy. New building area: square feet ® 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: ® APPLICANT ❑ CONTACT PERSON CIO BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)946-8674 Fax::( )360 693-4442 E-mail: permitsubmittals@taylormorrison.com-OAlamiAbouhafs taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* n 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. 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: $201.60 Authorized signature: £ P/24. .4�Ll4LG 4 eendallet, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 07/26/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) E • Mechanical PermitApplicatiFiE ElV I FOR OFFICE USE ONLY City of Tigard , . Received n Date/Ely: 1 i/u( Nr— Permit No.: M S'r�`7(— 2� . .. 13125 SW Hall Blvd.,Tigard,OR 97223 !� 6o3a ilki ' Phone: 503.71$.2439 Fax: 503.598.1960 CITY 1 OF TIGARLI Plan Review DateBy: Other Permit: �ja\P1202(_OO-�M 712iA 1i I, Inspection Line: 503.639.4175 t Date Ready/By: Juris H See Page 2 for Internet www.tigard-or.gov BUILDING DIVISION Notified/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are 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:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. i i Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 1 Air conditioning I 46.75 Job site address: 16567 SW DARWIN LOOP Furnace 100,000 BTU U(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 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 hydronicl 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.: 209 Other. 23.32 - -____ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 — Flue vent for water heater or gas New construction-Type SFU fireplace 23.32 Log lighter(gas) 23.32 _Wood/peliet stove 33.39 Wood fireplace/insert 23.32 Chin-my/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: _ Name:Polygon WLH,LLC Range hood/other kitchen y equipment 33.39 Address:703 Broadway St.,Ste.510 T4 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/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four;54.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. Address:703 Broadway St.,Ste 510 i Gas heat pump --- Wall/suspended/unit heater City/State/ZIP.Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Ranee E-mail:permitsubmittalsttaylOrmorriSO11.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(S90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 A- days after it has been accepted as complete. Authorized signature: C 1�� �u�. 1' • Fee methodology set by Tri-County Building industry Service Board — Print name:Elia Duran Date: 10/30/20 i'1A,,,,elPronir,MFr P.rn.rt don Mnlla Anr Electrical Permit ApplicationcECEIyE`, FOR OFFICE;USE ONLY City of Tigard. w Rr `� g 2 'Z 1 (IT I(�'1,Vr2lt—Ov3)9 1}a�,rgv PcrnoY k 13125 SW hall Blvd.,Tigard,OR 97223 t.:'7,1 1'11m Review �(� (�,t _ Phone: 503.718 2439 Fax. 503.5)8.19t50 Related Permit it iN-Q 2021 o�'Inspection Line: 503.639 4175 tardy . 1 1 Ci A R D Ready p Y rms: Ed See Page 2 for Internet: www.tigard-or CITY of ri 0ius NotifedlMedtod Supplemental Information TYPE OF woriIkJILDIN(, DIVISIOR' PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit i sets of plans w/items checked) 0 Service or feeder 400 amps of more ElBudding over three stones El Demolition 0 Other where the available fault current 0 Marinas and tx7atvardr CATEGORY OF C:ONSCRL:c ION exceeds 10,000 amps at 150 volts or 0 Floating building ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building terra to yaound,or exceeds 14.000 0 Commercial-use agricultural amps fen all other tnstaltations buildmi- ❑Multi-family ❑Master builder 0 Other. ❑Fire pump 0 Installation of ISO KVA or JOB SITE INFolU IA DON AND LOCATION 0 Emergency system larger separately denied Job#: Job site address:16567 SW DARWIN LOOP ❑Addittemofavnv motor laodrf systvw. 100fIP or more. City/State/ZIP: Tigard,OR 97140 ❑six or more resident,al units occupancy `— 0 Health-care facilities. ❑Recreational vr.linde parks. Suite/bldg./apt_#: Project name: Polygon at Roshak Ridge ❑Hazardous locations 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEDULE nesrriptwn I t11T. I Lath I 't'otat 1 ' New residential single.or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 209 includes attached garage. Tax map/parcel#: 1,000 Mil tt or less 168 54 4 Es,add'I 500 sq.tt.or portion 33 92 1 DESCRIPTION OF WORK _ Limited energy,residential . (with above 75 00 2 New construction-Type SFU sq.ft) Limited energy,multi-family residential(with above sq.ft) 75'00 2 ® PROPERTY OWNER 0 TENANT Renewable Energy ❑ Sec Page 2 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 690 amps 2.00 34 2 City/State/ZIP: Vancouver,WA 98660 _ 601 amps to 1,000 amps 301.04 2 Phone:(360 )946 8674 Fax:( ) over 1,000 amps or volts 552.26 2 Email: OAIamiAbouhafs@taylormorrison.com-PermitSubmittal a relocation Temporary services or feeders installation,alteration,and/or Y Owner installation:This installation is being made on property that I o1111 which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125 08 2 Owner signature: Date: 401 amps to 599 amps 168 54 2 0 APPLICANT — ❑ CONTACT Pl RSOV Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WI.H LLC above service or feeder fee, each branch circuit 7.42 _ Contact name: Omar Alami Abonhafc B Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,fast brunch56.18 2 circuit City/State/ZIP: Vancouver,WA 98660 Each add't branch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular - dwelling,service and/or feeder 67.84 2 Email:0AlamiAbonhafs@taylormorrison.corn-PcrmitSubmittals@taylormorrison.com Reconnect only 67 84 2 CONTRACTOR Pump or in ipation circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Address: 1 O5 Dresden St Signal circtiet(s)or limited cnagy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable In any of the above Acldititmal inspection(1 lir mot) 66 25/hr Phone:(503 3)8 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: David@wallaccwires.com Industrial plant(1 hr ruin) 78 t S/hr Inspections for which no lee is CCB Lie.:224868 Electrical Li'' C 144 I Su .1: .: 63638 specifically listed("A hr min) 90 00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _. Subtotal _ Print name:D)QV s� Date: 0 Plan Review Required(25%of permit foe): State surcharge(12%of permit fee) Authorized signature TCITAL PERMIT EEE: - This permit application expires it a permit is not obtained within 180 Print name: i� a � Date: q�, /Z.r F days after It has been accepted as complete. ���� 8s! ' Number of tnspearuas altmsed per permit 1.4iieldmg+dtcratitslhLS_cnittApp_ER rRE.dcc Rev 06/1'1,2015 4 9-4t15T(i/OS!COM1WED Plumbing Permit Applicatio . Building Fixtures FIV .I FOR OFFICE USE ONLY City of Tigard Received �� t 1 PcrtmtNo.; rn�� � DO 3cist - Date1B -'t 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Plan Review I. Phone: 503.7182439 Fax: 503.598.IsIW1 Q�TIGARL Date/By: Other Permit No.: 9aj�2I- Y TIGARD COBSA Inspection Line: 503.639.4175 9 ILDIDate Ready/By. fins: 10 See Page 2 for Internet: www.tigard-or.gov tJ U N�p,,,..40t Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist . Description j Qty. j Ea. j Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 1.00 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 ❑Accessory building �-Multi-family 5FR(3)bath 500.32 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: 16567 SW DARWIN LOOP Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dr}nvell,leach line,or trench drain 18.76 - - - Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt-no.: Project name:name:440140114PlibideoPolygon 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 on at Roshak �09 Water service(no.linear ft.:_) Page 2 Subdivision: Polygon RidgeLot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction-Type SFU Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 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 I Fax:( ) Ice maker 12.51 ElAPPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Omar Alami Abouhafs 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:G&B Plumbing&Sons Inc Water piping/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: 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. ttnmldrte..PcrmitsePt.MU-PennitApp dnc In/tll/M 440.46 16T(IWDJC:oM.WEB) City of Tigard IIIII4 COMMUNITY DEVELOPMENT DEPARTMENT Il TIGARD Building Permit Review — Residential Building Permit #: MS-1-(2 o2l"ObRDR Site Address: 16567 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 209 Planning Review Proposal: New house i7 Verify address/suite#active in Accela. X] In River Terrace: 0 No K] Yes, River Terrace Review Addendum Site Plan Elements: %]Erosion Control 5E3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper f[aRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) iCFootprint of new structure(including decks)and FFE ®North arrow k7Utility locations&easements (required for new and additions) Site address,project or subdivision name and lot number X Sidewalk/driveway approach ®Applicant information(name and phone number) IgLocation of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location ftaSquare footage of buildings to be demolished K]Street names ffaExisting structures on site [Comer elevations(2'contours if more than 4'differential) ®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? WA ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ❑No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified K No Received: 0 Yes 0 No ZI Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs 1 Required: 0 Yes,applicant was notified ® No Received: 0 Yes 0 No Ili) SDC Exemption for ADU applied for: 0 Yes 0 No Received: 0 Yes ❑ No ® Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified a No Applied For: 0 Yes 0 No,stop intake ® Land Use Case#: SUB2015-00004 ® Zoning: R-7 ] Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20 K] Building Height: Max.Height: N/A Actual Height: 29 ® Landscape Area: 20 % G-IC Lot Coverage Max: 80 Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 de Windows %of area of all street-facing facades Garage 0 Garage door is -This section does not apply - o,one of the following is met: ❑ Door extends no trSee River Terrace Addendum h extending beyond garage. O Door extends no — -— - . . . .ow above garage on 2nd floor. ❑ Garage door widt ' — or less ❑ 50%or less of faca.• - j°. or less and includes 7 of following: ■ • porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roo -. ❑ Roof offset ■ Fire shingles 0 Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof NB _ - ❑ Accent siding 0 Window trim 0 Window recess 0 Window projection 0 Balcony ® Visual Clearance [X Urban Forestry Plan E Sensitive Lands: ❑ Yes ® No Type: ® Conditions met prior to issuance of building permit Notes: ® Approved By Planning: Date: 7/27/2021 Revisions (after Building Submittal only) Reviewer Date , Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved .. I:\Building\Forms\BldgPermitRvw_RES_122419.docx Y S ,.. ,.. Building Permit Submittal Original Submittal Date: 3 i,h, Site Plans: # Building Plans: Building Permit #: # Enter building permit# above. - Workflow Routing: Planning ngineering ermit Coordinator -E Bl ilding Workflow Sign-off: zSign-off for Planning(include notes from planning review) Route Application Documents: in Engineering: (1) copy of permit application, (1) site plan, (1) building plan and Voriginal plan review routing form. E Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: - ;- By Permit Technician: II_ Date: ; i I MIMI Z1 Engineering Review Slope at building pad: ;‘') U Conditions"Met"prior to issuance of building permit CVEasements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: ❑ Yes (2/No Assess Water Quantity Fee in-lieu: ❑ Yes trNo �� LIDA Facility on lot: ❑ Yes VNo [g Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: ej/ii/Z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not apply ilif SDC Fees Entered: Wash Co Trans Dev Tax: % Yes ❑ N/A C^c C ,� n. Tigard Trans SDC: Yes ❑ N/A ''''' '�y-� �^,j �1 Parks SDC: /Yes ❑ N/A LIDA ❑ Yes 0 N/A 21 OK to Issue Permit Approved by Permit Coordinator: 4frs ° --- Date: S k2'liblii 1:\Building\Forms\Bl dgPermitRvw_RES_122419.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T G A R D River Terrace Building Permit Review Addendum Building Permit #: sT 9,C-p164,pk-, Site Address: 16567 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 209 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Alannin .1eviety ofJ iver ?terrace Plan District Desikn 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 façade 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. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a - ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ® ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 17% 3. Entrances:At least one entrance must meet both of the following standards: ® Parallel to street,angle no more than 45° from street, ® Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: ® Yes ❑ No If yes,all the following apply. :1 25 sq.ft. min. ® One street facing entry ® 12 ft. max.roof above floor of porch ❑ 5 ft. depth min. ® 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ] Covered porch min. 5 ft.wide x 5 ft. deep ] Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide a Roof eave min. 12 inch projection ® Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide o t n CI Accent siding min.40/o of street façade NJ Window trim min. 2 /2 wide by5/8" deep Cl Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by2 ft. deep ee P ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ® Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) Cl 12-foot-wide garage door )E7 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: fititrtebib Date: 7/27/2021 1:\Bu i I d i n g\Form s\B l dgPerm i tRvw_RE S_RT_121417,docx City of Tigard Parks SDC Charge (Parks) TIGARD Notification of Fee and Pa ment O bons Please sign and return prior to building permit issuance. This advises you that the total Parks SDC charge for this project is as shown below and outlines the payment options that may be available to you. This total includes Parks SDC-Improvement, Parks SDC-Reimbursement, and either Parks-Neighborhood or Parks-Neighborhood River Terrace charges as relevant. This form is to be signed and submitted prior to issuance of a building permit. City of Tigard Date: 8/4/2021 Site Address: 16567 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case Name: Lot 209 or Permit #: MST2021-00304 Tax Total Parks 2S107AA20900 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 6,278 for Parks-Improvement,$1,739 for Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$2,886 for Parks-Neighborhood River Terrace. This constitutes my request to use the Parks SDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that SDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. ❑ Cash, Check,or Credit Card,payment due at building permit issuance. Deferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the Parks SDC may be deferred until issuance of the occupancy permit. In requesting this option,I understand that any deferred Parks SDC must be paid prior to issuance of a Certificate of Occupancy. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. ❑ Credit Voucher (for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) PLEASE NOTE: Parks SDC Credits must be redeemed at the time Parks SDC Payment is due,either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim Parks SDC Credits be sure the improvements, any creditable payments, and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of Parks SDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) O Warne:46ez Dom,4.'460u PROPERTY OWNER DEVELOPER DATE: 08/04/2021 DATE: 08/04/2021 I:\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms City of Tigard Transportation System Development Charge (SDC) T I G A R.D Notification of Fee and Payment Options This advises you that the total TSDC for this project is as shown below and outlines the payment options that may be available to you. This total includes charges for TSDC-Improvement,TSDC-Reimbursement, and TSDC-River Terrace,if relevant. This form is to be signed and submitted prior building permit issuance or, if no building permit is required, then upon land use approval (TMC 3.24, as amended by Ordinance No. 21-09). City of Tigard Date: Site Address: 8/4/2021 16567 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or MST2021-00304 Name: Lot 209 Building Permit #: Tax Total TSDC 2S107AA20900 $10,348 Lot#: Amount*: *The total TSDC amount shown above is the sum of$6,690 for TSDC-Improvement, $386 for TSDC-Reimbursement, plus $ 3,272 for TSDC-River Terrace,if relevant. This constitutes my request to use the TSDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that TSDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. ❑ Cash,Check, or Credit Card, payment due at building permit issuance. © Deferral until Occupancy, payment due before issuance of an occupancy permit. Payment of the TSDC may be deferred until issuance of the occupancy permit. In requesting this option,I understand that any deferred TSDC must be paid prior to issuance of a Certificate of Occupancy or final inspection. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. El Credit Voucher for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) NOTE: TSDC Credits must be redeemed at the time TSDC Payment is due, either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim TSDC Credits be sure the improvements, any creditable payments,and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of TSDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) Oma4.-.R&ii If':46au 00144-4 .46o d PROPERTY OWNER DEVELOPER DATE: 08/04/2021 DATE: 08/04/2021 1:\Community Development\Permit Coordinator\SDC Forms\TSDC Combination Payment Option Form 112718 AMS 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 1 . Transmittal Letter T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Albs ARiinsion DinhD DEPT: BUILDING DIVISION 021 FROM: ern\t & A�.o w A bo 011 S CITY OF T 2 OF TIGARD COMPANY: -�3a R c Nilhs g,,` BUILDING DIVISION ...J PHONE: 3 60 (0 (6 if By: EMAIL: , ,i RE: 16 56 Sw (` iku w Loot HST .&1( - X3 Ol f Site Address) (Permit Number)a0-- sk) kidev Poi- .205 (PiWt name or subdivision name and lot number) U / ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: _Copies: Description: Additional set(s) of plans. 4 Revisions: 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): REMARKS: 7legyt Rco 4) tt 3ln FORO FICE USE ONLY Routed to Pe echnician: Date: 2 2) Initials: / —� Fees Due: Yes L J No Fee Desc i tion: Amount t Due: Yel, r.�1 S $ �(,S — � � 7 $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ Done Applicant Notified: ate: 77/ 7 .4/ Initials: a I:\Building\Forms\TransmittalLetter-Revisions 073120.doc