TUP2020-00010 . - q
TIGARD
City of Tigard
August 13, 2021
Taylor Morrison
703 Broadway St, Suite 510
Vancouver,WA 98660
Re: Permit No. TUP2020-00010
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 16733 SW Darwin Loop
Project Name: Polygon at Roshak Ridge,Lot 181 -Model Home
Job No.: N/A
Refund Method: ® Check#240239 in the amount of$410.00.
❑ Credit card"return"receipt in the amount of$ .
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$
Comment(s): Temporary use permit for model home was not required per planning
after final plat was recorded. Refund 100% of application fees paid.
If you have any questions please contact me at 503.718.2430.
Sincerely,
(71/0.4, e 40, -
Dianna Ornelas
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
11;111
e City of Tigard
1-icnKD Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts,documentation and the Request forPermit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Taylor Morrison DATE: 8/6/2021
703 Broadway St,Suite 510
Vancouver,WA 98660 REQUESTED BY: Dianna Omelas
LS
TRANSACTION INFORMATION:
Receipt#: 432017 Case#: TUP2020-00010
Date: 12/03/2020 Address/Parcel: 16733 SW Darwin Loop
Pay Method: Trust Project Name: Polygon at Roshak Ridge, 181
EXPLANATION: TUP for model home not required after final plat recorded per Lina Smith. Refund
100% of application fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Application Fee 1 00-0000-43 1 1 6 $410.00
TOTAL REFUND: $410.00
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager -,IV. -ri-q__j
If under$25,000 Department Manager
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: d (j j z/ By: ,
1:\Building\Refunds\RefundRequest.doc x 09/01/2010
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT v 0
_III . 4 Request for Permit Action i/s/z, AP
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard, OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff
Check(V)one
REFUND OR Name: Taylor Morrison
INVOICE TO: (Business or Individual) Attn: Tonja Morris
Mailing Address: 703 Broadway Street, Suite 510
City/State/Zip: Vancouver,WA 98660
Phone No.: (360) 695-7700
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
® CANCEL/VOID PERMIT APPLICATION.
�{® REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
5' ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
fb a ElREMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
e
�4 Permit#: TUP2020 00010
f Site Address or Parcel #: 16733 SW Darwin Loop
Project Name: Polygon at Roshak Ridge Lot 181
Subdivision Name: Polygon at Roshak Ridge Lot#: 181
EXPLANATION: TUP for model home not required after final plat has been recorded. Please
void application and refund permit fee 100%. Thank you.
12/9/2020
Date:
Signature: _ — -. �7/j4,
Print Name: Lina Smith
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date • /3 2/, By .1 /
Refund Processed: Date (1.6 2, By C) Invoice Processed: Date By
Permit Canceled: Date 1 C�IA B) 0 Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_0 23 4.doc
CITY OF TIGARD RECEIPT
f
II 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Polygon at Roshak Ridge Model Home
Site Address: 16733 SW DARWIN LOOP 726-77-LC/J/
Receipt Number: 435824 - 08/13/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
TU P2020-00010 $-410.00
Total: $-410.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 240239 DHOWSE 08/13/2021 $-410.00
Payor: Taylor Morrison
Total Payments: $-410.00
Balance Due: $410.00
Page 1 of 1
n
CITY OF TIGARD RECEIPT
11111 t E . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TBGARD
Project Name: Polygon at Roshak Ridge Model Home
Site Address: 16733 SW DARWIN LOOP -1
Receipt Number: 432017 - 12/03/2020
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
TUP2020-00010 Application Fee 100-0000-43116 $410.00
Total: $410.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID. CASHIER ID RECEIPT DATE RECEIPT AMT
- Trust Account 2016-00002 LSMITH 12/03/2020 $410.00
Payor: POLYGON WLH LLC
Total Payments: $410.00
Balance Due: $0.00
Page 1of1
.. RECEIVED
City of Tigard /��Zj �v DEC 3 2020
INw COMMUNITY DEVELOPMENT' DEPARTMENT CITY OF TIGARD
s PLANNING/ENGINEERING
`l'IGARI Temporary Use Type I Application
PROPOSAL SUMMARY (Brief description)
P approvalModel Home REQUIRED SUBMITTAL
Temporary use to allow: ELEMENTS
❑ Owner's signature/
Property address/location(s): 16733 Darwin Loop written authorization
[�-)1 - j / ell
El Two(2)copies of the site/plot
�� plan indicating:
Tax map and tax lot #(s): 1. Location of the Temporary Use
2. Lot size
3. Square footage and location of
Site size: existing buildings
4. Current uses of existing buildings
Start date: 07 /01 /2021 End date: 04 /30 /2023 5. Number of existing parking spaces
Please check one: 6. Square footage of any space to be
used as additional parking
❑ Season/special event 7. Driveway locations
❑ Unforeseen/emergency situation 0 Site/plot plan(reduced to 8.5"x111")
El Applicant's statement address criteria:
® Temporary sales office/model homes
nii440,J)i(2 copies)
❑ Temporary use in commercial and industrial zone
0 Filing fee(unless exempt)
APPLICANT* FOR STAR' LSE ONLI
Business name: Polygon Homes WLH LLC 7.0 'OW 0
OW0
703 BroadwayCase N<
Address: St., Ste 510
Vancouver, WA zip: 98660 Related Case No.(s)
City/state: 49/0
Application Fee:
Contact name: Tonja Morris
3606957700 ermitsubmittals to lormorrison.com Application accepted: 3/
Ph#: Email: P y
By: '�-�" Date:
Application determined complete:
PROPERTY OWNER/DEED HOLDER(S)*(Attach use if more than one) By: Date:
Name: Polygon Homes WLH LLC 1:\Commumty Development\rand Use Applications\02 Forms and
Templates\Land Use sppilcations Rev.12/14/2017
Address: 703 Broadway St., Ste 510
City/state: Vancouver, WA Lip: 98660
Contact name: Tonja Morris Ph#3606957700
* When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession
with written authorization from the owner or an agent of the owner.The ownet(s)must sign this application in the space
provided on the back of this form or submit a written authorization with this application.
find Ftl#N-43ID&9$ 6hR�#3RYfi5 ....�.. ' k4?EBi p'.' RA. G «na"mLlikStY'4%SA3 .'a3lY/L -vm
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS
as described on the front of this application in the"Required Submittal Elements"box.
(Detailed Submittal Requirement Information sheets can be obtained,upon request,for all types of Land Use Applications.)
THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property.
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
IGNAT• t1 \i each owner of the subject property required.
`�� ��hs
EL ...111idik..i� -15h G. MbinrkS 17t2t20
iir4 Print nam Date
Owners si.Mir" Print nat e Date
Owner's signature Print name Date
Owner's signature Print name Date
•
•
TEMPORARY USE—TYPE I APPLICATION(TUP)
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718 2421 • Page 2 of 2
LEGEND:
SANITARY SEWER Pdciill:
STORM DRAIN C`unununity
/ PLANT 1115TREET TREE: —w WATER LINE L)e,i�n
,,(„ --- RAYWOOD ASH/ SW
=a e, MANHOLE I�TWO oR 92223e,
\ / / \ // r FRAXINUS OXYCARPA RAYWOOD'\ m 503941 6
-�! �55 CATCH BASIN wrz. 016636
_ - _' r<;— :=-! '\ 3464-- )a STREETLIGHT REVISIONS
'.� .. _. :'+ t. .._.. .... STRAW WATTLE PERIMETER 6. oArE 066616
` 376.0 v '�' EROSION CONTROL
-... ' -` 80 �` p- TREE PROTECTION FENCING
z. ,y= - DETACHED MIN.SETBACK SUMMARY
-- -- - ---J r__- -- L- -- PORCH SETBACK: 8
---- - 784 DECK/ I1 268 / BUILDING SETBACK: 12
SIDE SETBACK: 3
,I1 PATIO i_,! SIDE FACING STREET:
I. PUBLIC STREETS: 8'
ti Ir BUILDING: �
SB-DLSG I ALLEY/PRNATE STREETS: 3
/
MINJ REAR SETBACK: 15
f 3,0 FFE:348.3 �' 1 HR REAR SETBACK AT ALLEY/PRIVATE: 0
.3 ', FIRE-RATED I REAR COVERED PATIO: 10
n -- 181 '- m _ _ GARAGE:
,2 -_ 3. _ .. - _ -EAVES
ul _ 35a4 sF - � PUBLIC STREETS: 20
vi' -" `-- ALLEY/PRIVATE STREET: 3 5
t
R _- S.... GARAGE
II_,n J49 1 HR
R
-- s`FIRE-RATED `f' - -
_. ° EAVES ��- FFE:3a]o -h3.0..... /
I LOT COVERAGE:
a
• T -_� — - POLYGON
-1- oil I - / - LOT AREA: 3,584 SF
_-__,.
__ , _ 2O -_=_F L__ _ BUILDING FOOTPRINT: 1,469 SF AT ROSHAK
I �3<? - _ -- 1er.a _ -- RIDGE
] 9 4 1 6.0' T
3
P LLE. COVERED PORCH: 151 SF
o 3,ae '400 , SIDEWALK 34s8
g .{ ` _ CANTILEVER LIVING SPACE: 19 SF
R
% - �t _ PATIO: 258 SF
LOT
a i i v .. % "'WATERY' _,n T, DECK AREA: 147 SF PLOT PLAN
...... °,._ ..- tI �-
PLANT(2)STREET TREE: L SANITARY STORM TOTAL COVERAGE: 2,044 SF
R KATSURA/
I LATERAL LATERAL - '
57.0 %
c :,,,,, . IDIPHYLLUM JAPONICA S. ....;; ..;...IL..,;_._.._...q
d �V /' SW DARWIN LOOP
IMPERVIOUS AREA: 2,357 SF
's
C
u
8
POLYGON NORTHWEST (360) 695-7700 ag _.r,T. 62
2S1W7Pe: [666266
XNIRWTD BY_ FAA
LOT 181 (R-4.5, MEDIUM) q SCALE
CASEFILE(S): POLYGON AT ROSHAK RIDGE o
9 PDR 2015-00002
PDR2016-00002-00006 16733 SW DARWIN LOOP 1116
11
=20 FEET
z
LEGEND:
SANITARY SEWER PciciPa it c.
STORM DRAIN -
( omnUnity
PLANT(I)STREET TREE: Ilrsin
' —w— WATER LINE
RAYWOOD ASH/
p56/5 -
_.._- >, e: 8 MANHOLE r m. n ga OR vsa �
k� / /i k FRAXINUS OXYCARPA'RAYWOOD'� m SOD 94l-vu4
e CATCH BASIN
346.�4...'_ -_
"9,3.
,,I, LIGHT
REVISIONS
STRAW WATTLE PERIMETER . NO DATE DESCRIPTION
a 3372 t 4 n\�k r3360 a� < ^ EROSION CONTROL
/ _ 0� —O— TREE PROTECTION FENCINGr . 8P �' /
{—,— <-
> r—.— - DETACHED MIN.SETBACK SUMMARY
' ———J :>__ -- 2b B L' i--——_-——— PORCH SETBACK: 8
—__—
'� 26.4 DECK/ BUILDING SETBACK: 12
' PATIO SIDE SETBACK: 3
� I• -' L, t - SIDE FACING STREET:
1 ' r PUBLIC STREETS: 8
4 BUILDING:
�, it 58-DLSG ALLEY/PRIVATE STREETS: 3'
r ' MAIN "/ REAR SETBACK: 15
3,0' f FFE:348.3 /'"�-±r-1 HR REAR SETBACK AT ALLEY/PRIVATE: 0
REAR CO
' - ' P, FIRE-RATED ' GARAGE VERED PATIO: 10
E .- ..._. 181 -...
r 3ai° _'"' .-- 3,584 sF `° EAVES :-... - PUBLIC STREETS: 20
.... e:-_- 1__._ _ -;.` ALLEY/PRIVATE STREET: 3.5'
.._ s' - GARAGE ...._ -._.
R
-__ W,--- EAVES ..FFE:347.0 --__.w �1+3.0•-..... ' -
LOT COVERAGE:
/i 71 y IIT I - s/— — LOT AREA: 3,584 SF POLYGON
•
__ y+ _ - AT ROSHAK
JJI
7 �7 —— L -— BUILDING FOOTPRINT: 1,469 SF
°, T 6Cr -T RIDGE
°8 \ j ttt P u.L COVERED PORCH: 151 SF
11 k` IC E
�h e _ SIDEWALK L15.e }.. CANDLEVER LIVING SPACE: 19 SF
rc - ts. } /1. PATIO: 258 SF
I'
µLOT 181
/S ♦ j , y-+WATER DECK AREA: 147 SF PLOT PLAN
D x �- _<p ' r. I • 1Pp METER S
PLANT(2)STREET TREE: • J TOTAL COVERAGE: 2,044 SF
KATSU RA, SANITARY — STORM
'.y�CERCIDIPHYLLUM JAPONICALITERAL LATERAL 57.0 %
i.- - SW DARWIN LOOP .. .
� ' IMPERVIOUS AREA: 2,357 SF
's
L
US
POLYGON NORTHWEST (360) 695-7700
e
2 S 1 W 7 PRD<cR o CONSTRUCTION
r>s.aa
i REVIEWED Rv. CAM
i LOT 181 (R-4.5, MEDIUM) w`E
ID CASEFILE(sr POLYGON AT ROSHAK RIDGE D
PDR 2015-00002
9 PDR2016-00002-00006 16733 SW DARWIN LOOP 'INCH=20 FEET
E