Permit CITY OF TIGARD MASTER PERMIT
! COMMUNITY DEVELOPMENT Permit MASTER
MST2021-00375
TT G A R L? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2022
Parcel: 2S 107AA 19100
Jurisdiction: Tigard
Site address: 16554 SW BOTANY BAY LN
Subdivision: ROSHAK RIDGE Lot: 191
Project: Polygon at Roshak Ridge, Lot 191
Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1544 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 2175 sf Garage: 705 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3719 sf Value: $521,779.42 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: 5 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
i Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1 1000+amp/volt: 0
71
ELECTRICAL-RESTRICTED ENERGY
2i 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
j Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
t NEW SF VB R-3 3719
Owner: Contractor:
TAYLOR MORRISON NORTHWEST 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
PHONE PHONE: 360-695-7700
FAX:
Total Fees: $37,358.23
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: o{.1,y e9 Permittee Signature: YyYJ'l�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
+ F
7
Building Permit Application / ,..,_ .. r
Residential RECEIVE[ FOR OFFICE USE OM.\
Received Ai
City of Tigard (` nn+i 2021 Date/By: r�/r .�® Permit 5) z L,�1 y/�l)37$
ii 13125 SW Hall Blvd.,Tigard,OR 97223 �� V 0
g Plan Review
. e Phone: 503.718.2439 Fax: 503.598.1909 Date/By: u OtherPermi ��9n u ][�7 l!�
r I G A R D Inspection Line: 503.639.4175 �.,1t1 Y01-TIGARD Date Ready/By: J See Page 2 for`�V
Internet: www.tigard-or.gov BUILDING DIVISION fied/Metho G Supplemental Information
4
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
49 ®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
El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $ SI ,� t fv
® 1-and 2-family dwelling 0 Commercial/industrial
Accessory building ❑Multi-family Number of bedrooms: 5
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 4 1 Z1
Job site address: 16554 SW BOTANY BAY LN New dwelling area: 3,719 square feet 21-7S
r �City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 705 square feet i.G �
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
7 REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge Lot no.: 191 Permit fees*are based on the value of the work performed.
4 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: 222900 GR Valuation: $
Deferrals:YES-deferral of TSDC fees and park SDCs until occupancy. Existing building area: square feet
Projected start: 2022 New building area: square feet
0 PROPERTY OWNER ID TENANT Number of stories:
Name:Polygon Homes WLH LLC Type of construction:
Address:703 Broadway St., Ste 510 Occupancy groups:
0 City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON U9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please rejerro fee schedu[e)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
Address:
703 Broadway St., Ste 510 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
4 Amount received:
4 Phone:(360)946-8674 Fax::( )360 693-4442
1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permitsubmittals@taylormorrison.com-OAIamiAbouhafs a taylormorrison.com
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
r Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
ri Vancouver, WA 98660 $180.00
and administrative fees):
/ Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of puutit fee): $21.60
j CCB lie.:207247 /�//� � �/[ Total fee due upon application: $201.60
Authorized signature: Q/'Nc?/L�eQ.y1LG�lr lY9 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: 09/02/2021 *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)
II
Mechanical Permit Applicatt
FOR OFFICE USE O\L\
.,,. City of Tigard
���VEDReceived
Permit No, v/,, �.
11
g Llale/By: L LU (1 .
13125 SW Hall Blvd.,Tigard,OR 97223 ''� � 7S
1�j ? 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.I960,t _ Date/By. Other Permit:
Tlt'rMl.l? Inspection Line: 503.639.4175 l�AR[7 DaleReady,By: turfs t3 See Page 2for
Internet: www.tigard-or.gov CITY OF Notified/Methnd
Supplemental Information
BU ONO DIVISION
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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. _
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
®1-and 2-family dwelling El Commercial/industrial ❑Accessory building For special information.use thecklist.
( j Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatlnglcooling:
Air conditiortin• 1 46.75 s
Job site address: 16554 SW BOTANY BAY LN
Furnace 100,000 B I'U(ducts/vents) 46.75
City/State/ZIP;Tigard,OR 97224 Furnace 100,0001-BTU(duets/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 s 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 1.ot no.: 191 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/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. _ 23.32
►� PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39 _
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
—- _ toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC1 SI4.15 for first four.54.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Rance
E-mail:permitsubmittalsettayIOflTTOffiSOn.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(590.00)
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
Qi days after it has been accepted as complete.
Authorized signature: a �u�'Q ri ' Fee methodolog•set by Tri•County Building industry Service Board
Print name:Elia Duran Date: 10/30/20
1.11,1milae.e!Prtmi,[!LAFr Pem.il Arm rtdfl l 11 Any
i
Electrical Permit Application FoR OFFICE t'SF UN► 1
City of Tigard Received
�-� Perrot!!
I3125 SW Flail Blvd.„Tigard,OR 97223 ��� 1)atel3r {j f 'Z 'LSf� 3 ' S
D Plan Review
Phone. 503.71$.2439 Fax, 503 StJ$I960 1Mhisv Related Permit it:
Inspection Line 503.6394175 0 2021
1•l ri R D Ready DatrlSy runs. la See Page 2 for
Internet: www.tigard-or.gov NotifiediNlethod. Supplemental Information
TYPE OF WORK _ PLAN REVIEW
El New construction 0 Addition/alteration/replacement Please check all that apply(submit/sets of plans wlitems checked)
❑ 0 Sciwce or feeder 400 snips in more ❑Building over three stones
0 Demolition Other:tf where the available fault current ['Marinas and boatyard:
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to gruuad,or exceeds 14,000 CJ Commercial-use agnculturai
❑Multi-family ❑Master builder amps
fin all ether installations buildings
0 Other: ❑Fie pump ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job#: Job site address:16554 SW BOTANY BAY LN ❑Addihnn of 144IIP or more.ore. flt°`t"d°f system.
❑"A"."`);.."1-Z",°'t-3",
CityiState/ZIP: Tigard,OR 97140 0 six or more residential units occupancy
❑Health-care facilities- ❑Recreational vehicle parks.
Suite/bldg./apt#: Project name: Polygon at Roshak Ridge ❑Hazardous locations ❑Supply ventage for more than
._-- ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FFF. SCHEDULE
Description 1 otr• I Each 1 Total 1 a
New residential single.or mulit-fatniJy dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 191 Includes attached garage.
"Fax map/parcel#: 1,000 sq It or less 168 54 4
Ea.add'l 500 sq ti or portion 33 92 1
_,.. DESCRIPTION OF WORK Limited energy,eesidadial
New construction.Type SFU
(with above sq,ft) 75.00 2
,.— Limited otI.tgy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ Sec Page 2
® PROPERTY OWNER 0 TENANT
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 '101 amps to 400 amps 133.56 2
401 amps to 600 amps 200 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
Temporary services or feeders installation,alteration,and/or
Email: OAJamiAbouhafs@taylormorrison.com-PermilSubmittals@taylormorrison.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125 08
Owner signature: Date: 401 amps to 509 amps 168 54 2
(] APPLICAlNT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WLH LLC above service or feedix ice, 7 42
each branch ennui
Contact name: Omar Alami Abouhafs B Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.(8 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7 42 2
Phone:(360 )946 8674 Fax : Miscellaneous(service or feeder not included)
{ ) Each manufactured or modular
dwelling,service and/or feeder 67 84 2
Email:oAlamiAbouhafs@taylormorrison.com-PermitSubmittalstaylormorrisoncorn onnect only 67 sa 2
CO VTR.-►( IOU Pump or Irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting. 67.84 2
Address: 105 Dresden'it — Signal circutt(s)or Jousted-energy 0 See Page 2 2
panel,alteration,or extension.
CitylState/Z[ Astoria OR 97103 Each additional inspection over allow ahie in any of the above
Additional inspection(1 hr min) 66 25/hr
Phone:(5(i3 3(i8 0563 Fax:( ) Investigation(I hr ram) 90IC/hr
Em
ail: David@wallaccwires.com Industrial plant(1 hr min) 78,18/hr
Inspections for which no lee in 90 00/hr
CCB Lie.:224868 Electrical Li-' C 1441 Su v- I.' .• 6363S specifically listed('h hr min)
� ELEClRICAI: PERMIT.FEES
Sum.Electrician signature,required: 104„.•‘..---'^-- Subtotal
Print name:Dift,,0 Date: // J 1 ❑Plan Review Required 25%of permit fcc):
State surcharge(12%of permit fee)
Authorized signature TOTAL PERMIT FI;li:
This permit application expires if a permit is not obtained within 180
[flint name: � _ ,F Date: 41 ` days after It has been accepted as complete_
Ca4�Stj, '3r' ._-.,..__. [ b iT_A._... s Number of inspections allowed per permit.
1',EuikyngiPcrouts413.1:PcnnatApp_EIR ERF.dce Rev 061172015 4,0-4613f(t l/6S4COM/WFB
ri
i
Plumbing Permit Application
Building Fixtures R®ECEIVEL FOR OFFICE USE ONLY
CI of TI and Received
Permit No.:
KS!MIST ��-G' 375
etip
�j g 13 I25 SW Hall Blvd.,Tigard,OR 97223 2021Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. Iuris: EI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WO I DIRJG�DIVISION ~FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
--- - Description 1 Qty. I Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building VI-Multi-family
Each additional bathlkitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.It) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16554 SW BOTANY BAY LN Catch basin or area drain 18.76
. - Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
-- - Footing drain(no.linear ft.: ) Page 2
Suite,/bldg./apt.no.: Project name:44seionia.RidgePolygon 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.: 191 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
0 PROPERTY OWNER -Y 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink'hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:5 ) Page 2
Contact name: Omar Alami Abouhafs Primer 12.51
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 _ J12.51
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/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: 572.50
Plan review (25%of permit fee) i
CCB Lie.:184372 Plumbing Lic.no.:pb634 V
'- State surcharge(12%of permit fee)
Authorized sibmature: „ty' TOTAL PERMIT FEE I
Print name:Steve Fowler Date: 10/30/20 This permit application expires ira permit is not obtained within ISO daps
after it has heen accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board
1 taut1dian5'8ermirs'JPL;41U-PermitApp.dec 10.+01410 440461611 i0,02/COMVEBI
1
4
City of Tigard
el
S COMMUNITY DEVELOPMENT DEPARTMENT
T 1 2z D Building Permit Review — Residential
ellll
Building Permit #: /1Sr2d21 -CO 3 -75
Site Address: 16554 SW Botany Bay Lane
3 Project Name: Polygon at Roshak Ridge Lot #: 191
Planning Review
Proposal: New home
❑'' Verify address/suite#active in Accela. ❑ In River Terrace: ❑ No ❑'' Yes, River Terrace Review Addendum
Site Plan Elements: erosion Control
0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper „jtetained trees with drip line and tree protection measures
CID rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
Q orth arrow •Jtility locations&easements(required for new and additions)
Cl.ite address,project or subdivision name and lot number ::.:Sidewalk/driveway approach
IS pplicant information(name and phone number) _—ocation of wells/septic systems
CI .t dimensions and building setback dimensions *treet tree size,type and location
I.quare footage of buildings to be demolished Street names
I xisting structures on site °,.orner elevations(2'contours if more than 4'differential
IS of 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
Q Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified 0 No Received: ❑Yes ❑No
0 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified '' No Received: A Yes 0 No
0 SDC Exemption for ADU applied for: Yes 0 No Received: Yes No
❑r Public Facilities Improvement (PF1) Permit:
Required: ❑Yes,applicant was notified 0 No Applied For: ❑Yes 0 No,stop intake
El Land Use Case#: SUB2015-00004 0 Zoning: R-7/R-4.5
ElRequired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20
0 Building Height: Max.Height: NA Actual Height: 29
0 Landsca.e Area: 20 % Q Lot Coverage Max: 80
Entrance 0 Set back no more than 8'from street-facing wall ❑r Parallel to street or offset 45 degrees or less
Windows CI Minimum 12%of area of all street-facing facades
Garage Q Garage door is behind widest street-facing wall Q Yes ❑ No,one of the following is met:
8 Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
CIGara e door width is 12'or less ❑a 50%or less of facade 60%or less and includes 7 of following:
Covered porch Recessed entrance ❑Wall offset 1'Roof eave Roof offset
Fire shingles Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof Dormer
Accent siding Window trim ❑pWindow recess Window projection 0 Balcony
ElVisual Clearance 0 Urban Forestry Plan
❑° Sensitive Lands: ❑ Yes LI No Type:
ElConditions met prior to issuance of building permit
Notes:
El Approved By Planning: ----`-"— Date: 9/9/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
I:\Building\Forms\Bl dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 7/l/2- /
Site Plans: # 3
Building Plans: L`7 n ^
Building Permit#: Enter buildin ermit#above. -
Workflow Routing: e"Planning Engineering L-Permit Coordinator L nn wilding
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
,priginal plan review routing form.
bild Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,C3(2c414.-.P _ er-4 Date: 9//2-/
En; 'veering Review
v
Ft Slope at building pad: T?%
I,.{d Conditions"Met"prior to issuance of building permit
asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
®Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
F Approved by Engineering: EEiiii Date: 9 ,_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Ae 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:
.0 SDC Exemption: ❑ Received P Does not a-5ply
SDC Fees Entered: Wash Co Trans Dev Tax: 5Yes J N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes N/A
LIDA U ❑Yes N/A
id OK to Issue Permit I
Approved by Permit Coordinator: irrj&- Date: q I ((P `2p21
I:\Building\Forms\BI dgPerm itRvw_RE S_122419.docx
City of Tigard
!PICOMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16554 SW Botany Bay Lane
Project Name: Polygon at Roshak Ridge Lot #: 191
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ❑Yes ElNo (Per MMD2020-00044)
iculation: a minimum of 1 element per each street-facing facade that has 30-60 ft.of frontage.An additio
ele -nt required for lots with over 60 ft.of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch •..5 ft.deep ft.deep min.2ft., 5 ft.wide min.2 ft.,6ft.wide Gable. .otmer
❑ 0 0 0
2.Eyes on the str :a minimum of 12%of each street facing facade must include windows . entrance doors.
Percentage Shown:
3.Entrances:At least one e ance must meet both of the following standards:
❑Parallel to street, . gle no more than 45° from street,
❑Max.8 ft. setback from longer trees-facing wall
or open onto por
Entrance opens to a porch: ❑Yes o
IfUes,all the following apply: El25 sq.ft. in.
One street facing entry 0 12 f ax.roof above floor of porch
❑5 ft.depth min. ❑30/o min.porch roof coverage
4.Detailed Design:All buildings shall include a min.o v• 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 g Il ormer min.4 ft.wide
❑Roof cave min. 12 inch projection ❑R.' offset min.of 2 ft.
❑Roof shingles either tile or wood 0 Gable, .ip or gambrel roof design
0 Roof pitch oriented south min. 500 sq. .. 0 Horizont.. ap siding min. 3-7 inches wide
❑Accent siding min.40%of street fa .e 0 Window trim , ' .2 '/2"wide by 5/8"deep
❑Window recess min.3 inches for street facing ❑Bay window min. ft.wide by 2 ft.deep
0 Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'o or less of street facade
5.Garages and Carports: ay face the front or side lot line on a corner lot.
Setbacks:
No closer to front o .ide lot line,than longest street-facing wall. ❑Yes ❑No. If No (Check o - :
0 May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro .orch.
❑May extenrn, p to 5 ft.where the garage is part of a two-story building and there is a window at the se d story
above the v a age that faces the street with a min. area of 12 sq.ft.
Width: heck one)
❑ -foot-wide garage door ❑40%max.of street facade
n 50%max.of street facade with 7 detailed design elements
Notes:
Approved By Planning: NT Date: 9/9/21
I:\Building\Fonns\BIdgPertnitRvw_RES_RT_121417.docx
City of Tigard
Deferral Until Occupancy Request
TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
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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).
Date: 11/3/2021 Site Address: 16554 SW Botany Bay Lane
Project Land Use Case or
Name: Polygon at Roshak Ridge Building Permit#: MST2021-00375
Tax Lot 2S107AA19100 Total Parks $8,017.00
#: Lot 191 Amount*:
TDT Total TSDC $3,658.00
Amount: N/A Amount*:
*The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$386.00 for TSDC-
Reimbursement,and $ 3,727.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$6,278.00 for Parks-Improvement,$1,739.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ 0 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: 0/nut4.- Date:
11/4/21
Developer: O/ ti-A2akra.A6eolt U Date: 11/4/21
Permit Coordinator: Date: 11/3/2021