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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00377 T I f;A It p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2022 Parcel: 2S 107AA19300 Jurisdiction: Tigard Site address: 16614 SW BOTANY BAY LN Subdivision: ROSHAK RIDGE Lot: 193 Project: Polygon at Roshak Ridge, Lot 193 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1238 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1718 sf Garage: 486 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2956 sf Value: $410,916.56 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 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: 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: 5 201-400 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 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 2956 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: $33,993.30 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 o69-nn1-nnln thrniinh rum oc9-nn1-noon vnii mat,nhfain a runt,of thin mine nr Tura,.nanetinnc fn(ll intr.ht,Tallinn Sn'2 919 10R7 nr 1 Ran 119 9444 Issued By: HoU,y Vavv Pe,Wege Permittee Signature: Ow A 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. _ 4 , Lair/gt3 .e p p �'�"► Building Permit ApplicatioRECV EE� D ; • Z Residential SEP 0 8 2021 FOR OFFICE USE ONLY ) City of Tigard CITY OF TIGARD Received /2 aa PernitN,.�..,/C[� q� 1 III is 13125 SW Hall Blvd.,Tigard,OR 9 Date By: �l// �U Y L 7�fit�'24'©�`3 7 7 g RMDING DIVISION Plan Review Phone: 503.718.2439 Fax: 503.5 Date/By: A'i, Other PernS: )g 2027/-OO Ain T 1 G A R D Inspection Line: 503.639.4175 Date Ready By: u j m s: t� See Page 2 for Internet: www.tigard-or.gov ��otified/Me • _(/ V Supplemental Information TYPE OF WORK REQUIRED DATA:I-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. 2i ® 1-and 2-family dwelling 0 Commercialindustrial Valuation: $ ip i(0) l ElAccessory building El Multi-familyNumber of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 �y12 Job site address: 16614 SW Botany Bay Ln New dwelling area: 2,956 square feet ' J 19 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet `a`5'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: X square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge 1 Lot no.: 193 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. )few Construction/Type: SFU/Elevation plan: 2223000 D Valuation: $ V Deferrals:YES-deferral of TSDC fees and park SDCs until occupancy. Existing building area: square feet Projected start: 2022 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: i ® APPLICANT El CONTACT PERSON �9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please r¢f¢rto fee schedule)Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs i FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Phone:(360)946-8674 Fax::( )360 693-4442 Amount received: E-mail: permitsubmittals@taylormorrison.com-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted 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 lic.:207247 /J �/ Total fee due upon application: $201.60 Authorized signature: OPX.424.414.412!..f 66Yik1 This permit application expires if a permit is not obtained '/ within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 09/07/2021 *Fee methodology set byTri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) Mechanical Permit ApplicaRECEIVED >FOR OFFICE USE ONLY City of Tigard SEP 0 8 2021 Received Permit No r 7 `r 13125 SW Hall Blvd.,Tigard,OR 97223y���( �� ' Phone: 503.718.2439 Fax:III 503.S98.19 1�YPlan Review OF TIGARD Date/By; Other Permit: Y i li h l;l� Inspection Line: 503.639.4175 Date Ready/By: lnris- ElInternet: www.tigard-or.gov BUILDING DIVISION Notified/Method. See Pent nr Suppletnental Infortnntion TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST — __ Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY,OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 11 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special information use checklist I j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 16614 SW Botany Bay Ln Furnace 100,000 BTU(ducts/vans) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,0004 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 1 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.: 10/ 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 i 23.32 Log lighter(pas) 23.32 -- __ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER Other. 23.32PE ❑ TEN Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment i 33.39 Address:703 Broadway St.,Ste.510 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 it APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC 514.15 for first four;S4.03 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 ~4 Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Rance E-mail:permitsubmittalsttaylOrmorriSofl.Cof11 Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other. MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1I04 — Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%o 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 La (\ �� days after it has been accepted as complete. Authorized signature: v J ' Fee methodology set by Tn-County Building Industry Service Board Print name:Elia Duran .I Date: 10/30/20 I VRoil,imo\Prrmirclhfer" Prrn,n 4m.6441111 4,,' .r.v,.r.r rr,r,ar�rr•n+r n++cu• Electrical Permit Application FOR DEVICE i.Sl n\l l CityofTigard RECEIV z eeet MS T-7 1- Ill ■ 131S Ilan Blvd.,Tigard,OR 97223 S E P 0 8 202, ° p it k �`� t x' ' . a. flan Review Phony. 503.718 2439 Fax 503.598.1960 Date fly Related Permit+t: Inspection Line! 503 639 4175 j Uatd R 1�is: See PlIge 2 for TI( 1ltDF Internet www.ugard-orgov CITY N DIVISI tificd`Mcthad. Supplemental Information Bt III BIND DIVIS1c TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check ell that apply(submit 1 sets of plans wlitems checked) ❑Su vvice or feeder 400 amps of inure CIBudding over three stones ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyard•... CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating builduigs ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to pound,or exceeds 14,0110 0 Commercial-use agricultural amps for all other instaltattons huildrngs R❑Multi-family ❑Master builder 0 Other: ❑Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AM) LOCATION 0 Emergency system larger separately deuced Job#: Job site address:16614 SW BotanyBayLn LL ❑Addition of new motor land of sy'staw. l00llP or more. ❑ A"._E_, L Z"."I-3", City/State/ZIP: Tigard,OR 97140 _._. [isle or more residents:units occupancy - - ❑Health-tare facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: Project name: Polygon at Roshak Ridge Otlarardoucs locations 0 Supply voltage for more than ❑Service or fecda 600 amps or more 1500 volts nominal. Cross street/directions to job site: FEE SC--hEDUI E-t Description 1 Qti. 1 rash i 'fatal I ' ' New residential single-or multi-fancily dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 193 Includes attached garage. Tax map/parcel#: 1,0to sq 11.or less 168 54 4 Ea.add'I 500 sq.It or portion 33 92 1 DESCRIPTION OF WORK Limited enemy,rt ss ttnuat New con tnlction_Type SFU (with above sq.R) 75.00 2 j Limited t.tictgy,muhi-faintly residential(with above sq.t2.,) 75.00 Renewable Energy 0 Sec Page 2 _ © PROPERTY OWNER ❑ 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 710 201 amps to 400 amps 133.56 .2 401 amps to 600 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: OAlamiAbouhafs@taylormorrison.corn-Pe } relocationrmitSubmittal @ @taylormorrison.come ry services or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I25 08 2 Owner signature: - Date. 401 amps to 599 amps 168 54 2 Branch circuits-new,alteration,or ex tension,per panel 0 APPI,I('<LNr CI CONTACT PERSON A ace for branch circuits with Business name: Polygon Homes WTH LLC above service or fctak r fee, each branch circuit 42 Contact name: Omar Atami Abouhafs B Fee far branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver.WA 98660 Each add'1 branch circuit 7.42 2 Phone 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67 84 Email:OAlamiAbouhafs�d,'taylormorrison_corn-PermitSubmittals@taylnrmorrison.corn Rccont R,service atxUor teener ... Rccrmri,rcnly 6784 z CONTR:A(.`i'C}R Pump or iniga[iun circle 67 84 2 Business name: Wallace Electric Sian or outline lighting 67.84 2 Address: 105 Dresden St Signal circuits)or limited-energy ❑ see Page 2 5 panel,alteration,cr extension. _ City/State/ZIP: Astoria OR 97103 _� Each additional inspection over allowable in any of the above Addrtirmal inspection(1 hr min) 66 25/hr Phone:(503 308 0563 Fax:( ) Investigation(1 hr stun) 90.(XI/hr Email: David{Qhvaliacenires.com - Industrial plant(1 hr min) 78 18/hr Inspections for which no lee us 90 OQf hr CCB I-ie.:724868 Electrical Li•- C144i Su v_I,i .: 6363S specifically listed(ir Ia min) ELECTRICAL. PERMIT FEES Suprv.Electrician signature,required: .-"-- Subtotal Print name: LD24.4e, _ .,.cf.. Date: it/6 I z 1 El Plan Review Required(25%of permit fee): State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FI Ii: This permit application expires if a permit is out obtained within 180 '1( Print name: � _vlQ� 6 Date: rl days after it him beta accepted as complete. �t ( I • dumber of inspections allowed per permit 1.4holthngltnuitiWu crpmMApp_ELR,tRE.dec Rev 05111.1201) 1d0-015T(i 1/05/COMlWtB Plumbing Permit Application RECEIVE a Building Fixtures FOR OFFICE USE ONLY Cityof Tigard SEP 0 8 2021 Received g Permit Nolii T'"��- 0 03 7 7 't 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Rev 1 g CITY OF TIGARD Plan Review - Phone: 503.718.2439 Fax: 503.598.1 Other Permit No.: CAWING DIVISIONDate/By: TIGARD Inspection Line: 503.639.4I7S Date Ready/By: furls: PJ Sec Page 2 for Internet: www.tigard-or.gov Notified/Method; Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special in ormation use checklist. - - Description Ea. Total _ ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utilityconnection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 t-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building V-Multi-family SFR(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: vJob site address: 16614 SW Botany Bay Ln 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:lfojkulrPolygon 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.: 193 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 New construction-Type SFU 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,LLC Fixture/sewer cap T 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 ❑ CONTACT PERSON Interceptor/grease trap j 25.02 Business name:Polygon WLH,LLC Medical gas(value:S ) 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 12.51 - E-mail:permitsubmittals`rupolygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pipngrDWV 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 aspires if a permit is not obtained within ISO days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board t:Bvildmg.Permits1PLMU-Pew sApp.doe IWOI/09 440-4616Tt16,02/COMVERI ,. 4 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 1111 TIGARD Building Permit Review — Residential c Building Permit #: MS rill 24 —p 0 3 "7"7 Site Address: ! 66 111 Sv Eo-6� � L-a�.e Project Name: ?O p(i q,4-- (Zpgi(.�a k 12-1 Lot #: j q 3 Planning Review Proposal: MQ,IAJ 519(e, Verify address/suite # active in Accela. RI In River Terrace: ❑ No a Yes,River Terrace Review Addendum Site Plan Elements: I4Erosion Control B:13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) lFootprint of new structure(including decks) and FFE ]North arrow [Utility locations&easements(required for new and additions) NSite address,project or subdivision name and lot number Sidewalk/driveway approach 5aApplicant information(name and phone number) ❑Location of wells/septic systems { LLot dimensions and building setback dimensions 54Street tree size,type and location ❑Square footage of buildings to be demolished Street names ❑Existing structures on site ❑Corner elevations(2'contours if more than 4'differential) glLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Wes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes viiNo Q, Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified f;g1 No Received: ❑ Yes ❑ No 4 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No kJ SDC Exemption for ADU applied for: ❑ Yes W No Received: ❑ Yes ❑ No igs Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ;131-No Applied For: ❑ Yes ❑ No,stop intake ❑ Land Use Case#: iiii Zoning: ® Required Setbacks: Front:_15.1 Rear:• 101 Side: 3 Street Side: Garage: AV t 5] Building Height: Max. Height: WA Actual Height: 211 Ki Landscape Area: ad % CI Lot Coverage Max: 00 Entrance ii3 Set back no more than 8'from street-facing wall fiA Parallel to street or offset 45 degrees or less Windows ® Minimum 12%of area of all street-facing facades Garage fXf Garage door is behind widest street-facing wall 121 Yes ❑ No,one of the following is met: ❑ 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. gi Garage door width is ❑ 12'or less NO 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 pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance M Urban Forestry Plan ® Sensitive Lands: ❑ Yes $11 No Type: ❑ Con ' ' ns met prior to issuance of building permit Note . Approved By Planning: Date: i/ 7( Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 9`i/Z/ Site Plans: # 3 Building Plans: # 3 Building Permit#: 92 Enter building permit#above. Workflow Routing: 8--Planning Engineering C - emit Coordinator ��uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ojginal plan review routing form. 013uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes:By Permit Technician: i&'c�r /� vl,2_11--1-- Date: 9/a Enxineering Review Slope at building pad: /d :0 I f Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat E/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ['No Assess Water Quantity Fee in-lieu: ❑ Yes g No LIDA Facility on lot: ❑ Yes Er No Y Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Q�t' Approved by Engineering: Date: p/ /mil Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Vi 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 SDC Fees Entered: Wash Co Trans Dev Tax: /,_,71 Yes ❑ N/A Tigard Trans SDC: elZi Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A 7f OK to Issue Permit Approved by Permit Coordinator: Date: L ilp 12o2A VO-Ne.n 1:\Building\Forms\BldgPennitRvw_RES_122419.docx City of Tigard • $1 COMMUNITY DEVELOPMENT DEPARTMENT 11 c;h R l) River Terrace Building Permit Review Addendum Building Permit #: Site Address: I �fa 11 W So 4y ea) l c Project Name: Polygon at Roshak Ridge Lot #: G(,3 (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 ❑r No (Per MMD2020-00044) Articulation: 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 .; ft. deep ft.d❑eep min.2ft., 50 ft.wide min. 2 ft.,6ft.wide Gable. ..ormer 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, El Max. 8 ft. setback from longes trees- facing wall or open onto por Entrance opens to a porch: ❑Yes 1 o If es,all the following apply: ❑25 sq.ft. in. U One street facing entry ❑12 f ax.roof above floor of porch ❑5 ft.depth min. ❑3 i/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 I Recessed entry area min. 5 ft.wide x 2 ft.deep ❑Wall offset min. 16 inches P ormer min.4 ft.wide ❑Roof eave min. 12 inch projection ❑R.• offset min.of 2 ft. ❑Roof shingles either tile or wood ❑Gable, •ip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. r. ❑Horizont.. ap siding min.3-7 inches wide ❑Accent siding min.40%of street fa .e ❑Window trim ' ' .2 1/2"wide by 5/8"deep ❑Window recess min.3 inches for street facing ❑Bay window min. ft.wide by 2 ft.deep ❑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 - : ❑May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro .orch. ❑May exten. 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 •. 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 111 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: $ pV l Date: /R /Zr I:\Building\Forms\BldgPcnnitRvw_RES_RT_121417.docx City of Tigard Deferral Until Occupancy Request T l G A R D Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) 1V4(r^.,..rw MVdtrs*11P1WrW¥i PAYM 00140 TM10 kAVANMVPIXR4Sb' .14104137 37 d' rr76r. !+. 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: 16614 SW Botany Bay Lane Project Land Use Case or Polygon at Roshak Ridge MST2021-00377 Name: Building Permit#: Tax Lot 2S107AA19300 Total Parks #: Amount*: $8,017.00 Lot 193 TDT Total TSDC $3,658.00 A Amount: N/A mount*: *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$ 386.00 for TSDC- Reimbursement,and$3,272.00 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: 2 ,A rm.c u E- Date: 11/4/21 +- Developer: Oft -Wahto.R6euz Date: 11/4/21 Permit Coordinator: AT/ADate: 11/3/2021