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Permit II CITY OF TIGARD MASTER PERMIT ' s COMMUNITY DEVELOPMENT Permit#: MST2021-00366 Date Issued: 03/21/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 107AA18400 Jurisdiction: Tigard Site address: 16709 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 184 Project: Polygon at Roshak Ridge, Lot 184 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 948 sf Basement: 830 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1188 sf Garage: 422 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2966 sf Value: $412,735.16 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: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 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 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 2966 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 Geo Tech Report Required VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour 2 Ersn Cntrl 503-639-4175 3 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $37,374.55 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- Mnn1 n (l n - n fhrnnh AP oc9..nni_nnon Vnn maw nhtain a rnnw of fhe rulo -t n c nr rliru naetinnc In CMIMr`hw Tallinn Fn4 919 10R7 nr 1 Rnn'119 94dd �1 a'PP1 �-s Issued By: U t C� �Permittee Signature: t..(. 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 job site at the time of each inspection. . Building Permit ApplicatinE.CENED L011 git or ,,si 1 • Residential FOR OFFICE USE ONLY AUG 1.6 2021 _ City of Tigard Received Permit N . 13125 SW Hall Blvd.,Tigard,OR 972Date/By: o (AP- .cekS "(f'0R0{p Phone: 503.718.2439 Fax: 503.598.��Of YIGaI� Plan Review Date/By: Inspection Line: 503.639.4175 BUI DING DIVISION Other permir)Q1 —01J.23 7 I l c A R 1) pec Date Notified/Metho Ready/BJ ® See Page 2 for Internet: www.tigard-or.gov Ned/Metho p vh_j 'G SupplementalInformation �1 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 1-112/ 73 J ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms:NA.4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 33V8 Job site address: 16709 SW DARWIN LOOP New dwelling area: 2,966 square feet It tS City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 422 square feet rSuite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet30 Cross street/directions to job site: Deck area: 14 U square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge ( Lot no.: 184 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. Dew Construction/Type: SFU /Elevation plan: 222403A Valuation: $ eferrals:YES-deferral of TSDC fees&park SDCs until occupancy. Existing building area: square feet Projected start: 2022 New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360) 946-8674 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON 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 cgtaylormorrison.com-0AlamiAbouhafs@taylormorrison.com taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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 /� � Total fee due upon application: $201.60 Authorized signature: Q)/1.42 -•fl of/e59G.1.2d2 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: 08/13/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ED'Mechanical Permit A > �licatik EC I l r y FOR OFFICE USE ONLY r_ Received City of Tigard 1 6 �021 Date/By: �.r PctmitNo j / / 0fJ1�}� 't 13125 SW Hall Blvd.,Tigard,OR 97223 t Phone: 503.718.2439 Fax: 503.598.1960 LITY OF TIGAR Plan Review tiiiAI l7 Inspection Line: 503.634.4175 BUILDING DIVISION DatclE3y: Other Permit: Internet www.ti�ard-oa'.gov Date Ready/By: heir H See Page 2 far Notified Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees`are based on the value of the work ~ 4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition a Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* I9 I-and 2-family dwelling ❑Commercial/industrial a Accessory building For special information use checklist I j Multi-family ❑Master builder ❑Other: Description Qty. Ea.��Total JOB SITE LNFORI'LATION A.ND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 16709 SW DARWIN LOOP Furnace 100.000 BTU(ducts/vents) 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 10Q000l 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 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.: 184 Other, 2332 --.--- Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33,39 Flue vent far 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 I 23.32 ® PROPERTY OWNER ❑ TENANT Other 23.32 - ---- Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range bood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZLP: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: j 23.32 - Fuel piping: Business name:Polygon WLH,LLC ---- S14.15 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 Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalst taylOrmOrriS011.COm Barbecue At __ CONTRACTOR Clothes dryer(eas) Business name:Pro Heating&Cooling Other: MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1 104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE ( — This permit application expires if a permit is not obtained within I80— Q; haw days after it has been accepted as complete. Authorized signature: *J ' Fee methodology set by In-County Building lndusu-y Service Board Print name:Elia Duran Dale: 10/30/20 y f llnilrtmn\PermnetMV"pn<m+e 4nn anrtlli AAt, -_- n.n., Twee,mnwvir,rntn:o. Electrical Permit Application RECEIVE I FOR OFFICL USE O1I.1- City of Tigard Received 1't7 nit fi ' K 13125 SW IlanBlvd.,Tigard,OR 97223 / U G I 2021 lkiteJHy d j S i"L Q 2.(-C c' 6 Plan Review 11 Phone: 503.718.2439 Fax: 503.598 1960 13ate/Hy Related Permit#: inspection Line: 503.639 4175 �;ITY OF TI GAR D itd. DatdA . ha;c I i;A h ll Y y l�Ste Page 2 for Internet: www.ugard-orgov BUI!_D!RIG D!`/ISIG1' Notifhedlvlcthod. Supplemental Information TYPE OF WORK PLAN REVIEW gcl New construction ❑Addition/alteration/replacement Pleats check all that apply(submit 2 sets of plans wtitt,ms checked) 0 Demolition ❑Other: ❑Sasice or feeder 400 amps of more ❑Budding over three stones where the.rvwitable fault current 0 Marinas and txrat'uud. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings ® 1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building lei its Bound,or exceeds 14,000 ❑commercial-use agricultural amps for all other installations buildings ❑Multi-family ❑Master builder ❑Other: ❑Fin pimp 0 Installation of 150 KVA or JOE SII'E INFORMATION AND LOCATION ❑Ememergency system larger separately derived Job#: Job site address:16709 SW DARWIN LOOP ❑Additi°n of new motor hand of a>st.m. 1001IP or more. ❑"A".'H""1-Z","I-3", City/State/ZIP: Tigard,OR 97140 ❑six or rnxc residential units occupancy ❑Health-care facilities. ❑Reaeational vehicle parks_ Suite/bldg.apt.#: Project name: Polygon at Roshak Ridge ❑tivardtus location., 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCUEDULE Description I Qty. I Each l 'fatal 1 New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot 4: 184 includes attached garage. Tax map/parcel#: 1,000 sq ft.or Ices 168 Sa 4 F.a add'1500 sq.fL or portion 33 92 1 DESCRIPTION OF WORK Limited energy,n iduival New construction.Type SFU (with above sq.ft.) 75.00 2 Limited cuugy,muhi•family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 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 710 201 amps to 400 amps 133.562 — 401 amps;to 600 amps 200 34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301 04 2 1'hone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Entail: OAlamiAbouhafsca taylormorrison.com-PermitSubmittal a lormorrison.com Temporary services or feeders installation,alteration,and/or Y relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended 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 Branch circuits new,alteration.,or extension,per panel El APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with Business name: Polygon Homes WLH LLC above service or feeder lice, 7.42 '' each branch circuit - Contact name: Omar Alami Abouhafs B.Fee for 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'.branch circuit 7.42 ' 2 Miscellaneous(service or feeder not included) Phone:(36t) )94b 8674 Fax::( ) Each manufactured or modular 67 84 2 dweEmail:OAlamiAbouhafsrataylolmorfison.com-PcrmitSubmittals(gtaylnrmorrison-coin Recom,g,service and/or fc«icr --- - _ econn ct only 67 84 2 CONTRACT OR - Pump or In igutiun circle 67.84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Address: 105 Dresden St Signal ctrcunt(s)or limited-energy ID See Page 2 2 panel,alteration,or extension. City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable in any of the above Additional inspection(1 fir min) 66 25/hr Phone:(SO3 3)8 0563 Fax:( ) investigation(1 br inin) 90.001 hr Email: David@wallaccwires.com Industrial plant(1 hr trim) 78 18/hr Inspections for which no tee is col Lie.:224868 Electrical Li-• C 1441 Su _I .: 6363S specifically listed('A hr min) 90 00!hr ELECTRICAL PERMIT FEES Stfprv.Electrician signature,required: r� ^ Subtotal _ Print name: irL . �� , Dart:: jlif 6(44-4 -. -t /k/� f i , 0 Plan Review Required(25%of permit foe): _ - - State surcharge.(12%of permit fee) Authorized signature, TOTAL PERMIT FI 1 This permk application expires if a permit is not obtained within t80 Print name: '1,. _ Date: ��c /�I days after it has been accepted as complete. �� !! • Number of inspections allowed per permit l Rielydn criiiiumt5LC_PermltApp_ELR 0RE.dcc Rey 06'1712013 4 04615T(i 1/09COM/W l Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard rr 1 6 Received Permit Nc� 20 24-00 3 6 10 `t 13125 SW Hall Blvd.,Tigard,OR 9722 11 U 2021Date/By: -- ' 1 `"'�v Plan Review 117111 Phone: 503.718.2439 Fax: 503.598.1960 Data/By. Other Permit No. TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date keady/By: Jura: I+7 See Page 3 for Internet: www.tigard-or.gov SW DING Notified/Method: Supplemental information TYPE OF WORK DIVISIONFEE* SCHEDULE For special information use checklist. ®New construction 0 Demolition _ _ - Description Qty. Ea. T Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 I 9k1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building .-Multi-family Each additional bath/kitchen 25.02 ❑Master builder ��El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16709 SW DARWIN LOOP Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 - Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:iissUJJ Polygon 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.: 184 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 - ElPROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon W'LH,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:$ ) Page 2 Contact name: Omar Alami Abouhafs Primer 12.51 Roof dram(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:permitsubmittats@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water piping/DWV rP m 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: $72.50 Plan review (25%of permit fee) CCB Lie.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: „=y� TOTAL PERMIT FEE Print name:Steve Fowler Date: 1 0/30/20 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 tlfluildmgtPerrnitsiPLMU-PernritApp.doe 1010Ltfl 440-4616T(ttsa2COM+WEB) City of Tigard 1111 g " Deferral Until Occupancy Request TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) MISt iHINliMA#11dft. 4FITdflICOM7lkFlAI WitliTEVIODUROMPA gCilFtCk SYR'dx?# ?MYrd1talfiTlFYIpAk#P1'Mik#&CHt39VOO fJ CJrtdk3M1440$1U2P k.OKIItNkWfE.YIt+UGt44.anfid}S3d9kN i#1404 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: 9/16/2021 Site Address: 16709 SW Darwin Loop Project Polygon at Roshak Ridge Land Use Case or MST2021-00366 Name: Building Permit#: Tax Lot Total Parks 25107AA18400 $8,017.00 #: Lot 184 Amount*: TDT Total TSDC $386.00 Amount: N/A Amount*: *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$ 386.00 for TSDC- Reimbursement,and$ 0 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 fmal 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: O Warne;46rfru/aa Date: 09/16/21 Developer: Dow'', 46ezzia6d- Date: 09/16/21 Permit Coordinator: AralUADate: 9/16/2021 City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: S ?' 7—O 2-I — 003 Site Address: 16709 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 184 Planning Review Proposal: New House J Verify address/suite#active in Accela. ® In River Terrace: ❑ No Gil Yes, River Terrace Review Addendum Site Plan Elements: ❑Erosion Control See comment below El copies of site plan on 8-1/2"x 11"or 11 x 17"paper iiiiRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE ®North arrow ®Utility locations&easements(required for new and additions) IL]Site address,project or subdivision name and lot number it Sidewalk/driveway approach ®Applicant information(name and phone number) RLocation of wells/septic systems ®Lot dimensions and building setback dimensions ❑Street tree size,type and location f@Square footage of buildings to be demolished 1]Street names naExisting structures on site ®Corner 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? [ As ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No E Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No • Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified a No Applied For: ❑ Yes ❑ No,stop intake © Land Use Case#: SUB2015-00004 [] Zoning: R-7 ® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 x❑ Building Height: Max.Height: na Actual Height: 28 El Landscape Area: 20 % ❑X Lot Coverage Max: 80 0/0 Entrance E Set back no more than 8'from street-facing wall K] Parallel to street or offset 45 degrees or less Windows tl Minimum 12%of area of all street-facing facades F: 12%/R: 15% Garage t Garage door is behind widest street-facing wall ® 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. © Garage door width is ❑ 12'or less ® 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 ❑ Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: • Conditions met prior to issuance of building ermit Not : MMD2020-00044 modification to-meet 18.290 standards. Approved By Planning: - Date: Revisions (after Building Submittal o y) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved i:\BuildingTonns\BIdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: //l!/Z/ Site Plans: # 3 Building Plans: # 3 Building Permit#: 42'Enter building permit#above. Workflow Routing: i24"Planning QEngineering ❑` rmit Coordinator g''Building Workflow Sign-off: a-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 original plan review routing form. ]ding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: ` i� Engineering Review V Slope at building pad: 0-_CA L4'Conditions"Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot ❑ Yes (J No it Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: .�" Date: °-,�Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review 71 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: i Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 71 Yes ❑ N/A LIDA 0 Yes ir. N/A OK to Issue Permit Approved by Permit Coordinator: ��� Date: t p 12Q21 �� l:\Building\F'omis\BldgPermitRvw_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c, It D River Terrace Building Permit Review Addendum Building Permit #: Site Address: /(1 O'i SW Ip a(N uN (ADP Project Name: Polygon at Roshak Ridge Lot #: 18y (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? El Yes QNo (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. Porch ;.. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gable. .ormer ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 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: facing wall ❑Parallel to street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longes treet- or open onto por Entrance opens to a porch: ❑Yes o Iff j es,all the following apply: ❑25 sq.ft. LJ One street facing entry ❑12 f ax.roof above floor of porch ❑5 ft. depth min. ❑3'/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: 0 Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 0 Wall offset min. 16 inches ormer min. 4 ft.wide ❑Roof eave min. 12 inch projection DR..- offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .'p or gambrel roof design ❑Roof pitch oriented south min. 500 sq. . ❑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 ' I 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: 1 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 e.rage that faces the street with a min. area of 12 sq.ft. Width• heck one) ❑ -foot-wide garage door ❑40%max. of street facade II 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — Datd: I:\Building\Forms\BIdgPermitRvw_RES_RT_i 21417.docx