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Permit CITY OF TIGARD MASTER PERMIT N $ COMMUNITY DEVELOPMENT Permit#: MST2021-00337 Date Issued: 03/21/2022 T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 107AA18300 Jurisdiction: Tigard Site address: 16717 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 183 Project: Polygon at Roshak Ridge, Lot 183 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1211 sf Basement: 763 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1715 sf Garage: 485 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3689 sf Value: $509,862.34 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: Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 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: I NEW SF VB R-3 3689 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET.SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour PHONE: PHONE: 360-695-7700 FAX: Total Fees: $40,394.98 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 QF9-nnl_nnln thrn,nh�fAa^oc9....nni nnnon/Vvnii maw,nhhtaiin a rnnw of rho ndoc nr dirt ni,actinnc to CM IAIC by Tallinn Sn4 919 10R7 nr 1 RAMl 119 9144 Issued By: ��-III�J V�\1A.�u AsI Permittee Signature: C) a lc 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. • Bla lding Permit Application ,.. , �� illII; 3 811(0121 Residential IV± r FOR OFFICE USE ONLY City of Tigard I I n, Received ` n O2/ �j� , srz� O 5 7 v J Date/B `7 to Permit No.: v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie di ^ �tj ' at Phone: 503.718.2439 Fax: 503.598.19 ry'�-i� C F� / Other Permi:G(/ 2-p0 b �i I f �t� I��A�I�tJ Date/By: 1 1 G A R 1) Inspection Line: 503.639.4175 t HL Di n DIVISION � Dateif ReeadyeByo:d: S�1 / t � a See Page 2 for Internet: www.tigard-or.gov Supplemental information �LLL`L // Alit/eLt.- -Ai' TYPE OF WORK REQUIRED DATA:1- D 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 El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrialValuation: $ 0ci i $(6i ❑Accessory building El Multi-familyNumber of bedrooms: 5 El Master builder El Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors:3 4 1"714 Job site address: 16717 SW DARWIN LOOP New dwelling area: 3,689 square feet C, 1 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 485 square feet Lai, Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 7 t c,3 Cross street/directions to job site: Deck area: `26 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge I Lot no.: 183 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Construction/Type: SFU/Elevation plan: 222803B. Valuation: $ t/ Deferrals: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 ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): /RAT Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)946-8674 Fax::( )360 693-4442 E-mail: permitsubmittals@taylormorrison.com-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* n Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted 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. 1 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: $201.60 Authorized signature: Dma-4 4ituxa 415f5G� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/09/2021 *Fee methodology set by Tri-County Building Industry i Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicati CEI V E 1 OR 01[ICE USE ONLY Cityof Tigard Received g Permit No.: H. 13125 SW Hall Blvd.,Tigard,OR 97223 AUG Mau Review e ►�s1'ZOZI d�337 • Phone: 503.718.2439 Fax: 503.598.1960 U Dao Re'; Other Permit: DaleB}': 7 i i'rA It t7 Inspection Line: 503.639.4175 ��1 OF -� ��� Date Re y/By. runs: El Page i for Internet: www.tigard-or.gov 3t t' �� � DIVISION NotifiedlMethad: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION — RESIDENTIAL EQUIPMENT/SYSTEMS FEES* IN I-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: 'i Air conditioning I 46.75 Job site address: 16717 SW Darwin Loop Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000i BTU(ducts/vents) 154.91 __ Suite,/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump —_ + 6L06 Duct work 23.32 _ Cross street/directions to job site: Hydronic hot waterstem I 23.32 — Residential boiler(radiator or �.� ydronic) 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.: 183 Other 23.32 - --- Other fuel appliances: Tax map/parcel no.: Water heater 23.32 _ DESCRIPTION OF WORK Gas frreplaceJinsert 33,39 New construction,type:Single Family Units Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) _ 23.32 �- "' - Wood/pellet stove 33.39 Wood fireplace/insert ._- 23.32 Chimney/liner/flue/vent 23.32 -- to PROPERTY OWNER 0 TENANT Other. I 23.32 ' Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 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 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 I Business name:Polygon wilt,LLC Fuel Ptping: $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 e Gas heat pump - Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalsgtaylorMOITISon.corn 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($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 18t1 4; a- i) days after it has been accepted as complete. Authorized signature: W JJ ' Fee methodolog•set by Tri-County Building Industry Service Board ........................... Print name:Elia Duran Date: 10/30/20 "— nnh,</-.r.,.r,,,v,..,,,co. Electrical Permit Application RECEIVE u FOR OFFICE USE ONLY City of Tigard Received Permit a. &rZQ�-/D 33 • 13125 SW hall Blvd.,Tigard,OR 97223 AUG r ' '�iJ W' MYau R y —. Mau Review _ *' Phone: 503 718 2439 Fax 503.598.I960 Datefly Related Permit a: Inspection Line: 503 639 4175 r r1Li R`-" t: vr CITY OF TIGARD Ready batch Y rude $I pemencZ Inr Internet 1l lnlr, f4,t(rR t Notified/Method. Supplemental aforma4on TYPE OF WORK PLAN REVIEW gg New construction ❑Addition/alteration/replacement Please check all that apply(submit 3 sets of plans wlitems checked). ❑Demolition ❑Other: ❑Su vice or feeder 400 amps of more CIBuilding over three stones ..._ where the available fault current 0 Marinas and boatyard., CATEGORY OF CONSTRICTION exceeds t0,000 amps at 150 volts or 0 Floating buildings F] t-and 2-family dwelling 0 Commercial/industrial ❑Accessory building iiixi.to mound,or exceeds 14,000 Cl Commercial-use agricultural amps for all other installations buildings ❑Multi-family ❑Master builder ❑Other: ❑Fin PAP 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION Cl lintergeney system larger separately(1enved 16717 SW Darwin ❑Addition of new motor load of system. Job#: Job site address: Loo p 100IIP or more. City/State/LIP: Tigard,OR 97140 ❑six or more residential units occupancy ❑Health-care facilities. ❑Recreational vvhlek parks. Suite/bldg./apt.#: I Project name: Polygon at Roshak Ridge ❑ttarardovs locations O Supply voltage for more than ❑Service or feeder 600 amps or mart: 600 volts nominal Cross street/directions to job site: FEE SCHEDULE netrrtpaoa I Ott-- I Farb I Total I a' New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#:. 183 includes attached garage. Tax map/parcel#: 1,000 sq ft or less 168 54 4 Ea.add'l 500 sq it or portion 33 92 1 DESCRIPTION OF WORK Limited energy,n sitttntraI New construction.Type SFCI (with above sq.ft) - 75.00 2 ._ Limited energy,multi-family 75.00 residential 0.vith above sq ft.) INI Renewable Energy 0 Sec Page 2 PROPERTY OWNER 0 TENANT NAh'1' Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or less 10070 p- Address: 703 Broadway St.,Ste 7I0 201 snips to 400 amps 133.56 2 — 401 amps to 600 amps r 200 34 2 City/State/Z.IP: Vancouver,WA 98660 601 amps to I,000 amps 3()1.04 2 Phone:(360 )946 8674 Fax:( ) over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Entail: 0AlarniAbouhafs@taylortnorrison.com taylormorrison.corn-PerrnitSubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own Which is not 200 snips or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps u,400 amps 125 08 2 Owner signature: Date: 401 amps to 599 amps 168 54 2 0 APPLICANT _—J 0 CONTACT PERSON Branch circuits-new,alteration,or exteasion, ter panel A Fee for branch circuits with Business name: Polygon Homes WEB LLC above service or feeder fee, each branch circuit 7.42 - Contact name: Omar Alami Abouhafs B Fee for branch circuits wit/tour Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7 42 2 360 946 8674Miscellaneous(service or feeder not included) Phone: ( ) Fax::( ) Each manufactured or modular Email:OAlamiAbouhafs@taylormomson.com-PennitSubmittals@taylormonison.com Rcccnmg,service arguer feeder 67 84 2 well Reconnect only 67 84 2 CONTRACTOR Pump or in'gallon circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67 84 2 Address: 105 Dresden St S 11,aaal ctrctrtt(s)or Irmited energy 0 see Page 2 2 panel,alteration,or extension. City/State/ZIP:IStatelZIP: Each additional inspection over allowable in any of the above tS Astoria.OR 97103 P Additional mspcctton(1 hr min) 64 25/iir ! Phone:(503 1)8 0563 Fax:( ) Investigation(1 hr min) 90.(X)/hr Email: llaVidrawallaceviires.com Industrial plant(1 hr min) 78 18/hr Inspections for which no lee is COII_ic.:224868 Electrical Li•' C1441 Su v.1. . 6363S specifically listed(tt4 hr min) 9000/hr Suprv.Electrician signature,required: �-.._ ELECTRICAL. PERMIT FEES J � Subtotal Print name:'? ,p Date: it IL l t ❑Plan Review Required(25%of pemtit fcc): ( r State surcharge(12%of pemtit fee) Authorized stature TOTAL PERMIT Flan: This permit application expires if a permit ii not obtained within 180 Print name: r? r 4' Date: /,- /y days ogee It has been accepted as complete. YW�+" t(J(y r + Number of inspections allowed per permit. l:'rnanlebngPvrmits'dLC_PeniutApp_ELR L•RE,dc�c Rev0611.7,2015 4'ti-l815T(11A0SCOMlWEB ' Plumbing Permit Application Building FixturesRECEIVE" FOR OFFICE USE ONLY City of Tigard Received - III �r A U 2021 Date/By: Permit No .�TLfJ�`^0 / 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ll 3 Phone: 503.7182439 Fax: 503.598.1 Other Permit No.: Y OF Wa IGARD Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: runs: El See Page 2 for Internet: www.tigard-or.gov ;BUr LDU\G nIVIVON Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist. - Description I Qty. j Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New I-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 0 Accessorybuilding SFR(3)bath 500.32 %�-Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities; Job site address: 16717 SW Darwin Loop Catch basin or area drain 18.76 Drytivell,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:efl s._irtdgePolygon 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.: 183 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRH'TION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction,type:Single-Family Units Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ 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 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2 -"" Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pipingDWV 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 j State surcharge(12%of permit fee) Authorized signature. >'LKM., TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t',Banding``-PermitslPLMU"PennitApp.doc 10,014)9 440-4616T(10102/COM%VEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I c A R D Building Permit Review — Residential Building Permit #: I f SrZO2/ OU33-7 Site Address: 167171SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 183 Planning Review Proposal: New House el Verify address/suite#active in Accela. ® In River Terrace: ❑ No I I Yes, River Terrace Review Addendum See comment below Site Plan Elements: EErosion Control ❑C 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IiiRetained 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) TJ Site address,project or subdivision name and lot number ®Sidewalk/driveway approach ®Applicant information(name and phone number) IDLocation of wells/septic systems ®Lot dimensions and building setback dimensions $]Street tree size,type and location fl Square footage of buildings to be demolished E Street names ODExisting 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? L 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 30 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No l Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No FR SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified al 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 Entrance E Set back no more than 8'from street-facing wall In Parallel to street or offset 45 degrees or less Windows It Minimum 12%of area of all street-facing facades F: 17%/R: 20% Garage t Garage door is behind widest street-facing wall E 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 2"a 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: El Conditions met prior to issuance of building permit Notes: MMD2020-00044 modification states houses only need to meet 18.290 standards. E Approved By Planning: ATIZ AKA Date: 8/17/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved i:\Building\Fonris\B1dgPermitRvw_IIES_122419.docx Building Permit Submittal Original Submittal Date: o04/2az/ Site Plans: # 5 Building Plans: # 3 Building Permit#: C 'Enter building permit#above. ,�� Workflow Routing: p Planning K- Engineering ['Permit Coordinator L`1 Building Workflow Sign-off: Elk Sign-off for Planning(include notes from planning review) Route Application Documents: Ni'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ['Building: original permit application,site plans,building plans, engineer and beam calculations a . st details,if applicable,etc. Notes: / By Permit Technician: �iJ// Date: /l?/�21. E n ineering Review t Slope at building pad: '" 41, d, szr Conditions"Met"prior to issuance of building permit L Easements (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 aft/No LIDA Facility on lot: ❑ Yes C No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: _ �3 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: /SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A _ Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A _,( LIDA Yes /I N/A l�J OK to Issue Permit �7 1 Approvedby Permit Coordinator: Date: / VI 1:\Building\Forms\Bl dgPermitRvw_RE S_122419.docx City of Tigard Transportation System Development Charge (SDC) • T l G A R DD Notification of Fee and Payment Options This advises you that the total TSDC for this project is as shown below and outlines the payment options that may be available to you. This total includes charges for TSDC-Improvement,TSDC-Reimbursement, and TSDC-River Terrace,if relevant. This form is to be signed and submitted prior building permit issuance or, if no building permit is required, then upon land use approval (TMC 3.24, as amended by Ordinance No. 21-09). City of Tigard Date: Site Address: 8/24/2021 16717 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or Name: Lot 183 Building Permit #: MST2021-00337 Tax Total TSDC 2S107AA18300 Lot#: Amount*: $10,348 *The total TSDC amount shown above is the sum of$6,690 for TSDC-Improvement, $386 for TSDC-Reimbursement,plus $ 3,272 for TSDC-River Terrace,if relevant. This constitutes my request to use the TSDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that TSDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. ❑ Cash, Check,or Credit Card,payment due at building permit issuance. x❑ Deferral until Occupancy, payment due before issuance of an occupancy permit. Payment of the TSDC may be deferred until issuance of the occupancy permit. In requesting this option,I understand that any deferred TSDC must be paid prior to issuance of a Certificate of Occupancy or final inspection. For a deferral request to be accepted both the Property Owner and the Developer must sign this request ❑ Credit Voucher for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) NOTE: TSDC Credits must be redeemed at the time TSDC Payment is due,either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim TSDC Credits be sure the improvements,any creditable payments,and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of TSDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) O,n .A 46eula Dom-4kmo:466ulc blre- PROPERTY OWNER DEVELOPER DATE: 08/24/21 DATE:08/24/21 I: Communi Develo ment Permit Coordinator SDC Forms TSDC Combination Payment Option Form 112718 AMS \ ry P \ \ \ y City of Tigard a Parks SDC Charge (Parks) TIGARD Notification of Fee and Pa Tment O bons Please sign and return prior to building permit issuance. This advises you that the total Parks SDC charge for this project is as shown below and outlines the payment options that may be available to you. This total includes Parks SDC-Improvement,Parks SDC-Reimbursement, and either Parks-Neighborhood or Parks-Neighborhood River Terrace charges as relevant. This form is to be signed and submitted prior to issuance of a building permit. (:in of Tigard Date: 8/24/2021 Site Address: 16717 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case Name: Lot 183 or Permit #: MST2021-00337 Tax Total Parks 2S107AA18300 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 6,278 for Parks-Improvement,$1,739 for Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$2,886 for Parks-Neighborhood River Terrace. This constitutes my request to use the Parks SDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that SDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. D Cash, Check,or Credit Card,payment due at building permit issuance. Deferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the Parks SDC may be deferred until issuance of the occupancy permit. In requesting this option,I understand that any deferred Parks SDC must be paid prior to issuance of a Certificate of Occupancy. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. ❑ Credit Voucher(for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) PLEASE NOTE: Parks SDC Credits must be redeemed at the time Parks SDC Payment is due,either at the lime the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim Parks SDC Credits be sure the improvements,any creditable payments,and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of Parks SDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) ()mail-,Ae,A6eul c Ofrna4-41a.na.A6eu r.. PROPERTY OWNER DEVELOPER DATE: 08/24/21 DATE:08/24/21 I;\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms