Permit CITY OF TIGARD MASTER PERMIT
IN • COMMUNITY DEVELOPMENT Permit#: MST2021-00379
T l G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2022
Parcel: 2S 107AA20700
Jurisdiction: Tigard
Site address: 16579 SW DARWIN LOOP
Subdivision: ROSHAK RIDGE Lot: 207
Project: Polygon at Roshak Ridge, Lot 207
Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1093 sf Basement: 862 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 4 Second: 1410 sf Garage: 400 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3365 sf Value: $463,195.62 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 5 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 add9 500 sf: 6 201-400 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 3365
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
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $38,964.80
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: 1k1 J Permittee Signature: O ► ape11
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.
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Lr &1'Building Permit Application ,—,31 f2 L
Residential FOR OFFICE USE ONLY
Cityof Tigard Received permit No
fiF FCEtVED Date/By: I Iii��f �t� lyc7 zv 2�V37`i
• 13125 SW Hall Blvd.,Tigard,OR Plan Review Other P /�/� �/
Phone: 503.718.2439. Fax: 503.598.196 ,UG 31 2021 Date/By: �/70/8/74
I —(/GI IGAR[) Inspection Line:g 03.63g.4175 Date Ready/By: G .1 ® See Page 2 for
Internet: www.ti and-or. Ov WAVING l t TY OF��^ARD otified Method: ` Supplemental Information
TYPE OF MVH1F14'�NG DIVISION REQ RED DATA: -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 ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION �� ���gi
® 1-and 2-family dwelling ElCoi erciaUindustrial Valuation: $
Number of bedrooms:
0 Accessory building El Multi-family5
0 Master builder 0 Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors:3 31('
eC
Job site address: 16579 SW DARWIN LOOP New dwelling area: 3,365 square feet I '0
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 400 square feet ' 093
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: )6:ft' square feet Ia(02...
Cross street/directions to job site: Deck area: '2$ square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 207 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.
New Construction/Type: SFU /Elevation plan: 222603BR Valuation: $
_Projected start: mid 2021
Existing building area: square feet
v. "Deferrals: YES-deferral of payment of transportation&park SDCs to occupancy New building area: square feet
(,a 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 09 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@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.
Permit Fee(includes plan review
$180.00
City/State/ZIP:Vancouver, WA 98660 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: $201.60
Authorized signature: O111.4 L 4&MG,A69 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 08/24/2021 *Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i'
tflecllanIcat Permit ECEIVEDIIIIIIIIIIICIEEIIIIEBIIIIIIIIIIII
Received
City of`C'igal-ci iy Petrnit Nn.:
t 13125 SW Hall Blvd.,Tigard,OR 97223 !i U U 2 0 2) PlaDatn R !"7ST7,(�2I-p0 3 7`7
i — - Plan Review
Phone: 503,718.2439 Fax: 503-598.1960 Ua7e/gy. Other Permit:
IMAlll� Inspection Lice. 503.639.4175 CITY OF TIGARD Date Ready/By: Juris @ See Page 2 for --
Internet: www.tigard-or-goy BUILDING DIVISION Noti6adMethod Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTLAL EQUIPMENT/SYSTEMS FEES*
® 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 LNFORMATIONAND LOCATION Heating/cooling:
Air conditioning ( 46.75
Job site address: 16579 SW DARWIN LOOP Furnace 100.000 BTU(ducts/vents) 46.75
-
City/State/ZIP:Tigard,OR 97224 Furnace 100.000'BTU(ducts/vents) 54.91 _
Suite bldg./apt.no.: I Project name: Polygon at Roshak Ridge Heat pump 6L06
Duct work 23.32 _
Cross street/directions to job site: Hydronic hot water stem 23.32
M Residential boiler(radiator or
hydroruc) _ 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 I of no: 207 —011ie 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 2
23.3_
DESCRIPTION OF WORK Gas fireplace/insert 33,39
Flue vent for water heater or gas
New construction,Type single-family unit fireplace 23.32
Log lighter(gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chinuteylliner/flue/vent 23.32
El PROPERTY OWNER 0 TENANT Other. 23.32 _
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 MLH,LLC $14.15 for first four;$4.03 for each additional
Contact mote:Tonja Morris 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
Ranee
E-mail:permitsubmittalsCitayIOrmOrriSon.Cold Barbecue
CONTRACTOR Clothes dryer(gas) _
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Aiociek Dr,Ste.1104
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°A of permit fee)
CCB be.:209001 TOTAL PERMIT FEE
— t This permit application expires if a permit is not obtained within 180
.A( f�u1, L days after it has been accepted as complete.
Authorized signature: G� [t JJ • Fee methodology set by Tri•County Building industry Service Board
Print name:r lia Duran Date: 10/30/20
I srsniItinnSPerrnocl yr P.rmee,.n ago is My AM•.t tt,, mvincc r.n rt:v
Electrical Permit ApplicatioifiEcE /ED Rece,4�a I•oR OFFICE St:ONLY
City of Tigard V C V p
., llate�v HST-it L I—DD''"7`I
13125 SW flail Blvd.,Tigard,OR 97223 0A U G 31 2021 Plan Review
C Phone: 503.71$2439 Fax 503 S98 196 h>eu Av. Related Permit d7:
I.l A R u Inspection Line: 503.639 4175 CITY OF TI GAR D Ready DatdHy runs: fa See Page 2 for
Internet: www.tigard-or.gov NotttcdlMetbod. Supplemental laronaation
RI JILDING nivisioN --
I TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of Manx so/items checked)
0 Su sfeeder ticc iv 400 amps to more ❑Building over three stones
❑Demolition ❑Other. 0 Marinas and b ttsret&
where the mailable fault errant
_ CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 cults or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building li_ss to pored,or exceeds 14,000 0 Commercial-use agricultural
amps foi all other installations buildml
0 Multi-family ❑Master builder ❑Other: 0Fire
PAP 0 Installation or 150IGVA or
JOB SITE INFORMATION ANT) LOCATION 0 Emergency system larger separately derived
Job#: Job site address:16579 SW DARWIN LOOP ['Addition of new motor load°f system
worm or more.. ❑""A"."3~"."1-2","1-3",
City/State/ZIP: Tigard,OR 97140 ❑Six or more residential units occupancy
�` CI Health-care facilities. ❑Recreanonah'Muck parks.
1
Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑Hazardous locations 0 Supply vnlenge for more than
❑Service or f,.kc 600 amps or more 600 volts nominal
Cross street/directions to job site: FEE SCUEDULE
liescriplioa 1 Qty. I Each l 'total i
New residential single.or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 207 includes attached garage.
Tax map/parcel#: 1,000 sq ft.or less 168 54 4
Ea add'1500 sq.it.or portion 33 92 1
DESCRIPTION OF WORK Limited energy,residtznial
Nets construction.Type SFU
(with above sq.ft.) 75.00 2
Limited c.ucrgy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 Set-Page 2
El 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
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: OAIamiAbouhafs@taylormorrison.com-PermitSubmittals@taylormorrison.com relocation
Owner installation:This installation is being made on property that 1 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
0 APPLICANT _-L ❑ CONTACT ACT PERSON Branch circuits-new alteration,or extension,per panel
A Fee for branch ctrcuit.s with
Business name: Polygon Homes WI.H LLC above service or fender fee, 7 42
each branch circuit -
Contact name: Omar Alami Abouhafs B.Fee for branch circuits without
service or feeder fee,first
Address: 703 Broadway St.,Ste 710 56.18 2
branch circuit
City/State/ZIP: Vancouver,WA 98660 Each add'!branch circuit 7.42 l 2
Miscellaneous(service or feeder not included)
Phone:(360 )946$674 I' ..
( ) Each manufactured or modular 67 84 2
Email:OAlamiAbouhafs!ataylormottison.com-PermitSubmittals@taylnrmorrison-corn dwelling,service and/or feeder
Reconnect only 67 84 2
CONTRA("TOR Pump or irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67 84 2
Address: 105 Dresden St Sig lai circuits)or hunted-energy 0 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 hr min) 66 25/hr
Phone:(503 31118 0563 Fax:( )
invcsugation(t hr min) 90.1t1/hr
Email. David@-wallaccwires.com Industrial plant(t hr min) 78 18/hr
•
Inspections for which no tee is
CCi3 Lie.:224868 Electrical Li . C 1441 Su I; 6363S specifically listed(15 hr min) 90 00/hr
ELECTRICAL PERMIT FEES
Suphv.Electrician signature,required:
a"---'''---- Subtotal _
Print name:DA.0,p Hate: 0 Plan Review Required(25%of pemtit fee):
State surcharge(12%of permit flee)
Authorized sigtauurt TOTAL PERMIT f G E
This permit application expires if a permit is not obtained within 180
Print name: i� Date: tl f / days after It has been accepted as complete.
� `fL 7 2 .., r Number of inspections allowed per permit
I.iBudding+i'crntiii'tld:_Permltrlpp_ELR EREdec Rev 06'1TR0II 4 0-4615'r(l1105/COINWFB
Plumbing Permit Application
Building Fixtures RECEIVE FOR OFFICE USE ONLY
Received
it1'Of Tigard DatelB Permit No.: 1 ze i./,00 7r
.. 13125 SW Hall Blvd.,Tigard.OR 97223 AUG1 2 2 Plan Review _.
Phone: 503.7182434 Fax: 503.598.1960
Date/By: Other Permit No.:
TIGARD Inspection Line: S03.639.4175 CITY OF TIGARD Date Ready/By: )iris. RI See Page 2 for
Internet: www.tigard-or.gov BUILDINGDIVISIO^V otitied/Method. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 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
j.l-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 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: 16579 SW DARWIN LOOP Catch basin or area drain
Drywell,leach line,or trench drain
City/State/ZIP:Tigard,OR 97224
— — Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.: Project name:4ii*ePolygon at Roshak Ridge g Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
Rain drain connector
^Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Subdivision: Polygon at Roshak Ridge207 Water service(no.linear ft.:_) Page 2
Yg Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction,Type single-family unit 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 Fixturefsewer 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:S ) Page 2
Contact name:Tonja Morris Primer 12.51
Roof drain(commercial) i 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:permitsubntittals@polygonhomes.coar Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water Pm iP g rDWV 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)
CCB Lie.:184372 Plumbing Lic.no.:pb634 Stare surcharge(12%of permit fee)
Authorized signature: �"s � �— 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.
*)Pee methodology set by Tri-County Building Industry Service Board.
I.`9uitdinet?emits/PLMU-PecmitApp doc I0/0/os 440-46165(10,02iCOM'WEB)
, City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
II .
r 1 R D Building Permit Review — Residential
Building Permit #: /" _S -2-0 2 i - Db 57 ,
Site Address: I k use
Project Name: , e Lot #: Zo
Planning Review
Prop al: ?OU"i('C'n i� r Q--v k- Z‘acer
Imo' ��
Verify address/suite# active in Accela. 1 In River Terrace: ID ld Yes, River Terrace Review Addendum
Site Plan Elements: ZQErosion Control
25"copies of site plan on 8-1/2"x 11"or 11 x 17"paper or- EtRetained trees with drip line and tree protection measures
L'prawn to scale (standard architect or engineer scale) L�JFootprint of new structure(including decks) and FFE
no North arrow n ty locations&easements (required for new and additions)
LQSite address,project or subdivision name and lot number F Sidewalk/driveway approach
21/pplicant information (name and phone number) Illir(t1 cation of wells/septic systems
Ril Lot dimensions and building setback dimensions �S et tree size,type and location
�R Square footage of buildings to be demolished LDS eet names
o sting structures on site L/ICorner elevations (2'contours if more than 4'differential)
E Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? dYYes ❑No
im ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes Co
Clean Water Services—Service Provider Letter,;(lot platted prior to 9/10/1995):
wired: ❑ Yes,applicant was notified "No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additio s,Remodels and ADUs
quired: ❑ Yes,applicant was notified Of No Received: ❑ Yes ❑ No
Z S " Exemption for ADU applied for: ❑ Yes {�No Received: ❑ Yes ❑ No
FIVPublic Facilities Improvement(PFI) Permit:
uired: ❑ Yes,applicant was notified Nor Ap lied For: ❑ Yes ❑ No,stop intake
k'J and Use Case#: � �iS vW- /5U�,ZU1 - i 1CJ" Zoning: 42-}
,CJ Required Setbacks: Front: 12 Rear: /0 Side: Street Side: rS Garage: tLO�
Z iding Height: Max. Height: Actual Height: "- ro '
2 Landscape rea: % Lot Coverage Max: 20 0/0
Entrance back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows 'mum 12%of area of all street-facing facades
Garage Garage door is behind widest street-facing wall Z 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 wwaa and there is a 12 sq ft.window above garage on 2nd floor.
Z Garage door width is El12'or less IQ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof cave ❑ 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 an Forestry Pl n
-Sensitive Lands: 'N Yes o Type:
[2/Conditions met prior to issuance of buil 'ng rmit
IA •"-• u-COyN S it.t 1L r .�_.Far.Gl'514� , 2iC I t•140••v4O
11 p ,
Id Approved By Planning: Date: / � 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
i:\BuildingTonns\BIdgPennitRvw_RES_122419.docx
Building Permit Submittal ,
Original Submittal Date: t13//2I
Site Plans: # 3
Building Plans: # 3
Building Permit#: -Enter building permit# above.
Workflow Routing: ['Planning Engineering E- Permit Coordinator '8"Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: [a- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
/
�1 Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4,, er'l, ( — Date: 1D/�/2/
En_ineering Review
1I, Slope at building pad: 6,S f
r/Conditions "Met"prior to issuance of building permit
C Easements (encroachments) per engineering conditions of approval and Z4Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes To
Assess Water Quantity Fee in-lieu: ❑ Yes rh"No
LIDA Facility on lot: ❑ Yes E"No
LLY Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
VApproved by Engineering: - Date: g 2
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 X Does not apply
/ SDC Fees Entered: Wash Co Trans Dev Tax: A Yes ❑ N/A
Tigard Trans SDC: 7 Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A
;2(OK to Issue Permit
Approved by Permit Coordinator: RA‘'
Date: 9 I tt() I'2.(.321
I:\Building\Fonns\BldgPennitRvw_RES_122419.docx
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
. s
River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: ity 5'79 c(i3 ` 'AP-IA)11� �.cziP
Project Name: Polygon at Roshak Ridge Lot #: 20 '
(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 LINO (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 .. 5 ft.deep ft.deep min.2ft., 5 ft.wide min.2 ft.,6ft.wide Gable. .ormer
❑ ❑ ❑ 0
2.Eyes on the str- •t: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:
❑Max.8 ft. setback from longes treet facing wall 0 Parallel to street, . gle no more than 45° from street,
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. ❑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 I Recessed entry area min. 5 ft.wide x 2 ft. deep
❑Wall offset min. 16 inches kg ormer min.4 ft.wide
❑Roof eave min. 12 inch projection ❑R. • offset min.of 2 ft.
❑Roof shingles either tile or wood 0 Gable, sip 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 0 Window trim ' ' .2 1"wide by 5/8"deep
❑Window recess min.3 inches for street facing 0 Bay window min. ft.wide by 2 ft.deep
❑Balcony min. 5 ft.wide x 3 ft. .eep with inside access 0 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 - :
O May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro .orch.
0 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)
O -foot-wide garage door ❑40%max.of street facade
50%max.of street facade with 7 detailed design elements
Notes:
Approved By Planning: W. Date: "A/Z✓
I:\Building\Fonns\BldgPennitRvw_RES_RT_121417.docx
City of Tigard
Deferral Until Occupancy Request
T I G A RD Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
MSUltantieltfltlifirOMffMrtf4KVOIMP 0/fTY fX€A'/AVIRO##f'330aOlfi....Jttt93 nigf PflC9Pl7f. VAIMUMMITAnanl t11400 MOHO.
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: 16579 SW Darwin Loop
Project Land Use Case or
Polygon at Roshak Ridge MST2021-00379
Name: Building Permit#:
Tax Lot 2S107AA20700 Total Parks $8,017.00
#: Lot 207 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 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: OotaA,.A46eu Date: 09/16/21
Developer: Ootaii,"Man 46eu Date: 09/16/21
Permit Coordinator: OetNtek Date: 9/16/2021