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Permit
CITY OF TIGARD MASTER PERMIT .71 COMMUNITY DEVELOPMENT Permit#: MST2021-00331 Date Issued: 03/21/2022 T 1(;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA22700 Jurisdiction: Tigard Site address: 16661 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 227 Project: Polygon at Roshak Ridge, Lot 227 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs 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: 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: 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'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 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 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 One Hour Fire Rated Eaves 3 Geo Tech Report Required Prior To Pour PHONE: PHONE: 360-695-7700 FAX: Total Fees: $27,546.98 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 QS9_M1_nnin thrnunh flAP oc ..nn1 nnQn m nn obtain a norm of tha nilac nr riirart nctinnc to!ll IN(by rallinn'ifll 919 1QR7 or 1 eon 119',IAA Issued By: ) ?J) QX.& Permittee Signature: F —Z4N-j 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 Application 1.t,c7h1 ..43110 ( Residential �� Received FOR OFFICE USE ONLY ((""►► City of Tigard R �J Date/By: // l / 1 Permit6 Not-Lci 20 zj�j D 33/ II " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 4 Phone: 503.718.2439 Fax: 503.598.19AC G 1 0 1021 Date/By: I I 2I Other Perm v)g 202 _0 v,A/ 1.1 TIGARD Inspection Line: 503.639.4175 Date Ready/By: rur ® See Page 2 for Internet: www.tigard-or.gov ,;ITY OF TIGARD otified/Met Supplemental information TYPE OF WORK REQUIRED DA A: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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 2�,[ ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 50CI i q 01 �J ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder ❑Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors:3 4 I -f Job site address: 16661 SW DARWIN LOOP New dwelling area: 3,689 square feet I-7 City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 485 square feet ( a, Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet (L3 Cross street/directions to job site: Deck area: 12,(6 square feet Other structure area: K square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge I Lot no.: 227 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: $ 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 ❑ 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 tofee 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 ct,taylormorrison.com-OAlamiAbouhafs a,taylomiorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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: Permit Fee(includes plan review Vancouver WA 98660 $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: £)ma 2_4&axe 4Cl9G�/add. 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 Print name:Omar Alaml Abouhafs Date: 08/09/2021 Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Applica FCEIVED FORO IC SE ONLY City of Tigard 0 Received Ay !J n+�i Date/By: Permit No.:� ' 1 It 13125 SW Hail Blvd.,Tigard,OR 97223 � a �u 6"i 2'� 0L3-j C Plan Review 11 Phone: 503.718.2439 Fax: 503.5'98.196QDate/By: other Pcnnit: Inspection Line: 503.639.4175 uITY OF DTIVISION Re tl{ihla� t r�`/ c n Date Rrady<By hail 0 See Page 2 for Internet: vvww.tigard-or.gov BUILDING DIVISION Notitied/Method: Supplemental information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work [X]New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling,: Air conditioning l 46.75 Job site address: 16661 SW Darwin Loop Furnace 100.000 BTU(duculvents) 46.75 City/State/ZIP.Tigard,OR 97224 Furnace 100,000t BTU(ducts/vents) 54.91 Suite./bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat sum. 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.: 227 Other: 23.32 Other fuel appliances: Tax mapiparcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New construction,type:Single-Family Units fireplace 23.32 Lo- li hter(gas) 23.32 Wood/pellet stove 33.39 Wood fire.lace/insert 23.32 I Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ElTENANT Other: 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 com.artments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other. 23.32 Fuel piping: Business name:Polygon WLH,LLC S14.15 for first four;54.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway Si,Ste 510 Gas heat sum Walhsus.ended/unit heater City/State/ZIP: Vancouver,WA 98660 Water heater_ Phone:(360)695-7700 I Fax::(360)693-4442 Fire.lace Ranee E-mail:permitsubmitxals(taylormorriSOD.COm Barbecue CONTRACTOR Clothes dryer(gas) Business name.Pro Heating&Cooling Other. MECHANICAL PERMIT FEES' Address: NW Alociek Dr,Ste.1104 _._ Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25no of permit fee) Phone:(360)270-1590 F 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 Pl, 6 41 � „ days after it has been accepted as complete. Authorized signature: ' ' ` Fee methodology set by Tn-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r iAnilrtinulPprrntr 5C'Pormie.nn Mull 11 Ana Electrical Permit Application RECEIVE, FOR.OFFICE USE ONLY 1111 City of Tigard AUG 1 0 2021 Rnaect ' Permit t-J "1-..--6 ,f 4 13125 SW nail Blvd.,Tigard,OR 97223j Plan Review 2 Phone. 503.718 2439 Fax, 50:3 598 I960 RelatedPetmittf: CITY OF TIGARL.. Datcni Inspection Line 503 639 4175 Ready Date/n lain: T`Lj`k�' BUILDING UIVISI y y la eePage2for Internet: www.tlgard-orgoV Noti&cdNitthod. Supplemental InfnrmatIon 1 TYPE OF WORK PLAN REVIEW El New construction 0 Additionialterationlreplacement Please check all that apply(submit 2 sets of plans wfitcros checked) 0 Demolition ID Other: ❑Service or feeder 400 amps ni more ❑Building over three statics. where the available fault current ❑.Marinas and txtxtyardi, CATEGORY OF C:ONSTRUC"TIO' exceeds 10.000 amps at 150 volts or ❑Bloating buildings M 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building lei to gonad,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family ❑Master builder amps for all other tnstaltations buildano ❑Other: ❑Fire pump 0 Installauoi,of 150 KVA or JOB Sfl'E INFORMATION AND 1 A/CATION ❑Emergency system larger scpamrely denved EI Additi n of new motor toed d of system. Job#: Job site address:16661 SW Darwin Loop 1001IP or more. ❑"A,`> ,'7 z"."1-3", City/State/ZIP: Tigard,OR 97140 ' ❑six or more resideau..l units eiccupatu:y "-" ❑Health-care facilities. ❑Recreational vehicle packs. Suite/bldg.apt.#: Project name: Polygon at Roshak Ridge ❑Ilazardois locations ❑Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/direclions to job site: FEE SCTLEDihT E nesttiplioa 10ty. I Each ,j 'fatal I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 227 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,residential New construction.Type SFU (with above sq.ft.) 75.00 7 _� Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy ® PROPERTY 015`1ER 1't'3' ❑ Sec Page 2 I] 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 200 34 2 City/State/ZIP: Vancouver,WA 98660 $01 amps to 1,000 amps 301 as 2 Phone:(360 )946 8674 Fax:( ) (her 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: OAlamiAbouhafs@taylofnlorrison.corn-PermitSubmittalsstaylormorrison-corn 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 z Owner signature: Date: 401 amps to 599 amps 168 54 2 ❑ APPLICANT _I ❑ CONTACT PERSON Branch circuits new,alteration,or tztension,per panel A.Fee for branch circuits with Business name: Polygon Homes WI.H LLC above service or feeder fee, 7.42 each branch circuit - Contact name: Omar Alami Aboubafs B Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.1 R branch circuit City/State/Z Vancouver,WA 98660 Each add't branch circuit 7.42 ' IP: ' 2 Miscellaneous(service or feeder not included) Phone:(360 )946$674 Fax:: ( ) liueh manufactured or modulo 67 84 2 Email:OAlarniAbonhafsT;taylormorrison.com-PcrmitSubmittalsCtaylnrmorri.son.corn dwelling,scnicc and/or fader _,- Reconnect only 67 84 2 _ -_ -CONTRA(.'TOR R.. Pump or inigatiun circle 67 84 2 Business name: Wallace F.lectric Sign or outline lighting 67 84 '2 Address: 105 Dresden St Signal cireutt(s)or limited-energy Dingy 0 !ice Page 2 2 panel,alteration,or extension. ^Each additional inspection over allowable in •any of the above City/State/ZIP: Astoria.OR 97103 -- Additional inspection(1 hr min) 65 25/br Phone:(503 3188 0563 Pax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I he min) 78 I S hr Email: David@wallaeewires.com Iaeewires.com Inspections for which nu fee is CCII Lie.:224868 Electrical Li-• C1441 Su v. t.. .: 6363S specifically listed Gs tr min) 90.00I hr ELECIRTCAT. PERMIT FEES Suprv.Electrician signature,required: �/ -- Subtotal (!t' Print name:Theiv tp fit Date: it,t/r4,z f 0 Plan Review Required(25%of permit fix): State surcharge(12%of permit fee) Authorized signature _ TCITAL PERMI"f F'I;L "- This permit application expires if a permit is not obtained within I80 Print name: ii, Date: days after It has been accepted as complete. /4/X t„._ * Number of tnspechrah allowed per permit. 1:11lialitinsVermiIs11:i.C,PernutApp_Ell L•RE.dcc Rev Of/l 112015 4'C-4615'r(t I/65lCOINWFB , , Plumbing Permit Applicatio r Building Fixtures I. IVED FOR OFFICE USE ONLY City of Tigard AUG 0 2021 Received b Date/BrPermit No.:n CJ'r7.4 7 fro o;s i 'r 13125 SW Hall Blvd„Tigard.OR 972?� Phone: 503.718.2439 Fax: 503.59Y OF TIGARD PlanDatel Refly;view Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: turf: PJ See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special itlfortneztion use checklist. Description j.. I Ea._ J___fotal 0 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 ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building -Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16661 SW Darwin Loop Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18 76 City/State/ZIP:Tigard,OR 97224 _.. Footing drain(no,linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:gibmivoirRiigetPolygon 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.: 221 Fixture or item: Tax map/parcel no.: Back-flow preventer 31.27 DESCRIPTION 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 ® PROPERTY OWNER ❑ 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,LI.0 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.eom Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water piping+DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lic.: 184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: l �:. Z TOTAL PERMIT FEE ) Print name:Steve Fowler Date: 10/30/20 I This permit application expires if a permit is not obtained ssithin ISO days after it has been accepted as complete. *Fcc methodology set by TH-Count?Building Industry Service Board 1:rDuilding'.Pamiis\PLMU-PetmitApp.doc IO+01.9cr 440-4616T(t0+02/COM'WEBi 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T c A Building Permit Review — Residential Building Permit #: /i 5 Z-e fit — D 0 3 3 I Site Address: 16661 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 227 Planning Review l/ Proposal: New I loupe d uo I. c i i 7 Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum See comment below_ Site Plan Elements: UErosion Control U3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper t1 Retained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) ]Footprint of new structure(including decks)and FFE ilNorth arrow )C]Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ®Sidewalk/driveway approach ®Applicant information(name and phone number) Mitocation of wells/septic systems 1LOt dimensions and building setback dimensions ®Street tree size,type and location IgiSquare footage of buildings to be demolished ®Street names 11}Existing 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? CisirA ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No K7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ] No Received: El Yes ❑ No © 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 n Public Facilities Improvement(PFI) Permit Required: ❑ Yes,applicant was notified 11 No Applied For: ❑ Yes ❑ No,stop intake x❑ Land Use Case#: SUB2015-00004 13 Zoning: R"7 ! Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 ® Building Height: Max.Height: N/A Actual Height: 28 C7 Landscape Area: 20 % In Lot Coverage Max: 80 Entrance Set back no more than 8'from street-facing wall 7 Parallel to street or offset 45 degrees or less Windows ® Minimum 12°A)of area of all street-facing facades F: 17% R: 20% Garage ® 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. L1 Garage door width is Cl 12'or less ! 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset El 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch Cl Gable,hip,or gambrel roof El Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance E Urban Forestry Plan f1 Sensitive Lands: ❑ Yes ® No Type: Conditions met prior to issuance of building permit Notes: MMD2020-00044-Design standards in 18.290 /Afrlhtl ly only. ® Approved By Planning: aDate: 8/16/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\Bl dgPerm itRvw_RE S_122419.docx • Building Permit Submittal Original Submittal Date: F//d/ZI Site Plans: # '3 Building Plans: # -3 Building Permit#: ®--Enter building permit#above. j Workflow Routing: C -Planning E .Egineering ❑eyerrFiit Coordinator wilding Workflow Sign-off: 0-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 on al plan review routing form. 1 uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 1 By Permit Technician: (Xi(')--P --/ Date: ��VZ` Engineering Review VSlope at building pad: Z 5% CM Conditions "Met"prior to issuance of building permit [V asements (encroachments)per engineering conditions of approval and plat (/Water Quality/Quantity Facility. Assess Water Quality Fee in-lieu: ❑ Yes IP/No Assess Water Quantity Fee in-lieu: ❑ Yes [eNo LIDA Facility on lot: ❑ Yes grNo ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: o Approved by Engineering: Date: el - ,, &. 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 17( Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: V Yes ❑ N/A Tigard Trans SDC: Zr Yes ❑ N/A &DC S cbgeiterrel Parks SDC: ,�Yes ❑ N/A LIDA ❑ Yes 7 N/A 71 OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_122419.docx City of Tigard . Transportation System Development Charge (SDC) TIGARD 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: 8/19/2021 16661 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or Name: Lot 227 Building Permit #: MST2021-00331 Tax Total TSDC 2S107AA22700 $10,348 Lot#: Amount*: *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. 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.) Onto-4,4gam":.46eu4 Dm4.4,wean,: ee,a, PROPERTY OWNER DEVELOPER DATE: 08/19/2021 DATE: 08/19/2021 l:\Community Development\Permit Coordinator\SDC Forms\TSDC Combination Payment Oration Form 112718 AMS City of Tigard _. I " Parks SDC Charge (Parks) IN 4 T[GARD, Notification of Fee and Pa ment Options fi 4 14 ;.tom Please sign and return prior to building permit issuance. i r 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. d City of Tigard Date: Site Address: 8/19/2021 16661 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case Name: Lot 227 or Permit #: MST2021-00331 Tax Total Parks 2S107AA22700 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 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. ❑ 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 time 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.) Dm a..,4 41u .46Bul a 2nt44..A iezmu. 46eliZa6 PROPERTY OWNER DEVELOPER DATE: 08/19/2021 DATE: 08/19/2021 I:\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms