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Permit
74 CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2021-00338 T t C A li T.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2022 Parcel: 2S 107AA22900 Jurisdiction: Tigard Site address: 16679 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 229 Project: Polygon at Roshak Ridge, Lot 229 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1238 sf Basement: 763 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 4 Second: 1718 sf Garage: 486 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3719 sf Value: $513,831.02 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 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 3719 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 I PHONE: PHONE: 360-695-7700 FAX: Total Fees: $27,666.27 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 Q69-nn1-nn1n thrniinh f111R oc9-nn9-nnon Vni,maw nhtain a rnnw of tha r,dAc nr riirart n„octinne in flu it iC h„rauinn cril 919 10R7 nr 1 Ron 119 91dd Issued By: 5:nlL(0)1/43 Permittee Signature: � �tCT �1�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 lob site at the time of each inspection. Building Permit Application inor AA , 1 . J Residential Q /} FOR OFFICE USE ONLI�r�/��/ /)'�z2p ..,' EL Received�Q I 21 �/' J!LV�.t W✓JCS City of Tigard Date/B I Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 q Plan Q Phone: 503.718.2439 Fax: 503.598.1960 A U G 16 202 Date/By: Review a.1 3f ZlAok Other Pernti R2Q�^W219 I'1 G A R D Inspection Line: 503.639.4175 _ Date Ready/By: fur ^ ® See Page 2 for Internet: www.tigard-or.gov CITY Y Ul- IGAF—k Notified/Method: (� Supplemental Information BUILDING D VIS1f3f` 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Z ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �,13 l v�I t ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder Ell Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 9 2 Job site address: 16679 SW DARWIN LOOP New dwelling area: 3,719 square feet 1/1, 46 City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 486 square feet 1 Z3$ Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet -7(e3 Cross street/directions to job site: Deck area: r2Ato square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 229 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: 222803DR 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 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 U9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer to fee schedule) Structural plan review fee(or deposit): /R 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. 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: C ht Vt 4 .cy B9G1/2/14, This permit application expires if a permit is not obtained rf within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs Date: 08/10/2921 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11&2/COM/WEB) Mechanical Permit Applicati 1 oR OFF ICE USE ONLY City of TigardftE11•d .�, Received Permit No, t l 'f� /�/� Q Date/By: I STD 021, N??0 'I 13125 SW Hall Blvd.,Tigard,OR 97223 TT 1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 I UG 1 6 2021 Date/By: Other Permit: t I tiA K I7 Inspection lane: 503.639.4175 Date Ready/By: Iuris, H See Page 2 for Internet www.tigard-or.gov CITY Y U-'.-lGAh Notified/Method: Supplemental Information BUILDING DIV!Slo __..__ TYPE OF WORK COMMERCIAL FEE*SCHEDULE - USE CFIFCK IST Mechanical permit fees*are based on the value of the work Ig New construction ❑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:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist 4 Multi-family 0 Master builder 0 Other: Description [, Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning l 46.75 Job site address: 16679 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.: 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 1 Flue/vent for any of above 23.32 Subdivision: Polygon at Roshak Ridge Lot no: 229 Other: z3.3- _ ._ ---_-. Other fuel appliances: __.I Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New construction-Type SFU fireplace 23.32 IAg lighter(gas) 23.32 —'- Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER 0 TENANT Other. 23.32 ----•- Environmental exhaust and ventilation: Name:Polygon R'LH,LLC Range hood/other kitchen —__.._.... equipment 33.39 Address:703 Broadway St.,Ste.510 i 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 f 0 CONTACT PERSON Other: 23.32 Fuel piping,: Business name:Polygon WLH,LLC $14.15 for first four;$4.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. I Address:703 Broadway St,Ste 510 _' Gas heat pump Vcall/suspendediunit heater City/State/LIP:Vancouver,WA 98660 Water heater ____ Phone:(360)695-7700 Fax: (360)693 4442 Fireplace Rance E-mail:permitsubmittatsttaylormorrison.coma 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 lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 'D: !\y l u o „ days after it has been accepted as complete. Authorized signature: C C� Jw I.t tit t. ' Free methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r ATInil,imelPrrrn.re114Fr p.rmin 4 nn admit An- , ,d<1'rt'rr,man rvrr,+mrco: Electrical Permit Application RECE ' - City of Tigard Received ' Lo ' ceenad Pernotl+ gr�1,1'Q(7 O evy 13125 SR'Hall Blvd.,Tigard,OR 97223 A U G 1 Plan Review Related Permit it a' Phone: 503.718 2439 Fax. 503.598 1960 13ateBv T t U,�x t0 Inspection Line: 503 639 4175 G+i I y OF :; Ready Date/hly Iuris: 0 see rage z for Internet: www.tigard-or.gov Bull_�a1 �' Notifiedlhtctlad. Su emeatallnfnnttatinn t ppt TYPE OF WORK PLAN REVIEW gi New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked) ❑Scs ace or feeder 400 amps cn more Cl Budding over three stones 0 Demolition ❑Other: where die;satiable fault current ❑Marinas and boatyard, CATEGORY OF CONSTR[1(111UN exceeds 10,000 carps at 150 volts of 17 Homing buildings ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Iris to go ,or exceeds 14,000 CI Commercial-use agricultural amps for all ether installations builditao ❑Multi-family ❑Master builder 0 Other: ❑Fire pump 0 installation of 150 KVA or JOB SITE INFORMATION ION Ah-D LIBATION 0 Emergency system larger separately deneed Job#: Job site address:16679 SW DARWIN LOOP ❑AdIPo moe,vmator cf >st,m- loo Ilp rmore. ❑"nu.'li'•'l-2".°'t-'i'° City/State/L1P: Tigard,OR 97140 0 six Or more residential ants occupancy "` ❑Health-care facilities. 0 Recreanonal vehicle parks. Suite/bldg./apt.#: 1 Project name: Polygon at Roshak Ridge ❑1lazardous locations ❑Supply voltage for more than 5 ❑Service or feeder 600 amps er more 600 volts nominal Cross street/directions to job site: FEE SCHEDULE UW6131141. I Qty, I Each l 'fatal I • New residential single.or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge I Lot#: 229 Includes attached garage. Tax map/parcel#: 1,000 sq ft.or less 168 54 4 Fa,addl 500 sq.It or portion 33 92 1 DESCRIPTION OF WORK Limited erxray,r>:sioltuual 75.00 2 New construction.Type SF[I (with above K.tL) Limited eutigy,muhi-family 2 residential(with above sq.ft.) 75.00 Renewable Energy 0 See Page 2 _ GI PROPERTY OWNER 0 TF'`A1�'i' 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 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: OAlarniAbouhafs@taylormorrison.corn-PermitSubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I Owe which is not 200 amps or less 59.36 I _ f 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 ._ ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A Fee for Manch circuits with Business name: Polygon Homes WLH LLC above service or feed cr fee, 7 42 each branch circuit Contact name: Omar Alami Abonhafs B Fee for branch circuits without service or feeder fee,first 703 Broadway St.,Ste 710 5G 18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l brunch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )946 8674 Fax:: ( ) Each manufactured or modulo 67 84 2 ---• - dwelling,service and/or feeder Email:OAlamiAbonhafs'r-.taylormorrison.corn-PermitSubmittals@ taylnrmorrison_com Reeono tit sally 67 84 2 CONTR:A("IOR Pump or to ip,ation circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Sitmal circuit(s)or limited-energy i Address: I05 Dresden St panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable in any of the above Additional inspection(1 Ir thin) 65 25/hr Phone:(5()3 3118 0563 Fax:( ) Investigation(1 hr min) 90.11[1/hr Email: llavidAwallaccwires.com Industrial plant(I hr min) 78 18/Ir Inspections for which no tee is CCB_Lie.:224868 Electrical Li'- C1441 Su I .: 6363S specifically listed eh hr min) 90.00/hr ELECTRICAL. PERMIT FEES Sttprv.Electrician signature,required: Subtotal Prin#name: yip • Date: t'/t/ `❑Km Review Required(25%of permit fee). t State surcharge(12%of permit fee) Authorized signaturef /,� TOTAL PERMIT Ff,1' /0'' T4 permit application perm application expires ifa permit in not obtained within ISO Print item-e � -4� �r Date: q r/7 1 days after It has been accepted its complete. S.tT.I'Sl /Jf47 " Number of inspections allowed per permit. l:+/iurlibng'l'crmita'1:t.0 PcrmrtApp_ELH ERF.dec Rev06/1112015 440-4615'r(11105,'CQl,C1WER • Plumbing Permit Application, Building Fixtures ECEIVE -,P FOR OFFICE USE ONLY 1,Ih - City of Tigard A U G 1 6 2021 Received Date/By: Permit No., :120217 0033% it 13125 SW Hall Blvd.,Tigard,OR 97223 a' Phone: 503.718.2439 Fax: 503.598.yq"I-v OF � PlanReview Yn �Ui�t a1 Date Review Other Permit o: I TIGARD Inspection Line: 503.639.4175 BU! DING DIVIcOrr, Date Ready/By: haw El See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. 1 Ea. J Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS 1RUCTION SFR(1)bath 312.70 9(1-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 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: _ Job site address: 16679 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:Asi it+ia*i+IeePolygon 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.: 229 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12,51 Clothes washer 25.02 New construction-Type SFU Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® 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 j ® APPLICANT ❑ CONTACT PERSON - Interceptor=•grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Omar Alami Abouhafs Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sinkfiasin/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 Ca Water closet 25.02 CONTRACTOR 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 ,W.. Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: � TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete. *Fee methodology set by Tti-County Building Industry Service Board 1:tBaitdingiPermits1Pthet-PermitApp.doc 10/01,105 44046t67(10(02/COM/WEB) 1 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ -r I c A It D Building Permit Review — Residential Building Permit #: qsr2o2(-oO 353 16679 SW Darwin Loop Address: Project Name: Polygon at Roshak Ridge Lot #: 229 Planning Review Proposal: New House In Verify address/suite#active in Accela. ® In River Terrace: ❑ No I ] Yes, River Terrace Review Addendum See comment below Site Plan Elements: g1Erosion Control E3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper iaRetained 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 EUtility locations&easements(required for new and additions) 7Site address,project or subdivision name and lot number ®Sidewalk/driveway approach ®Applicant information(name and phone number) !Location of wells/septic systems ®Lot dimensions and building setback dimensions $iStreet tree size,type and location MiSquare footage of buildings to be demolished $]Street names UExisting 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 ] 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 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: 219 J Landscape Area: 20 % El Lot Coverage Max: 80 0/0 Entrance I] Set back no more than 8'from street-facing wall E Parallel to street or offset 45 degrees or less Windows 1 Minimum 12%of area of all street-facing facades F: 17% /R: 21% Garage g 6 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: 40 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: Ate. A 06.A4-eki Date: 8/17/2021 Revisions (after Building Submittal only) , Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I i1.\Bu di ng\Forms\BldgPermitRvw RES_122419.docx Building Permit Submittal Original Submittal Date: 4006/2 ea / Site Plans: # ..6 Building Plans: # 3 Building Permit#: [ -Enter building permit#above. Workflow Routing: P.-Planning [ Engineering [ Permit Coordinator IR-Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: [L./Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Ga''Building: original permit application,site plans,building plans, engineer and beam calculations an. st details,if applicable,etc. Notes: By Permit Technician: irrri%I.,� Date: 1)09162,/ Engineering Review P Slope at building pad: 2-C e [VConditions"Met"prior to issuance of building permit L asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: / Assess Water Quality Fee in-lieu: ❑ Yes I/ No Assess Water Quantity Fee in-lieu: ❑ Yes It" No LIDA Facility on lot ❑ Yes L No 112 /Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [DApproved by Engineering: Date: 2 ' Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ 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 4 Does not apply (X SDC Fees Entered: Wash Co Trans Dev Tax: rYes ❑ N/A p,�,,� Tigard Trans SDC: X.Yes ❑ N/A SDLs Cie- "' ' `"`'J Parks SDC: J2 Yes ❑ N/A LIDA ❑ Yes /21 N/A f OK to Issue Permit Approved by Permit Coordinator: / Date: b (2i5' f zrZ/1 I:\Building\Forms\BldgPermitRvw RES_122419.docx City of Tigard It I Parks SDC Charge (Parks) TIGARD N otification of Fee and Payment O dons 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. City of Tigard Date: 8/24/2021 Site Address: 16679 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case MST2021-00338 Name: Lot 229 or Permit #: Tax Total Parks 2S107AA22900 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 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.) Dom,.Ai.46eku Dom,4 w•46enz/ta6(t. PROPERTY OWNER DEVELOPER 1 DATE: 08/24/21 DATE: 08/24/21 I:\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms _.._ �rrrurrr+✓ City of Tigard II II : Transportation System Development Charge (SDC) T I G A R 1) 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 16679 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or MST2021-00338 Name: Lot 229 Building Permit#: Tax Total TSDC 2S107AA22900 $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. El 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.) Dry.A u:46eudezify. Ornate,A9kukt '.AAnzia zfr- PROPERTY OWNER DEVELOPER DATE: DATE: 08/24/21 08/24/21 I:\Community Development\Permit Coordinator\SDC Forms\TSDC Combination Payment Option Form 112718 AMS