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Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I v A It n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: sil cen,. Aovrn FR . DATE RECEIVED: DEPT: BUfLDING DIVISION FROM: (amok_ A tAlooAa RECESEFIV2QZ8 E �p COMPANY: p,M (.mK. ,`a(c.csa---L CITY OF ITIGARU PHONE: 3�0 3 l{. (0 06 4/( .3UILDING DIIIISIO\IBY EMAIL: B Obi,• ✓b,-,,b s ( / 7o1-Pmflrn's ik,.Wv`, RE: 16 -i.25 SWDA/Z/A.J/,- 1 OOP T'/S r -�02 f - a�3'6y (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. .Z Revisions: rS Cross section(s) and details. Wall bracing andl'or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: �j�a/��� A/}t�i i.9�- &i Ct f,)r-ci .� Pcm, S'✓hm,�•� . �jzt c,ocrcc l— -P"or CZ Pat (Pic off- . Fo OF ICE USE ONLY Routed to Permit Technic' „Dale: �I2jn Z( In /vatitials: - Fees Due: Yes N Fee Descrt tto Amount Due: ❑ p • IJ�� $ $ Special Instructions: Reprint Permit (per PE): El Yes o v El Done Applicant Notified: , — Date: /p/'1/2 , Initials: ) I'\Budding\Forms\TransmittalLetter-Revisions_073I20.doc CITY OF TIGARD MASTER PERMIT ` � COMMUNITY DEVELOPMENT Permit#: MST2021-00364 T 1 GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31)2022 Parcel: 2S107AA18200 Jurisdiction: Tigard Site address: 16725 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 182 Project: Polygon at Roshak Ridge Lot 182 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 Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: 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: I 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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. NI 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 PHONE: PHONE: 360-895-7700 FAX: Total Fees: $40,513.77 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 q99-nn1-naln fhrrn,nh fIAP Q59JIn1_nnon Vn„mon nh*nin n rnnv of fha r,dae nr Arad nnaefinne fn rll INC h.,rallinn cm 9'19 10R7 nr 1 Rnn II??grid Issued By: Ho-Lly Van,Pe.1A1rgL Pennittee Signature: Ow A Call 503.939.4175 by 7:00 a.m.for the next available inspection date. This pennit 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 Iq / 3Z 13' 8/J CLYZ • Residential RECEIVE FOR OFFICE USE ONLY rye^ / City of Tigard D `d 9 8 ,,. I N r Permit No.: rn s, WZ I-bO' N . • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /11 Phone: 503.718.2439 Fax: 503.598.1960 ,'M vf' Date/By: /3% 2.4 r Other Permit: LI(z2t,�.►'ootsit T 1 G A tt n Inspection Line: 503.639.4175 Date Ready/By: / 7w�5t,�1/ ta See Page 2 for Internet: www.tigard-or.gov �CIITY OF TIG(A+RDt, Not' ethod: i/ ,a, I' vl Supplemental information TYPE OF W3[ LDIPIG DIVISION: REQUIRED DAT.:1-AND 2-FAMILY DWELLING D New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 2 c��ct ®1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �� / )3 ❑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 LI 2 b S Job site address: 16725 SW DARWIN LOOP New dwelling area: 3,719 square feet 1718 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet t D3zi, Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet / Cross street/directions to job site: Deck area: \ )44( square feet ` Other structure area: Y( square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 182 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. /w Construction/Type: SFU/Elevation plan: 222803D Valuation: $ Deferrals:YES-deferral of TSDC fees&park SDCs until occupancy. Existing building area: square feet Projected start: 2022 New building area: square feet Ca 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 VSl BUILDING PERMIT FEES* 1Please refer to fee schedule Business name:Polygon Homes WLH LLC 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 Phone:(360)946-8674 Fax::( )360 693-4442 Amount received: E-mail:permitsubmittals@taylormorrison.com-OAlamiAbouhafs@taylormorrison.com .PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( )360 695-7700 Fax: ( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: 0/92Q4L e4 ,!y 6,(4 L/141- This permit application expires if a permit is not obtained �/ within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/10/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pernits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 t/02/COM/WEB) • ` Mechanical Permit ApplicatiCEIVE Cityof Tigard Received g y. `� g Z� N'r Penn;tNo.: N1S11071—�l'%2�c`I 13125 SW Hall Bivd.,Tigard,OR 97223 (�f' 202/ n Date/By:- t 7 .a "`" Plan Review swa l.lrei-Do L 4- Phonc 503.7183439 Fax: 503.S98.1960 Datdgy: Other Permit: IL lAJ L J .1I4,i{s 1,17, Inspection Line 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ®See Page 2 far Internet www.tigard-or.gav Notified/Method: Supplemental information BUILDING DIVISION _ TYPE OF WORK COMMERCIAL FEE* SCHEDULE'— USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value$ CATEGORY.OF CONSTRUCTION RESH)ENT[AL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑CommercialAndustrial 0 Accessory building Far special information use dsecklist I a Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AN]) LOCATION Heating/cooling,: Air conditioning I 46.75 Job site address: 16725 SW DARWIN LOOP Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duels/vents) 54.91 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06 - _ Ductwork 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 Other. Subdivision: Polygon at Roshak Ridge Lot no.: 182 Older fuel appliances: 23 32 Tax map/parcel no.: Water beater 2332 DESCRIPTION OF WORK Gas fireplace/insert 33.39 — Flue vent for water heater or gas New construction-Type SFU fireplace 23.32 Loa lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 _ Other ® PROPERTY OWNER 0 TENANT 23.32 • Environmental exhaust and ventilation: Name:Polygon WLIf,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/rawlspace fans 23.32 ® APPLICANT. ❑ CONTACT PERSON Other. 23.32 Business name:Polygon WEIR,LLC Fuel piping: S14.15 for first four,54.03 for each additional contact name: Omar Alami Abouhafs Furnace,etc. Address:703 Broadway St.,Ste 510 Gas beat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittaisedaylormorrison.com Barbecue of CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Omer MECHANICAL PERM)TFEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/LIP:Hillsboro,OR Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax ( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE S This permit application expires if a permit is not obtained within 180 V I Ai b/r w n as days after it has been accepted as complete. Authorized signature: s/s-•✓Lt.![� • Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date 10/30/20 rtnnnAimlon,;,.larnr Pnnnila,,will can. „n,[rx.,,m,m•,m,co• Electrical Permit AnplicatioH'er+EIVE , FOR OFFICE USE ONI\ City of Tigard C VV Rwe wdy i o Pam"a tAlle� l4 114 M 13125e SW Hatl Blvd.,T rimr/By D Z� N� (� ©j�j gmd,OR 97223 �{ 202: $ ,� koon23l 8 Phone: Sg3.718.2M139 ax: 503.598.1960 Ui, " l irtyv_rew Related Permit A� r I n h v heron Line: 503439,4175 Ready Datduy rnris: RI see Page a for Internet: www.tigard-orgov CITY O�F+TIGA�+RD Notiaed8lM1e lqd. Supplemental Information TYPE OF Wil „DING DIVISION Pf A11'REVI W ®New construction 0 Addition/alteration/replacement Please check all that apply(submit;secs of plans w/isms chocked).• O Se vice or feeder 400 amps a mine I]gadding oeer three stones.El Demolition 0 Other: where the available fault current ❑Marinas and boatyards CATEGORY OF CONSTRUCTION emends 10,000 amps at 150 voles or 0 Floating humldtagr ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building lam w wow,or exceeds 14.000 ❑Commercial-use agricultural ❑Multi-family ❑Master builder ❑Offer amps for all other installations Widow, Q Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system_ larger separately derived Job#: Job site address:16725 SW DARWIN LOOP ❑Addition of new moor lmdof sys an. 100IIPamorc. ❑"A`,"E","1-2""1-3" City/State/ZIP: Tigard,OR 97140 ❑Six or more re:;dcnnal units oonsparmy ❑Health-care facilities. ❑Recreational vehicle parks. Suitelbldgfapt-#: Project name: Polygon at Roshak Ridge ❑ttaivdaos Mentions 0 Supply voltage for mare than ❑Service or feeder 600 amps or more 600 volts nominal.. Cross street/directions to job site: FEE SCllEDt1J.E - 0carriolioe Qtjr. I Los 1 'roc 1 ' New residential single.or mutt{-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 182 Includes attached garage. Tax asap/parcel#: 1,000 an tt.or less 168 54 4 Es.add'i 500 sq.R.or portion 33.92 1 DESCRIPTION OF WORK Limited enemy.,msi ern a1 New construction.Type SFU (with above sq.IL) 7s.00 z Limited energy.multi-family 75.00 2 residenuai(with above sq.ft) OW NER Energy ❑ See Page 2 ❑ TF.NAN1' 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 City/State/21P: Vancouver,WA 98660 401 amps to 600 amps 20034 2 601 amps to 1,000 amps _ 301.04 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: cAlamtA Temporary services or feeders installation,alteration,and/or bouhafs@taylormorrison,com-PermitSobmittals@taylotmolrison.com relocation Owner installation:This installation is being made on property that I own which is not 20o amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400 amps 125 08 2 Owner signature: y Hate: 401 amps to 599 amps 168.54 2 0 APPLICANT I 0 CONTACT PERSON Branch circuits—new alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes W1.H LLC above service or feeler tee, each branch circuit 7,42 _ Contact name: Omar Alami Abouhafa B. without Fee for hunch circuits wrd .. Address: 703 Broadway Si,. Ste 710 service r feeder fee,first branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 96660 Each add°I bleach circuit 7.42 2 phone 360946 8674 Miscellaneous(service or feeder not included) ( ) Fax::( ) {tech manufactured or modular 67 84 2 Email:0AlarniAbouhafs@taylormorrison.com-PermitSubmittals@taylormorrison.com dwelling,senior manor order Reconnect on1Y 67 84 2 CONTRACTOR Pump or umgation circle 67 84 2 Business name: Wallace Electric Sign or outline Belting 67.84 2 Address: 105 Dresden St Signal c rcuigs)or li o tad uoagy CI See Page 2 2 parcel,alteration,or extoasim. Oily/State/ZIP: Astoria OR 97103 Each additional inspection over allowable In any of the above Additional inspection(I hr min) 6625/hr Phone:(503 308 0563 Pax:( ) investigation(I br min) 90.00/hr • Email: David@wa1Iacewjres.com Industrial plant(1 hr min) 78.18/br — CCR Lie.:224868 Inspections for which no fee is 90.aN M Electrical Liy:aC 1441 .12 16363S specifically listed(Y,to min) Suprv.Electrician signature,required: ��ytC/( i�',[��® Subtotal- Print ELECIRICAL PERLStat Pont name:"D .I rA.c.6, Date: /l4��L/=r O Plan Review Required(25%of permit foe): State surcharge(12%of permit fee): Authorized signatuj� .. TOTAL PERMIT FEE: C Tits pnaslt application aspires if a permit is net shaidam d*Ws Ina Print name: 14 eet Date: / / days after It has been accepted as e=mpletr-- (�`(_... ' dumber of inspections allowed per permit. DecilebnB+IWmitrilr_IkuudApp-Q.R ERE.dee Rev 06179015 a 61515llilN51COM I1 ' ' ' Plumbing Permit Application Building Fixtures RECEIVE I FOR OFFICE USE ONLY City of Tigard Received S Pam tNo.: u-� DaWBy: Q �p� gyp( st 131255W F1a11Blvd.,Tigard,OR 97223 ��i t 1 2021 Y t 1't-1 Plan Review p, Phone: 503.718.2439 Fax: 503.598.1960 Date/gy. Other Permit No.: GLt -bDIS q TIGARD Inspection Line: 503.639,4175 CITY OF TIGARD Dale Ready/By: lads: ® See Page 2 for Internet: www.tigard-o gov Notified/Method. Supplemental Information TYPE OF WORPILDING DIVISION FEE" SCHEDULE ®New construction ❑Demolition For speciallfanaarion use checklist Description I Qty. I Ea, I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 X1-and 2-family dwelling 0 Commercialrindustrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 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: 16725 SW DARWIN LOOP Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suitelbldg./apt.no.: , Project name:allisehais.6164wPolygon 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 J Lot no.: 182 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 I 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Address:703 Broadway St.,Ste 51(I Floor drainlfloorsink/hub 25.02 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:5 ) Page 2 Contact name: Omar Alami Abouhafs Primer 12.51 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®polygonbomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37,52 Business name:G&B Plumbing&Soos Inc Water PP g�I in W V 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 CCB Lie.:184372 Plumbing Lie.no.:pb634 Plan review (25%of permit fee) t State surcharge of R fee) �Authorized signature: �(±/ Vt 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 TO-County Building Industry Service Board 1.11ivadingPernitnPLMU-PermirApp.doe I0N01419 440-4CIOT(10ee2%COMWEB) \rej Plan # CT) � t `� �.2.t cllr 2Z2$a 3 fl Floors 3 Large Bed rooms 5 Small I WC (Li l 1 LAV `e Tub Li Basement —7 403 Vent Lp 1st Floor 1a38 Water Heater 2nd Floor 111 S AC 3rd Floor School � R-3 Total 31 Garage LE ce,(4, Total 47ip5 c 1 2 rlb #for Elec • erIg, P. a o r j b JS T 1Q�o‘.143 City of Tigard lig COMMUNITY DEVELOPMENT DEPARTMENT 0 r l c n R a Building Permit Review — Residential Building Permit #: w 1on- QO2(z- Site Address: 16725 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 182 Planning Review Proposal: New House E Verify address/suite#active in Accela. ® In River Terrace: ❑ No Yes, River Terrace Review Addendum Sec comment below Site Plan Elements: $7Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper i pRetained 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 ft7Utility 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) IBLocation of wells/septic systems ®Lot dimensions and building setback dimensions R]Street tree size,type and location n@Square footage of buildings to be demolished fIStreet names ( 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? [YAs ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No C❑ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No g7 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: El Yes,applicant was notified M No Received: ❑ Yes ❑ No Q SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified all No Applied For: 0 Yes ❑ No,stop intake ® Land Use Case#: SUB2015-00004 l I Zoning: R-7 ® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 l Building Height•. Max.Height: na Actual Height: 29 El Landscape Area: 20 % ❑x Lot Coverage Max: 80 % Entrance E Set back no more than 8'from street-facing wall ® Parallel to street or offset 45 degrees or less Windows 6 Minimum 12%of area of all street-facing facades F: 17%1 R: 21% Garage L] 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. O Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2" floor. © Garage door width is ❑ 12'or less 87 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: E7 Conditions met prior to issuance of building permit Notes: MMD2020-00044 modification states houses only need to meet 18.290 standards. E1 Approved By Planning: Oe.Afrtein-i Date: 8/17/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Form s\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: '/�G/21 Site Plans: # ?j Building Plans: # 7 Building Permit#: ,Enter building p above. Workflow Routing. {Manning Engineering XPermit Coordinator uilding Workflow Sign-off: �ign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and o nal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ Date: 9,4/24 Engineering Review fer7Slope at building pad: LU"Conditions "Met"prior to issuance of building permit Mr-Easements (encroachments) per engineering conditions of approval and plat [/Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [ No Assess Water Quantity Fee in-lieu: ❑ Yes L1No / LIDA Facility on lot: ❑ Yes Z/No ICJ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: D /Approved by Engineering: Date: 9./S 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 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 i„ZDoes 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 El Yes N/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: hip(2C'jA I:1Building\Fo nns1Bl dgPerm itRv w_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IN . TIGARD River Terrace Building Permit Review Addendum Building Permit #: tits11,021 o 504 Site Address: I/0+23' SvJ '(7A26010 1.0t'S' Project Name: Polygon at Roshak Ridge Lot #: (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 ❑o No (Per MMD2020-00044) • iculation: 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 I 0 0 ❑ 0 2. Eyes on the st - • : a minimum of 12%of each street facing facade must include windows . entrance doors. Percentage Shown: 3.Entrances:At least one - ance must meet both of the following standards: ElParallel to street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longer treet-facing wall or open onto por Entrance opens to a porch: ❑Yes 111 o If1es,all the following apply: 0 25 sq.ft. One street facing entry ❑12 ax.roof above floor of porch El5 ft. depth min. ❑3./o min.porch roof coverage 4. Detailed Design:All buildings shall include a min. o v of the following elements on all street-facing facades: ❑Covered porch min. 5 ft.wide x 5 ft. deep II Recessed entry area min. 5 ft.wide x 2 ft.deep ❑Wall offset min. 16 inches I D ormer min.4 ft.wide ❑Roof eave min. 12 inch projection ❑R., offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .•p or gambrel roof design ❑Roof pitch oriented south mitt. 500 sq. •. ❑Horizont. ap siding min. 3-7 inches wide El Accent siding min. 40%of street fa de ❑Window trim , . . 2 1/2"wide by 5/8"deep ❑Window recess min. 3 inches for 1 street facing ❑Bay window min. ft.wide by 2 ft. deep ❑Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'u 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 • : ❑May extend u. o 5 ft. if there is a covered front porch and garage does not extend beyond the fro .orch. ❑May exten. p to 5 ft.where the garage is part of a two-story building and there is a window at the se , d story above the v• age that faces the street with a min. area of 12 sq.ft. Width- heck one) ❑ -foot-wide garage door 0 40%max. of street facade I 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al- Date: ?/74/ I:1Bui Idineforna\BldgPamitRvw_RES_RT_121417.docx City of Tigard Deferral Until Occupancy Request TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) 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: 16725 SW Darwin Loop Project Land Use Case or Polygon at Roshak Ridge MST2021-00364 Name: Building Permit#: Tax Lot Total Parks 2S107AA18200 $8,017.00 #: Lot 182 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,$ 1,738.00 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 1'DT 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: Oh 42 W u .A6e Date: 09/16/21 Developer: O ..Aead4te,46eu Date: 09/16/21 Permit Coordinator: AVreA OeititAe& Date: 9/16/2021