Permit CITY OF TIGARD MASTER PERMIT
' a COMMUNITY DEVELOPMENT Permit#: MST2021-00354
Date Issued: 03/31/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA17900
Jurisdiction: Tigard
Site address: 16759 SW DARWIN LOOP
Subdivision: ROSHAK RIDGE Lot: 179
Project: Polygon at Roshak Ridge, Lot 179
Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID
BUILDING
Floor Areas Required Setbacks Reauired
Stones: 3 Bedrooms: 5 First: 1227 sf Basement: 763 sf Left: 3 Parking Spaces: 0
Height 28 Bathrooms: 4 Second: 1726 sf Garage: 486 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3716 sf Value: $513,439.28 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
Bckfw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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
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 3716
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
3 One Hour Fire Rated Eaves
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $40,502.15
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
Qc9-fM-nntn Mrnunh riAn Q9-nn1-nnQn Vn,rnav nhtain a rnnv of}he ruie¢nr rlirprf nnoefinne fn Ct IMC bu',minn Sni 919 101%7 nr 1 Ann'119 9'1E14
Ho-tLy Vow De Wege, Ow A f-i -w
Issued By: Permittee Signature:
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.
P
Mechanical Permit Applicatio FOR OFFICE USE ONLY
'RECEIVE n i .. 9 i 2i — iNnsr2Oat-C�S�f
City of Tigard D,i�� Permit Na.:
It _ 't 13125 SW Hall Blvd.,Tigard,OR 97223
: Phone: 503.718.2439 Fax: 503.598.1960 r+-'..J = .. 2tri, Plao Review OtherPermit:
Pie
DatefDY: S a LUZI't/v2
inspection Line: 503.639.4175 Date Read orris. RI See Page 2 for
Y itr?.LIt Internet: www.tigard-orgov CITY OF TIGARL NoriLed/Metimd: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE'SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPAEENT.I SYSTEMS FEES*
®1-and 2-family dwelling 0 Commercialfmdustrial 0 Accessory building For special information use checklist.
1 Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION J Heating/cooling:
Air conditioning 1 46.75
Job site address: 16759 SW DARWIN LOOP Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducislvents)' 54.91
Suite/bldg./apL 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
Flue/vent for any of above 23.32
OtherSubdivision: Polygon at Roshak Ridge Lot no.: 179 23.3?
— Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 .
- Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplacelinsert 23.32
Chimney/liner/flue/vent 23.32
1:81 PROPERTY OWNER 0 TENANT 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 compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attie/crawlspace fans 23.32
IZ APPLICANT 0 CONTACT PERSON Other. 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas beat pump
WaWsuspendedhuit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@taylormorrison.com Barbecue
iNt CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZDP.Hillsboro,OR Minimum permit fee(590.00)
Plan review(23%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
�^ This permit application expires it a permit boot obtained within 180
n a, hu days after it has been accepted as complete.
Authorized signature: (�C.(� . Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
5
s 11inikl*Perma,LMar P.'mn Ann NM 1I An. AM a<,+m r,1 en,wv,n•m+cv-.
Electrical Permit Application ` FOR OFFICE USE ONLY
City of Tigard R , i 21 Nt' Perm,t 2 rtIck 2v2 O 1-
RECEIVE tU3 SZ/
1 —••• 13125 SW Hall Blvd.,Tigard,OR 97223 „. , . Plan Review
a Phone: 503.7182139 Fax: 503.598.I960 " -' .. natdntr Related Permit St Sl1i l-C)Z3-7
Inspection Line: 503.639.4175 Ready DatofBy lair: �(See Peas 2 for
T IGAAD, interact: www.tigard-or.gov CIT. OF TIGARL 1. Supplemental Information
TYPE of w dILDING flIvIslO� PLAN'12EVQR
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wntemr checked)
❑Sra VILe orfeeder 400 amps a morn 1]Building oast three stones.
0 1)eIriolltl6n 0 Other:
where the mailable fault current ❑marinas and bosomds
CATEGORY OF CONi1 RUCT1on exceeds 10.000 amps at 150 sobs or 0 Floating bulickepp
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building '°�to arcaud or exceeds 14.000 0 r al-use ago caitural
❑Multi-family 0 Master builder 0 Otheramps fat ailother,as+auariod� hmtaw
0 Fire pomp. ❑Installation of 150 KVw or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately denied
Job#: Job site address:16759 SW DARWIN LOOP ❑ 011atufaewmotorkadnr »"'°-
1001IP ar more. ❑"A"'$_"1-2"."t-3".
City/State/ZIP: Tigard,OR 97140 ❑six or mote residential wits occuparcy
['Health-cam facilities 0 Rscreanonal whisk parks.
•
Suite/bldgJapt.#: Project name: Polygon at Roshak Ridge ❑lla2sdous locations ❑Supply voltage for more than
Cross• Slrel'/IipeetlOns to job ❑Service or feeder 600 amps or mac 600 volts mmal.ia
J FEE SCHEDULE
_.. _ Dosertpaoa 1 Qty. I Eath 1 Tidal I •
_. New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 179 Includes attached garage.
1,000aq.II.or less 16854 4
Tax map/parcel#: Ea.add'!500 sq.R.or portion 33,92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft)
New construction.Type SFU Limited energy,multi•famdy
residential(aids above sq.ft] 75.00 2
®.PROPERTY OWNER ^Renewable Energy El See Page 2
0 TF.INAI\1 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 a raps to ion naps 133.56 2
401 amps to 600 amps 200,34 2
City/StatefLlP: Vancouver,WA 98660 601 amps to 1,000 amps 301 0a 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 55_'/.26 2
Temporary services or feeders installation,alteration,and/or
Ewald: OAltmliAbouhafsataylonnorrisoamm-PeemltSnbmittals@taylonnolrison.com relocation
Owner inataltation:This installation is being made on property that I own which is Dot 200 amps or less 59-36 I
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 I 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits wide
Business name: Polygon Homes WI.H LLC above service or resin fee,
each branch circuit 7 42 -
Conlac t name: Omar Alami Abouhafa B.Fee for branch circuits without
Address: 703 Broadway St,Ste 710 service or feeder fee,first 56.18 2
Munch moat
City/State/ZIP: Vancouver,WA 98660 Each&AP'I blanch circuit 7.42 2
Phone 360 946 8674Miscellaneous(senice or feeder not included)
( ) Fax::( ) Each manufactured or modular 67 84 2
dwelling,serviac and/or fader
Email:OAlamiAbonhafs@laylormorrison.com-PennitSubmittals@taylormorrison.com Rao,, y 67 84 2
CONTRACTOR Pump or irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden St panelineratio)orlimited-eoagy 0 See Paget 2
panel,aheruioq or extension.
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable is any of the above
._ Additional inspection(1 hr min) 66 25/br
Phone:(103 308 0563 Fax:( ) lovesligatioo(1 lie min) 90.00/hr
Email:David@wallaccwires.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
somatically listed h hr min) 90.00/hr
CC13 Lic.:224568 Electrical Ley.sC1441 ljF.�6363S i
Suprv.Electrician signature,required: tj^�// /�1L#(.® ELECTRICAL PERMIT.t 1
G/L./'— Subtotal
Print name:DAtt ap Ls Dale: It tiL 1s f ❑Plan Review Required(25%of permit fee):
C%Sdg���// t / State surcharge(12%of permit fee):
Authorized signature lam!'/�__'�- rm TOTAL PERMITPERMITFfi6:
This pens*application expires if a permit Is not obtained within 180
Print name: "'I vYc. 14M L9' Date: e f dtz.t days after it has been accepted as complete.
T r • Number of tnspections allowed pet permit.
LtBtdidr20oR _ParattAPP ELLERE,dee Bear 06117t201$ 157(11/8520MM1VID
Plumbing Permit Application
' Building Fixtures FOR OFFICE USE ONLY
Received
Cityof Tigard 1 Permit No.:
u 131SW Hall Blvd.,Tigard,OR97223 DanRe 21 >N 1V!S�2U�'f-`^'Y
': I Phone: 503.7182439 Fax: 503.598.1960 Plan Review Other Permit No.:
Other S�, Z 2i-GU23a
T I G A P.D Inspection Line 503.639.4175 Date Ready/By: hrs: El See Page 2 for
Internet: www.tigard-orgov Notified/Method: Supplemental Information
TYPE OF WORK FEE" SCHEDULE
®New construction ❑Demolition For specialluformaaon 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 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory buildingMulti-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.fL) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16759 SW DARWIN LOOP Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dryweq leach line,or trench drain 18.76
Footing drain(no.linear ft.:, ) Page 2
Suite/bldg./apt.no.: I Project narne:sibsalwilwillielesPolygon 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 R.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2 '
Water service(no.linear ft.: ) Page 2
Subdivision: Polygon at Roshak Ridge I Lot no.: 179 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ 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
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name: Omar Alami Abouhafs
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&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: $72.50
CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: V".t-t''b••-�^^- TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building industry Service Board.
1:utardingWamhs\PLMU•PcrmitApp.dec 10/01/09 440-06167t 1 a/02(COMrwE51)
Plan #
Floors 3 Large -% r°
Bed rooms Small tp3 1-MOUR FIRE RATED EAVES
We y
LAV I.Q
Tub Basement 7(03
Vent 1st Floor 7
Water Heater 1 2nd Floor l 7a(0
AC l 3rd Floor
School ` :_ _ Q R-3 Total 3-7 J
,Le (a.C.�� Garage l� $�p
rY
t-� Total Li
L� 1248 0 #for Elec
•
City of Tigard
IIIq COMMUNITY DEVELOPMENT DEPARTMENT
C .
TIGARD Building Permit Review — Residential
Building Permit #: 11' Sf'1,021- nnSid
Site Address: )(07S—.9. cam,) 0,41203(/0 (A9OP
Project Name: ?)L'f&O11/ Ar `i2eslyxt p(QC. Lot #: /39
Planning Review
Proposal: JVeiA) tiou SE
Verify address/suite# active in Accela. River Terrace: ❑ No River Terrace Review Addendum
SityPlan Elements: IQErra�osion Control
l34 opies of site plan on 8-1/2"x 11"or 11 x 17"paper C]Retained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) 4i otprint of new structure(including decks)and FFE
Fr,›Torth arrow ty 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) IA El] e cation of wells/septic systems
❑Lot dimensions and building setback dimensions All eet tree size,type and location
14,1A ❑Square footage of buildings to be demolished Street names
❑Existing structures on site 4Comer elevations(2'contours if more than 4'differs 1)
❑Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EY'es ❑Np
tm rvious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes o
Clean Water Services—Service Provider Lett of platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified �LJ No Received: ❑ Yes ❑ No
K I Water Meter Fixture Unit Worksheet—Add�iti s,Remodels and ADUs
zit'/equired: ❑ Yes,applicant was notified Al No Received: ❑ Yes ❑ No
Di SPC Exemption for ADU applied for: 0 Yes ff.-No Received: ❑ Yes ❑ No
PErPublic Facilities Improvement (PFI) Permit:
quixed: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Znd Use Case#: f P Q ZO 6" WGO2 Zoning 12 Li '
quired Setbacks: Front: 12- Rear: JO Side: 3 Street Side: NP- Garage: 20
BBuilding Height: Max. Height: Actual Height: 28
[2 Landscape Area: NA % Lot Coverage Max: iJA
Entrance � t back no more than 8'from street-facing wall parallel to street or offset 45 degrees or less
Windows JMinimum 12%of area of all street-facing facades �
Garage /Garage door is behind widest street-facing wall ICJ 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 wali_old there is a 12 sq ft.window above garage on 2°d 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 0 Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
0 Accent siding ❑ indow trim ❑ Window recess 0 Window projection ❑ Balcony
El Visual Clearance Urban Forestry Pla
Sensitive Lands: 0 Yes No Type:
C;C�,onditions met prior to issuance of buildin. permit
Note : WAD 020_000 LI sWIE Nt'l�1 {iousE9 ohcY n1EETJS TO Me (g.Z10 •11ifl Aa VC
MIR/Approved By Planning: Date: 4, S Of
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Building\Fonns1BldgPermitRvw_RES_122419.docx
Building Permit Submittal�y
Original Submittal Date: D/1 tB
Site Plans: # 3
Building Plans:
Building Permit#: nter building ppit#above. �-
Workflow Routing: Tanning E 'Engineering - e nit Coordinator C _Buuilding
Workflow Sign-off: ' -off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
,priginal plan review routing form.
Building: original permit application,site plans,building plans, engineer and
beam calculati ns and trust details,if applicable,etc.
Notes:
By Permit Technician: — Date: 2
En neering Review ej
pi Slope at building pad: /s
Conditions "Met"prior to issuance of building permit
[Easements (encroachments)per engineering conditions of approval and plat
later Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 10
Assess Water Quantity Fee in-lieu: ❑ Yes GIVNo
/ LIDA Facility on lot: CI Yes L�'I No
[ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
EllApproved by Engineering: �✓ Date: Q/��?a'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
/i 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: El Received X Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: xr yes El N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: /Yes ❑ N/A
LIDA ❑ Yes yN/A
OK to Issue Permit
Approved by Permit Coordinator: 4Y-toeft--
Date: 011 to
I:\Building\Forms1B1dgPermitRv w_RE S_122419.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: tir})1"ta1 6a1)Q,y
Site Address: ((p"}Sq S}‘J D i 3 1,11X7?
Project Name: Polygon at Roshak Ridge Lot #: )1(3
(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 ONo (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. .ormex
■ ❑ ❑ ❑ 0
2. Eyes on the str- - : 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:
❑Parallel to street, . gle no more than 45* from street,
❑Max. 8 ft. setback from longes treet-facing wall
or open onto por
Entrance opens to a porch: ❑Yes I o
Iff j es,all the following apply: 0 25 sq.ft.
LJ One street facing entry ❑12 ax.roof above floor of porch
❑5 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 I Recessed entry area min. 5 ft.wide x 2 ft. deep
❑Wall offset min. 16 inches Iwormer 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 min. 500 sq. . ❑Horizont. .p siding min. 3-7 inches wide
❑Accent siding min. 40%of street fac .e ❑Window trim • ' . 2 ' "wide by 5/8"deep
ElWindow recess min.3 inches for i 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 'n 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 El 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 r. age that faces the street with a min. area of 12 sq.ft.
Width- heck one)
I -foot-wide garage door ❑40% max. of street facade
• 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: g/3%
I:1Building\Forms\BldgPermitRvw_RES_RT_1214 17.docx
City of Tigard
gi Deferral Until Occupancy Request
T l G A R D Washington County Transportation Development Tax (1'1)T),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: 16759 SW Darwin Loop
Project Polygon at Roshak Ridge Land Use Case or MST2021-00354
Name: Building Permit#:
Tax Lot 2S107AA17900 Total Parks $8,017.00
#: Lot 179 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'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-.A "Menu Date: 09/16/21
Developer: DmGi+-.A o46euA Date: 09/16/21
Permit Coordinator: �O Cep ' - " Date: 9/16/2021