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Permit
q°PI CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00330 Date Issued: 03/31/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA20800 Jurisdiction: Tigard Site address: 16573 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 208 Project: Polygon at Roshak Ridge, Lot 208 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: 3669 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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'I 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/volC 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 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 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 059-1101-nfl n+hrnunh rlAo OF9-nn1-nnon Vnu mall nh+ain a rnnv n1/hn mine nr Airart nnnclinnc tn Ill INr:In,rollinn 591 9'19 1007 nr 1 Ann'119 91AA NoUAg Va.,.Dr.Wege, Issued By: Permittee Signature: OK,Af2'pLitz r'1' Call 503.639.4176 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 EIV /7° 13-V I d r Residential FOR OFFICE USE ONLI AUG 1 0 2021 7 City of Tigard Received /2./ '0)d PermitNo.0STZd vi-0033 e) '' II PhoneS03.718.249 Tigard, Fax: 5033..598.1960CITYOFTIGARD D Yiew ofA 0 I 4 ' 'P W� 6V'- (1A1 j, .t.l tiAK17 Inspection Line: 503.639.4175 BUILDING DIVISION 0:. .Reaay/sy: 1 •• ® See Page for Internet: www.tigard-or.gov .r'.ed/Method:� l /j Supplemental Information • i i 0/%__ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWFI LANG ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 7 Ell_and 2-family dwelling ❑Commercial/industrial Valuation: $ JV l l VV L IDAccessory building ID Multi-familyNumber of bedrooms: 5 ❑Master builder El Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 //7 4/ Job site address: 16573 SW DARWIN LOOP New dwelling area: 3,689 square feet / 7/S— City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 485 square feet / / Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: >rd square feet 70 Cross street/directions to job site: Deck area: 1!.e> square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge I Lot no.: 208 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: 222803BR 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: El APPLICANT 0 CONTACT PERSON 61i9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer ro fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)946-8674 Fax::( )360 693-4442 E-mail: permitsubmittals@taylormorrison.corn-OAIamiAbouhafs@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 �/A'_I . �/! Total fee due upon application: S201.60 Authorized signature: [�h2GIiL �eQ-1924 .cy GB This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/09/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building1Permits13UP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) KEIVED Mechanical Permit Applica o FOR OFFICE USE ONLY City of Tigard AUG 1 0 2021 Received Date/By: c'e,rntlNo C _ " 13125 SW Hall Blvd.,Tigard,OR 97223 >T�Z/"f)U33 v "1 2 Phone: 503.718.2439 Fax: 503.598.1960.1 T Y GI: I I.AR D e pun view Other permit: p . .4175 - i Dale/ 71ii.41t i7 Inspection Line: 503639 Ji�. �iN�DIVISION Date R Ready/By: Jwis: ® See Page ifor Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE'—USE CHECKLIST Mechanical pemtit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of aU 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT/SYSTEMS FEES* IS 1-and 2-family dwelling ❑Commerciallindustrial 0 Accessory building For special information use checklist j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB ant INFORMATION AND LOCATION Heating/coiling: Air conditioning t 46.75 Job site address: 16573 SW DARWIN LOOP Furnace 100.000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace I00,000 t-BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Duct wont 23.32 Cross street/directioos 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 I Lot no.: 208 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 New construction,Type single-family unit Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacefiasert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ID PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 lo Clothes dr 33.39 Clotheess 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:( ) Attickrawlspace fans 23.32 _ ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four,S4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Walllsuspendedhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:(360)693-4442 Fireplace Range E-mail:permitsubmittals(gtaylOr7T1OrriSOn.COm Barbecue 4111. 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(S90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lic.:209001 TOTAL PERMIT FEE 'rhis permit application expires if a permit is not obtained within 180 /d//1. �/ C yL days after it has been accepted as complete. Authorized signature: -""" -""""^^" • Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r1Anilel;n.1Pmmi„iiaC pmnitann M11112Anr �•n act s,,I ,r, EOl'co, Electrical Permit Analicatiol IVi.. FOR OFFICE USE ONLY City of Tigard Received Petmn ii. 13125 SW Hall Blvd.,Tigard,OR 97223 1 204, Plan Review ►7ST?.�Z�—a U3 3 d Phone: 503.718.2439 Fax: 503.598.I960 Related Permit 4: Inspection Line: 503.6394175 ' ( `` _.i Ready tlmorRY ]mif @l see Page Efor Internet: www.tigard-or.gov - Noti6cNRlnhod: e.pta n.aatal Information TYPE OF WORK - PLAN REVIEW ®New construction ❑Addition/alteratioulreplaraznent Please check all Ihai apply(submit a sets of plans w/it®s choked): CI Demolition ❑011{er: ❑Scsice or feeder 400 amps of mare ❑Budding over three stoneswhim the available . CATEGORY OF CONSTRUCTION exeoed,I a Mamasun current 0 0,000 aampsat 150 volts Of ❑F1ew i boatyards sad buildings ® t-and 2-family dwelling ❑Commerciallindustrials ❑Accessory building law w ground,or exceeds 1a,0oo 0 Cwometcud-ux agncolmral ❑Multi-family ❑Master builder amps for all other installations buildmet. 0 Other: ❑Fire pomp 0 Msrallaoaa of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Em rgmcy system- larger separately danced AddJob#: Job site address:16573 SW DARWIN LOOP ❑]00110II an ofoee recto load of soma P w mom. City/Slate/Z.ro. Tigard,OR 97140 ❑six or more residential nails occupaney DRocreational vehicle Suitc/bldgJapt_#: Project name: Polygon0 Healthcare locations 0 Supply It. for mute than at Roshak Ridge 0 tLwvdoeaa tatati®�, 0 Senate or&ode,600 amps or mot. 600 whs nominal. Cross street/directions to job site: - FEE SCHEDULE Description I Rh. I ram l Total i • New residential single'or multi-family dwelling unit. subdivision:Polygon at Roshak Ridge Lot#: 208 Includes attached garage. Tax map/parcel#: Locoaq.ft.or l sa 16tt 54 4 Ea add'1500 sq.It,or portion 33.92 1 DESCRIPTION OF WORK Limited enemy,.csidadaat with above 75.00 2 New construction.Type SFU Limited R) energy,multi-family 75.00 residential(with above sq.ft) Renewable Energy ❑ Scr Page 2 II PROPERTY OWNER ❑ TENANT Services or feeders iostallatio.Laiteration,and/or relocation Name: Polygon Homes WLll LLC 200 amps or less 100.70 2 Address: 703 Broadway St„Ste 710 201 amps to 400 snips 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver,WA 98660 60I amps to 1,000 amps 30I.114 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 0AlantiAbouhafs@taylormarrison.com-PermitSubmittal to lcxmorrison.twm Temporary services or fixden installation,alteration,and/or Y 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,tease,rent,or exchange,according to ORS 447,449,670,and 701_ 201 amps to 400 amps 125.08 2 Owner signature:___ - .. 401 amps to 599 amps 168 54 2 0 APPLICANT 1 0 CONTACT PERSON Branch circuits new,alteration,or extension,per panel A.Fee for branch circuits wan Business name: Polygon Homes Witt LLC above service or(cakr fee, 7 42 each branch circuit - Contact name: Omar Alami Abouhafs B.Fee for branch circuits trtthmm Address: 703 Broadway St.,Ste 710 service or feeder fee,fir zt 56.1 R 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'/branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )946$674 Fax:- ( ) Each manufactured or modular 67.84 2 Email:OAIamiAbouhafs@taylormorrison.com-Permi1Suhmittals@taylnnnorrison.com doming.service as uor feeder RCconattr only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Address: 105 Dresden St siryal combs)°r i°°itrd"c°ergy -❑ See Pa e 2 2 panel,alteration,rx extension. �' City/State/DP: ,g5(prie,OR 97103 Each additional inspection over allowable In any of the above Additional inspection(l Iv min) 66 25/hr Phone:(503 3118 0563 lax:( ) Investigation(1 br min) 90.00/hr Email: David@wallaccwires.com Industrial plant(1 him a) 78.181 hr Inspections for which no tee is CCB lie.:224868 Electrical Lid.• C1441 S 6363S specifically listed(''h hr min) 90 00 hr 'T[f ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: .► Subtotal- Print name:D74V ap t C Date: /L iz t ❑Plan Review Required(25%of permit feel: -.. —� M�- I State surcharge(12%of permit fee). Authorized signature TOTAL PERMIT FEE: This permit appaeatiea expires ifs permit is not obtained.within 180 Print name' �,. ft 0 i ��.-err Date: z 1, ��C days anew It has been accepted as complete. t'.�s �'Yf rd/U(-0.t5r • Nand er of inspections allowed per permit. "1514141980010414d.c_rernrlApp_ELR BREtIce Rey 06117/2015 a 15T(11N5+COMINEB . r Plumbing Permit Application Building Fixtures RIVE I FOR OFFICE USE ONLY City of Tigard Received 11i • 13125 SW Hall Blvd Tigard,OR 97223 ''1''1' 1 0 2 0 DateBy' E'T"t No.,l1$ 7 Z e Z 1.-Op3 3 0 11 IPhone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: ection Line: 503.639.4I75 Dale76y: T 1 G A R D Date ReadylBy: hue: ® 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 1 Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ,I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437,78 ❑Accessory building 41-Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 O Master builder ❑Other: Fire sprinkler( sq.ft) _ Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16573 SW DARWIN LOOP ,S5t basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drrivell leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt no.: Project name:fliwb.L PPoygon 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 1 Lot no.: 208 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 single-family unit Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ' 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Frxmrelsewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway SL,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/greasetrap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S_) Page 2 Primer 12.51 Contact name:Toaf a Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basinlavatory 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:permitsuhmittais@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water Pin tP g fDW 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 Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: , lyr --- /r`.-.......` 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 Hoard. 1:'.Boildstg'PeminPLFmi-PmsitApp-dnc 10/010 4404616T(1010'-iCOMW5O) Plan# `f 2V343 e 12 AzD Ke_pa r ek Floors 3 Large -' Bed rooms Small LiF) p V , lC- WC Li LAV (P Tub Li Basement 7(03 Vent Li 1st Floor / ./ Water Heater I 2nd Floor / 7 15 AC yN, 3rd Floor School �� R-3 Total 39 5-��f�� Garage 11 4jc Total (J c{ 1 25 #for Elec beat- ix 0Q -; r-,c,pla-cam b ®,J . ((.+ttJ� f , �- W,Jifs. k __,.. City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT p T 1 G A RD Building Permit Review — Residential Building Permit #: f`'l S T 10 21 - 00 3 3 Site Address: 16573 SW Darwin Loop Project Name: Polygon @ Roshak Ridge Lot #: 208 Planning Review I/ Proposal: New-house lu• 4--tie cal-iudti#6- ® Verify address/suite#active in Accela. C In River Terrace: ❑ No D Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper it tetained 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 a Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number I7Sidewalk/driveway approach Applicant information(name and phone number) i1Location of wells/septic systems Lot dimensions and building setback dimensions EStreet tree size,type and location O Square footage of buildings to be demolished E Street names n 'xisting structures on site Corner elevations (2'contours if more than 4'differential) fe7Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Eii41/s ❑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 E No Received: ❑ Yes ❑ No k� Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2015-00004 ] Zoning. R-7 X❑ Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 al Building Height Max. Height: NIA Actual Height: 2S J Landscape Area: 20 % ® Lot Coverage Max: 80 - • ❑ Set back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degrees . Windows ■ . • 12%of area of all street-facing facades Garage ❑ Garage door is . - st street-facing wall ❑ Yes " .,one of the following is met: ❑ Door extends no mo - `-- - - • - • - • -. porch extending beyond garage. See River Terrace Addendum ❑ Door extends no mo I.window above garage on 2"d floor. ❑ Garage door width i .r ess L 50%or less of a %or less and includes 7 of following: ❑ -• ..rc ❑ Recessed entrance ❑ Wall offset ❑ 1' o ❑ Roof offset 111 Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo r ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcon ® Visual Clearance Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: © Conditions met prior to issuance of building permit Notes: ,,,,,�� © Approved By Planning: A G '' Date: 811212021 Revisions (after Building Submittal onl " Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\Bl dgPerm itRvw_RES_122419-docx Building Permit Submittal Original Submittal Date: 1' /p y� Site Plans: # 3 Building Plans: # Building Permit#: 0.--Enter building permit# above. Workflow Routing. I -Planning Engineering E - imitCoordinator Q-Btiilding Workflow Sign-off: 19—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 original plan review routing form. 'Er-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ,/J By Permit Technician: (J/.�1/►1,ei,e-4—J Date: 4V/6/2-/ Engineering Review gri Slope at building pad: . Er Conditions "Met"prior to issuance of building permit kr Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes L'/No Assess Water Quantity Fee in-lieu: ❑ Yes L'7 No � LIDA Facility on lot: ❑ Yes L1iNo L' Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LApproved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 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: 0 Received /Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A /�dS DLs de�rr�G Tigard Trans SDC: r Yes 0 N/A Parks SDC: IXYes ❑ N/A LIDA ❑ Yes ;2(N/A OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Forms\BldgPermitRvw_RES_122419.docx r, . ligCity of Tigard ■ III COMMUNITY DEVELOPMENT DEPARTMENT r 1 n u D River Terrace Building Permit Review Addendum Building Permit #: N S 7 76 2- - O033O Site Address: 16573 SW Darwin Loop Project Name: Polygon @ Roshak Ridge Lot #: 208 (New dwelling=subdivision name;Addition or Alteration=last name of owner) P1anrgir .Review ofRiver ?'errace Plan District Desiol Standards (18 640.070.I.): Is the project subject to the plan district design standards? ® Yes ❑ No 1.Articulation: a minimum of I element per each street-facing facade that has 30-60 ft. of frontage. An additional element 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 min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide El 0 0 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 19% 3. Entrances: At least one entrance must meet both of the following standards: © Max. 8 ft. setback from longest street- facing wall ® Parallel to street,angle no more than 45 from street, or open onto porch Entrance opens to a porch: J Yes 0 No If yes,all the following apply: ® 25 sq.ft. min. x❑ One street facing entry ® 12 ft. max.roof above floor of porch ® 5 ft.depth min. ® 30% min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑X Covered porch min. 5 ft.wide x 5 ft. deep ® Recessed entry area min. 5 ft.wide x 2 ft. deep ® Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 0 Roof eave nun. 12 inch projection ® Roof offset min. of 2 ft. O Roof shingles either tile or wood 0 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide O Accent siding min. 40%of street facade 0 Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 ft.deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ® Yes ❑ No. If No (Check one): O May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ® 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ATIM Oel _ _ Date: 8/12/2021 I:BuildinglForms\BldgPermitRvw_RES_RT_121417.docx City of Tigard 1111 _ 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 16573 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or MST2021-00330 Name: Lot 208 Building Permit #: Tax Total TSDC 2S107AA20800 $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 buildingpermit 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.) Oma t,.Rgamo'46eu feria. Om,/Man 46aurfa PROPERTY OWNER DEVELOPER v DATE: 08/19/2021 DATE: 08/19/2021 I:\Community Development\Permit Coordinator\SDC Forms\TSDC Combination Payment Option Form 112718 AMS City of Tigard Parks SDC Charge (Parks) TIGARD Notification of Fee and Payment Options 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: 8/19/2021 Site Address: 16573 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case MST2021-00330 Name: Lot 208 or Permit#: Tax Total Parks 2S107AA20800 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 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.) Omem-4 kani.46,neiada, Orlta4..RkanzG'.A6ea l PROPERTY OWNER DEVELOPER DATE: 08/19/2021 DATE: 08/19/2021 I:\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms