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Permit CITY OF TIGARD MASTER PERMIT S r' COMMUNITY DEVELOPMENT Permit#: MST2021-00343 T iG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2022 Parcel: 2S107AA23300 Jurisdiction: Tigard Site address: 16790 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 233 Project: Polygon at Roshak Ridge, Lot 233 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID BUILDING • Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 925 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1188 sf Garage: 422 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2113 sf Value: $297,555.70 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: Storm Sewer: 100 0 Tubs/Showers: 3 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 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add?500 sf: 4 201-400 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 8 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 2113 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 98860 2 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,723.49 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-Ant-nnl0 thrm,nh nAR nc,J1M-nn0n vn,,mo,,nhfoln o rnna of fha nhlaa nr rlirr+rf nuaatinna fn nr ikIC by naiiiinn Snn 919 10137 nr 1 Ann Z09 90a4 Ho-Lj Vow Pe,Wage, OwAp-p-f.i.ca#i.vw Issued By: Permittee Signature: Call 503.639A176 by 7:00 a.m.for the next available inspection date. This penult 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 dine of each Inspection. RECEIVE LOT2 233 Building Permit Application-Try OF TIGARD —81171Z Residential dU LDING DIVISION FOR OFFICE: LSE ONLY City of Tigard Received €k ' Permit No.:Msr2,0A—�3y 3 IIIII -n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'till Other Permit:S 2(j2t...00Z2ta TIGARD Inspection Line: 503.639.4175 D to Ready/Ey: , /�� �1°�� ®See Page for Internet: www.tigard-or.gov G tified/Met l�i Supplemental Information TYPE OF WORK REQUIREDED DATA:1-AND 2-FAMILY DWELLING ®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 0 Other: equipment,materials,labor,overhead,and the profit for theme O CATEGORY OF CONSTRUCTION work indicated on this application.^ 5S6r , ®1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 1�� ❑Accessory building 0 Multi-family Number of bedrooms: 5 000"' ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 Z l ✓ Job site address: 16790 SW ROCKHAM PTON LN New dwelling area: 2,1 13 square feet City/State/ZIP:Sherwood, OR 97140 Garage/carport area: -)1( 2-)1( sluare feet 9Z�j— Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge F Lot no.: 233 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Construction/Type: SFU/Elevation plan: 222100B. 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: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer Is,fee seheduk) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs Address:703 Broadway St., Ste 510 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98660 Total fees due upon application: Amount received: Phone:(360)946-8674 Fax::( )360 693-4442 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittalsrataylormorrison.com-0AlamiAbouhafs@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR 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:( )360693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: r/hteLl,4104,te rcY t9BLl b This permit application expires if a permit is not obtained I(/ within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/16/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pemaits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) Mechanical Permit Applicatin&CC(� FOR OFFICE USE ONLY City of Tigard `dJ l V E ` eceived Date/By: t 24 21 Or Petra"0.: M�r104-�,0 3 't 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review 1-' •�_t Phone: 503.718.2439 Fax: 503.598.1960 "?r( Other Permit.G.t/�/.p ey nf_ ._ s;.. Date/By: „WK'L1e21�`^`'fiNfJ 71 Cris l:17, Inspection Line: 503.639.4175 Date Ready/By: wrist lid See Page 2 for Internet: www.tigard-or.gav CITY OF TIGARD N°tted/Metbodr Supplemental Information TYPE OF WILDING DI1fISI0N COIvLilEltC1AI. 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 ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value-S RESIDENTIAL EQUIPMENT/SYSTEMS FEES* cg I-and 2-family dwelling D Commercial/industrial ❑Accessory building For special information use checklist j Multi-family D Master builder ❑Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: • Air conditioning i 46.75 Job site address: 16790 SW ROCKHAMPTON LN Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000f BTU(duels/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 Flue/vent for any of above 23.32 Subdivision Polygon at Roshak Ridge l Lot no.: 233 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:SFU Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/inset 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ElPROPERTY OWNER ❑ TENANT - ' Environmental exhaust and ventilation: Name:Polygon WLII,LLC Range hood/otherkitchen 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:( ) Anidcrawlspacefans 23.32 ID APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;$4,113 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St-,Ste 510 Gas heat pump Wall/suspendedhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace E-mail:perroitsubmittals ataylOrmOrrlSOfl.Com Range 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(390.00) Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:209001 TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 1a11 GAt h n it b days after an been accepted as complete. Authorized signature: GL-. tt'JJJ ' Fee methodology set by TO-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r\AniN:nntp..m:d1AaI'Pmm,,snn um R A.r . , Electrical Permit A.Dalication FOR OFFICE USE ONLY City of Tigard RECEIVE ixi`rBi? :2 2 Z l Li pama� J S 62k—OcY3 3 13125 SW Had Blvd.,TigarPlan d OR 97223 ' Phone: 503.718.2439 Fax: 503.598.1960 natemy Related permit M:Q2�'L�� 2 Gfo Inspection Line: 503.639.4175 Ready 1latcAly burs: •i �-See Paget for n Internet: Ww9Y.tipazd-er.gav CITY �t_ fyi J,R1 Notificd/Metbd. Supplemental Information TYPE OF Wl f ll]MSI01Pr FIRM OVUM: - ®Newconsttuction ❑Addition/alter t i Please deck an dim apply(submit j sets of plans whams checked) El Demolition ID Other: ❑Sc vicc orfeeder 400 amps or mom 0 Building over three stones. whore are available fault eurmos ❑Hearers and boatyards CATEGORY OF CONSTRUCTION esosoda 10,000 amps at 150.ohs or 0 Mann baiidsa ® l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building lase kr 1io'md,or exceeds 14.000 l]r(mnu.cu,l-ore agricultural amElMulti"family 0 Master builder 0 Other: buildings_ ['Fire re pump s m au other installations mp. ❑Imtallatitm of 150 KVA or JOB SITE INFORMATION AND IACATION ❑Emergency system_ larger separately derived Job#: Job site address:16790 SW ROCKHAMPTON LN 0 Additan nf new motor load af system IOOlIP«more. ❑"A`,"E","1-2","1-3", City/State/ZIP: Tigard,OR 97140 0 Six so mom residential ands accuracy ❑Healthcare Marta. 0 Rs¢eanonal wattle parks. Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑Hazardous locations ❑Supply voltage for more than 0 Service or feeder 600 amps or mom. 641°volts oomraal. Cross street/directions to job site: FEE SCHEDULE murinana I (jr. 1 Late J Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 233 Includes attached garage. Tax map/parcel#: 1,000sq.II.or less 16854 4 Ea add')500 eq.0.or portico 33.92 1 DESCRH"ITON OF WORK Limited ere*sy,residential (with above 75.00 2 New construction.Type SFU ( R) . Limited energy,multi-family 75.00 2 resideuha,(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installatba,alteratioq,and/or relocation Name: Polygon Homes WLH LLC 200 amps or less 100.70 2 • • Address: 703 Broadway St.,Ste 710 'v 201 amps to 400 amps 133.56 2 1 City/StauetZlP: Vancouver,WA 98660 — 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.06 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 aarps or volts 55226 2 Temporary services or faders installation,alteration,and/or Email: OAlamiAbouhafs@taylamorrison.com-PefmitSulmuttals@tayltamorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59-36 1 intended far 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 Branch circuits-new,alteration or extension,per panel 0 APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with Business name: Polygon Homes Wi.H LLC above service or feeder fee, 7 cacti branch eimuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without Address: 703 Broadway St,Ste 710 an a arh circuit fee,first brane 56.18 2 M City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 1 7.42 2 Phone 360 )946 8674Miscellaneous(service or feeder not included) ( Fax::( ) Iamb manufactured or modular 67.84 2 Email:OAlatouhafs(taylormorrison.com-PermitSubmidals@taylnrmorrison.com dwelling,service a xv°r feeder mAb Rmonncci crilr 67 84 2 CONTRACTOR Pump or rmaation circle 67.84 2 Business name: Wallace Electric Signor outline lighting 67.84 2 Signal ciecmt(s)or mulled-energy Address: 105 Dresden St petrel,alteration,or cxteacim_ 0 See Page 2 2 City/State/ZIP: Astoria OR 97103 _Each additional inspection over allowable in any or the above Additional inspection(I hr min) 66 25/hr Phone:(503 308 0563 Fax:( ) investigation(1 hr min) 90.00/hr EmaiLDavidtwallacewires.com Industrial plant(Ihrmin) 7818fhr Inspeettons for which no to,is 90.00!hr CCB Lie.:224868 Electrical Li - C 1441 S rv.L"..• 6363S specifically listed CA hr min) Suprv.Electrician signature,required: E►ECTR1CAI PERMIT rkpS '� Subtotal: Punt nine:D74t7 7,414_ Date: II/Litf0 Plan Review Requiral(25%of pandit See):4State surcharge(12%of permit£tie):Authorized signatur ,, TOTAL PERMIT FEE; This permit application expires if a permit is not obtained within 180 Prim name: s) UAtt.t.rt Date: // t _ I rya aver itMn been stteptedascomplete. b Z.- c Number of tapes-bons alio:sod per permit. L+BUWinaWnats PanitApp_ELlt ERE.doc Rev 0601700 d ri-0615T(ibi0LCON6VEB Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY • Received ,City of Tigard Permit Ne,, r 13125 SW Hall Blvd.,Tigard,OR 97223 Da a By: it{ MSrZsYtt-b0��{3 Phone: 503.718.2439 Fax. 503.598 Plan Review 3 y Other Permit No.:S( I-0022e `1V OF TIGARD DawB TI GARD Inspection Line: 503.639.4175 Date Ready/By: huh: ® See Paget for Internet: www.tigard-orgov BUILDING DIVISION' Notified/Melhod: Supplemental Information TYPE OF WORK FEE* SCHEDULE �4 New construction 0 Demolition For special information use checklist Description I 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(I)bath 312.70 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437,78 Ai-Multi-family SFR(3)bath 500.32 0 Accessory building Ai-Multi-family Each additional bathRdtchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16790 SW ROCKHAMPTON LN 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 Suite/bldg./apt.no.: ( Project name:.ReelskiitdgePolygon 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 ( Lot no.: 233 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction,type:Single-Family Units Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC FizmreJsewer 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:S_) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygoabomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50 Plan review (25%of pennit fee) CCB Lie.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: , j{, C� 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. I\Buidioc'PernicslPLMU-PermeApp.dor 1010149 440-4616T(INDJCOM.WEB) Plan# 2j I 003 r T , Floors Large Bed rooms 3 Small 3( " WC 3 ` LAV 5 Tub 3 Basement Vent 5 1st Floor 9 ZS_ Water Heater I 2nd Floor f I CoU AC y 3rd Floor School .(I ", R-3 Total a 1 f 3 Garage Lfa 6�, I� Total 2S3S #for Elec 9 City of Tigard 111 . COMMUNITY DEVELOPMENT DEPARTMENT C • TlcAan Building Permit Review — Residential Building Permit #: \512 p2 k - O03�13 Site Address: 16790 SW Rockhampton Lane Project Name: Polygon at Roshak Ridge Lot #: 233 Planning Review Proposal: New house ® Verify address/suite#active in Accela. ® In River Terrace: ❑ No ® Yes, River Ten-ace Review Addendum See comment below Site Plan Elements: 5CIErosion Control 513 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fl tetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) EFootprint of new structure(including decks)and FFE ®North arrow kUtility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number ESidewalk/driveway approach ®Applicant information(name and phone number) tHiEocation of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location IDSquare footage of buildings to be demolished ®Street names IiiExisting structures on site ®Corner elevations (2'contours if more than 4'differential) $7Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? FA%❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes DNo ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No ]I 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 0 No Received: ❑ Yes ❑ No ® Public Facilities Improvement(PFI) Permit Required: ❑ Yes,applicant was notified Xi No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2015-00004 ® Zoning: R-12 ® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 ® Building Height Max. Height: na Actual Height: 27 ® Landscape Area: 20 % © Lot Coverage Max: 80 Entrance ® Set back no more than 8'from street-facing wall ® Parallel to street or offset 45 degrees or less Windows 15] Minimum 12%of area of all street-facing facades F: 12%I R: 14% Garage N 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 2°a floor. k Garage door width is 0 12'or less K] 50%or less of facade 0 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset 0 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 k Visual Clearance ® Urban Forestry Plan © Sensitive Lands: ❑ Yes ® No Type: ® Conditions met prior to issuance of building permit Notes: MMD2020-00044 -only need to meet desi stan ards in 18.290 ED Approved By Planning: f/ ' Date: 8/19/2021 Revisions (after Building Submittal onl Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPerm itRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: %11Z1 Site Plans: # `3 Building Plans: # Building Permit#: Enter building p;wnit# above. Workflow Routing: Or� Planning Engineering 41 Permit Coordinator Building Y/ Workflow Sign-off: 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. dBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Q 2 n Engineering Review gf Slope at building pad: 3 2 Elf Conditions "Met"prior to issuance of building permit t Easements (encroachments)per engineering conditions of approval and plat Le'/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes n/No Assess Water Quantity Fee in-lieu: 0 Yes e-No LIDA Facility on lot: ❑ Yes 1No Ild' Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: I(Q Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review e/ Conditions "Met"prior to issuance of building permit 0 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 71 Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A SDC �_ _ p Parks SDC: Yes 0�,/ N/A ,c De�C�_�� W LIDA 0 Yes N/A ,7 OK to Issue Permit Approved by Permit Coordinator: A7rDate: CA[74 7,4 7-1 1:1Building\Forms\B1dgPermitRvw_RES_122419.docx