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Permit CITY OF TIGARD MASTER PERMIT ' 1 ' COMMUNITY DEVELOPMENT Permit#: MST2021-00417 Date Issued: 05/02/2022 TEGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel 2S107AA23200 Jurisdiction: Tigard Site address: 16774 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 232 Project: Polygon at Roshak Ridge Lot 232 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1107 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1461 sf Garage: 400 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors Total: 2568 sf Value: $355,841.44 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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 add9 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&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 2568 Owner: Contractor: TAYLOR MORRISON NORTHWEST 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 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,710.13 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 QF9-nn1_nnln thrn,mn CAP QA9-nnl_nnon Yni, a nht in a rnrn,of the rulac nr rlirnrt nnactinnc to fill INC by Tallinn Aril 9'29 1QA7 nr 1 Ann 119 m5zt4 Issued By: 3�-LL. Permittee Signature: 40 all 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. 6,si Building Permit Application .2 3 -43-8 12 Residential RECEIV FOR OFFICE USE ONLY City of Tigard Received AUGn Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 U 1 7 202� Plan Review G /� � ,_b� a Phone: 503.718.2439 Fax: 503.598.1960 f r`�� y (�/�Q Date/By: I. si Z1 i�P DtherPermit:s �21- 1�I Inspection Line: 503.639.4175 C1��OF I 1W1'•� Date Read/B 1• ® See Page 2 for l'IGnRD Pe A Y Y �1` r pP g Internet: www.tigard-or.gov BUILDIl�I�iA nSlf1(Ct tified Method: Supplemental Information TYPE OF WORK ty 1 1lJt` REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. y� ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5 , 4 ( , Number of bedrooms: ElAccessory building El Multi-family❑Master builder ❑Other: Number of bathrooms: 3 'p JOB SITE INFORMATION AND LOCATION Total number of floors:2 Z�tF Job site address: 16774 SW ROCKHAMPTON LN New dwelling area: 2,568 square feet , {(j l City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 400 square feet I I in 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 I Lot no.: 232 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. Jew Construction/Type: SFU/Elevation plan: 222200ER. 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: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer to 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.com-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specially 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 4,6,1141.6.6.4, /[ Total fee due upon application: $201.60 Authorized signature: D/4tail,.c/�y I;/�U'n.e-4(9L� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/16/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) , .. ...r....rr..SIMW. Mechanical Permit Applicati FOR. . OFFICE USE ONL% City of Tigard `DECEIVE 11eceived l r 3aten3y: c L t �._ ►/ Pomit Na 5�� ON l,-W`t1 1 t 13125 SW Hall Blvd.,Tigard,OR 97223 Pfau Review Phone: 503.718.2439 Fax 503.59$.1960 (y j .11LOther Permit; C043122O7 `45C)2 TI AI' 7 Inspection Line: 503.639.4175 -�/(� �j - Date Ready/By: lurs L See Page 2 for Internet: www.tigard-or.gov CITY i OF TIGARD Notitied/Method Supplemental Information ILDING DIVISION' TYPE OF WOI P COMMERCIAL FEES SCfiEDULE - 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 EQUIPMENT/SYSTEMS FEES' ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building _ For special information use checklist j Multi-family ❑Master builder ❑Other Description Qty. Ea. 1 Total JOB SITE LNFORMATION AND LOCATION Heating/cooling: — —° Air conditioning l 46.75 Job site address: 16774 SW Rockhampton Lane Furnace 100.000 BTU(ducts(vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 v 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 Lot no.: 232 Other. 23.32 _. -_____ Other fuel appliances: Tax map parcel no.: Water heater 23.32 33.39 Gas DESCRIPTION OF WORKfireplace/insert Flue vent for water heater or gas New construction,type:Single-Family Units firlace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33,39 Wood fireplace/insert. 23.32 Chimney/liner/flue/vent 23.32 E PROPERTY OWNEROther: t 23.32 0 TENANT _ ' 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:( ) Articicrawlspace fans 23.32 CD APPLICANT 0 CONTACT PERSON Other: 23.32 _.._.__ Fuel piping: Business name:Polygon R 1 II,LLC 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 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)6934442 Fireplace Ranee E-mail:permitsubnrittalsitaylORilOrriSOf.COM Barbecue •ile1' _ 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(254o of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) - CCB lie.:209001 TOTAL PERMIT FEE S/J t(� .- This permit application expires if a permit is not obtained within 180 V Wa 'J � � 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 F 11Fte.ilAinelPrcmnsitf5ir V..m4 s,..,malt 11 A.,. a.n..n VT..1 MI dr,.,.m.cn, Electrical Permit Application Al." C'2ySWr1�a11Bllvd.Tigard,OR 9BECEIVEdll !Frlig=111111111111111LB.,/ed v Pexmtsg rnSt/��\-��( l 1 ft Plante!Ft Review Related Permit 1,�()�J,'"QQ�I Phone. 503.7182439 Fax. 503.59tt 1960 llam.Tty T l o111;13 Inspection Line: 503 639 4175 AUG 1 7 2021 Ready t)at&R luris: _ Y' 0 See Page 2 for interne(: www.tigard-orgov Notified�`Method. Supplemental Information i TYPE OF WOnn 16T��(��►F I�'ItIGl1ACR(G� t__ PLAN REVIEW I ®New construction ❑Additiollialter$Aallllk ttOL If#Ytl Y I r.J tO t Please cheek all that apply(submit,2 sets of plans wfitems checked) 0 Settee or feeder 400 amps m more 0 Budding over three stones ❑Demolition ❑Other; where this;wadable fault current 0 Marinas and boatyard, CATEGORY OF C:ONSTRItCfION exceeds 10,000 amps at 150 volts or ❑Floating buildings ® 1-and 2-family dwelling 0 Commercial/industrial El Accessory building kw to and,or exceeds 14000 ❑Commercial-use agricultural amps fat all other installations buildings Cl Multi-family ❑Master builder ❑Other: ❑Fire pump 0 Installation of 150 KVA or JOB SETE INFORMATION AND LOCATION 0 Emergency system larger separately derived 0 Addition of new motor load of system Job#: 1 Job site address:16774 SW Rockhampton Lane 1001IP or more. ❑'A~,-r , t z�.~t 3' City/State/ZIP: Tigard,OR 9714U 0 SIX or mom residential units occupancy -- - --- 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.IS: Project name: Polygon at Roshak Ridge ❑Itazardorss locations 0 Supply voltage for more than 0 Service or feeder COO:imps or more 6410 volts nominal. Cross street/directions to job site: FEE SCIIED[JI E pc-scripting 1 Oty. I Farb l Total I ' New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge (L�ot�#: 232 Includes attached garage. — 1 Tax map/parcel#: 1,000 sq R.or less 168 54 4 F.a add'1500 sq R.or portion 33 92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.R) 75.00 2 New construction.Type SFLJ Limited energy,multi-family . residential(with above sq.ft.) 75 00 2 Renewable Energy 0 Sec Page 2 NI PROPERTY OWNER 0 TFNAM1't Services or feeders installation,alteration,and/or relocations Name: Polygon Homes WLH LLC 200 amps or less 100 70 2 Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 13336 2 401 amps to 600 amps 200 34 2 City/State/ZIP: Vancouver,WA 98660 60i amps to 1,000 amps 301 04 2 Phone:(360 )946 8674 Fax ( ) Over 1,000 amps or volts 552.26 2 Email: OAlamiAbouhafs to lormorrison.eom-PermitSubmittal a?ta•lotmorrison.com Temporary services or feeders installation,alteration,and/or y �-� y relocation Owner installation:This installation is being made on property that I owit which is not 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 12508 2 Owner signature: Date: 401 amps to 599 amps 168 54 2 Branch circuits-new,alteration,or extension,per panto 0 APPLICANT I El CONTACT PERSON A.Fee for branch circuits with Business name: Polygon Homes W1.H LLC above service or fcee t tore, 7 42 each branch circuit - Contact name: Omar Alamd Abonhafc B Fee for branch circuits without' service r feeder fee,first Address: 703 Broadway St.,Ste 710 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each ad d'l branch circuit 7.42 2 Phone: 360 946 86?4 ' Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67 84 2 dwelling,service and/or feeder Entail:OAlamiAbonhafs@taylormorrison.com-PermitSubmittals@ taylotmorrison_com Reconnect only 67 84 2 CONTRACTOR Pump or imgation circle 67 84 2 Business name: Wallace Electric Sign or outline fighting 67.84 2 Squat circutt(s)or limited-energy 0 See Page 2 2 Address: 105 Dresden St panel,alteration,or extension. City/Stale/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above Addrtianul inspection(1 hr nun) 66 25/fir Phone:(503 3)8 0563 Fax:( ) Investigation(1 fir mm) 90.00/hr Email: David(d)wallaccwires.com Industrial plantp luFrain) 78 tsffir CCB Lie.:224868 Inspections for which nu tea is 90.001 fir Electrical Li;- C 1441 Su 1; .: 6363S specifically hated(h fir min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 1- ,,. Subtotal Print name:DA.040 tr Date: la'/z!z 1 0 Plan Review Required(25%of pemtit fee): ,� !� t State surcharge(12%of pent it fee) Authorized signature _ TOTAL PERMIT FI t This permit application expires it a permit is mat obtained within 180 Print name: I44r1(4.t.4 Date: I days after it has been accepted as complete- ' Number of inspections allowed per permit. 1.tBurlddngY'ctuef`ELC,PcrmttApp_E,R ERE.dce Rev 0611,2011 t(Y1515T(i 1./051COM+Wt9 Plumbing Permit Application Building Fixtures ECEIVC t, AUG �J FOR OFFICE USE ONLY Y City of Tigard AUG 1 a 702. Received �/ q Air / O -.r 13125 SW Hall Blvd.,Tigard,OR 97223 „wry�y y r DatefBy f 2 T G t 1" t Perin'Nm; MSr/�'Z,-WiI� Phone: 503.718.2439 Fax: 503.598.1960I 1 I Ur 1 IVIA�U Plan Review 5 b J �h?J M f Other Permit No: `y otzto DatefBy: �21" TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIONte RcadyBy: Juris: ( ES See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist. ®New construction ❑Demolition o P � __._.....__ Description I Qty. I Ea. I Total 0 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 0 Cormnercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building VI-Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: r Job site address: 16774 SW Rockhampton Lane Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 1$.76 __ -.___ _ _` -- Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt.no.: Project name:Quoillok.liiiiitotPolygon at Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no,linear ft.:_) Page 2 Subdivision: Polygon at Roshak Ridge Lot no.: 232 Fixture or item: Tax map/parcel no.: Back-flow preventer 31.27 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 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixtur '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: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@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water Pm ip g I3WV 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: � ,.ey^....,..„ TOTAL PERMIT FEE Print name:Steve Fowler I 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.(BandingWcrmitsiPLMRi-PermitApp.doc 10/01/09 440.4616T(10,02/COM/WEB) �1'� 1/r� ��� -7u�R2l Plan# a, � HO Io Floors `_ C 1Large -7 0 Bed rooms 6j Small 5� Yam' -7,- wC �C,, ( a,�d�d-c. i, LAV Tub (-- Basement FLA, (-�� Vent 5 f 1st Floor I 1 b Water Heater t 2nd Floor I y (e� AC 3rd Floor School P bF' R-3 Total 25(Qia r'.,..f)I.aX-„ -_ Garage LI C50 ✓ u Total I �U �T — i- ? r� V� d I 1 #for Elec I, C I:c.V a5 - -Q-- AO do-8 Y )I- r►\AAc.l• p li _ Si" I S 2 - -bo GA., mil- - ~°'', . -2.2 5 , I)izoopL, 3 CD vy`r '- c-c-rr %Tr- -6 - rn,t4e.j__ .3-17-4.1....A- vt'e...4....) /S c j 2) ?I 4,52__ e,o rrcd- 4 +Lire S . S crlD mL`St` A-- (Xi-if rte-..r- -�i 4-r- --;-76) e,n e .c_. Pr `ter `- -- Ina,u- City of Tigard IIII COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c Building Permit Review — Residential Building Permit #: MST 2,01\- In t\V Site Address: Icy SW Rockhampton Ln Project Name: Polygon at Roshak Ridge Lot #: 232 Planning Review Proposal: New detached dwelling ❑r Verify address/suite#active in Accela. ❑ In River Terrace: ❑ No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ' rosion Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper `,,,)i R etained trees with drip line and tree protection measures CI II rawn to scale(standard architect or engineer scale) ,Footprint of new structure(including decks)and FFE 12 orth arrow "LJtility locations&easements(required for new and additions) D.ite address,project or subdivision name and lot number °Sidewalk/driveway approach IS.pplicant information(name and phone number) tli��ocation of wells/septic systems IS ot dimensions and building setback dimensions ;_Street tree size,type and location r f II.quare footage of buildings to be demolished Street names �" II 'xisting structures on site °i orner elevations(2'contours if more than 4'differential-� IS ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ' es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o ❑ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑r No Received: ❑Yes ❑o No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified No Received: ❑Yes A No ❑ SDC Exemption for ADU applied for: ❑Yes 11 NoReceived: ❑Yes No ❑ Public Facilities Improvement(PFI) Perrrlit: Required: 0 Yes,applicant was notified ❑ No Applied For: ❑o Yes ❑ No,stop intake El Land Use Case#: SUB2015-00004 Q Zoning: R-7&R-12 0 Required Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: N/A Garage: 20 El Building Height: Max.Height: N/A Actual Height: 26 ElLandsca s e Area: 20 % El Lot Coverage Max: 80 Entrance 12 Set back no more than 8'from street-facing wall ❑r Parallel to street or offset 45 degrees or less Windows 13 Minimum 12%of area of all street-facing facades Garage Q Garage door is behind widest street-facing wall ❑Yes ❑o No,one of the following is met: Door extends no more than 5'from wall and there is a covered porch extending beyond garage. _ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ElGara e door width is II 12'or less ❑✓ 50%or less of facade 60%or less and includes 7 of following. Covered porch II Recessed entrance 0 Wall offset 8 1'Roof eave Roof offset Fire shingles Lap Siding ❑ Roof itch El Gable,hi ,or gambrel roof ❑ Dormer Accent siding Window trim Window recess Window projection ❑ Balcony ❑ Visual Clearance ❑r Urban Forest Plan ❑ Sensitive Lands: ❑ Yes LJ No Type: ElConditions met prior to issuance of building permit Notes: _ ❑ Approved By Planning: �4, ---- - —I Date: 9/21/21 Revisions (after B ' ding Submittal only) Reviewer D e Revision 1: Approved ❑ Not Approved V' /0 2//2v Revision 2: Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal , j j Original Submittal Date: 12 J /f �!Z Site Plans: # 3 Building Plans: # 3 Building Permit#: E Enter buildin permit#above. �,.�— Workflow Routing: ,Planning engineering ./CJ Permit Coordinator guilding 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. 1 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: //7 7 ?( E n ineering Review U Slope at building pad: ,3j. elConditions "Met"prior to issuance of building permit INEasements (encroachments) per engineering conditions of approval and plat El/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot: ❑ Yes No Et/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 913G,/22/1 Revisions (after Building Submittal only) / Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ 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: ❑ Received Does not ao ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes1 N/A Cee �rr� Tigard Trans SDC: Yes El N/ "tDA See Parks SDC: Yes ❑ N/A LIDA ❑ Yes g N/A pOK to Issue Permit pi by Permit Coordinator: Date: 10 `52D2, I:\Building\Forms\BldgPermitRvw_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I. T l G o River Terrace Building Permit Review Addendum Building Permit #: IVic4o1\- POLO- Site Address: 1014SW Rockhampton Ln Project Name: Polygon at Roshak Ridge Lot #: 232 (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 B No (Per M M D2020-00044) • 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 ❑ ❑ ❑ ❑ 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: facing wall El Parallelto street, . gle no more than 45° from street, CI Max. 8 ft. setback from longes treet- or open onto por Entrance opens to a porch: 0 Yes � o I es,all the following apply: ❑25 sq.ft. in. fUOne street facing entry 0 12 f ax.roof above floor of porch ❑5 ft.depth min. 030/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 hi f ormer min.4 ft.wide ❑Roof eave min. 12 inch projection ❑R.• offset min.of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .ip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. . ❑Horizont.. ap siding min. 3-7 inches wide ❑Accent siding min. 40%of street fa .e ❑Window trim • ' .2 t/2"wide by 5/8"deep ❑Window recess min.3 inches for . 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 'o 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 - : ElMay extend u. 0 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 ' age that faces the street with a min. area of 12 sq.ft. Width: heck one) ❑ -foot-wide garage door ❑40%max.of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: -- Date: 9/21/21 I:\Building\Forms\BldgPermitRvw_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: 10/4/2021 Site Address: 16774 SW ROCKHAMPTON Project Land Use Case or Polygon at Roshak Ridge MST2021-00417 Name: Building Permit#: Tax Lot Total Parks 2S107AA23200 $8,017.00 #: Lot 232 Amount*: TDT Total TSDC Amount: N/A Amount*: $386.00 *The total TSDC amount shown above is the sum of$ 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 TDT 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: ()mai&.4 xu;.R66y. Date: 10/05/21 Developer: D a.4...4Zzme .A6eu� Date: 10/05/21 Permit Coordinator: Allt0 fAiKeideb Date: 10/4/2021 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 111 Transmittal i s ttal Letter T I ci A I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A I)5c©'1'] Ams o'a DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Ch02 i A-boL h0► OCT 13 2021 J - COMPANY: j i CR Veep lyj co CITY OF TIGARD "WILDING DIVISION PHONE: 36 © c j (o g6 * By: EMAIL: �P ,�' � hal r �1p�2' /zi K'B-,• G9� RE: 16744 Slv .0 .01,/ �dc Ln IST®2CaI -00 41 - (Site Address) 1 (Permit Number) Re-Jv OP 9/ 2 Posk 8OT ,23 (Pr ame or subdivision name and lot nr) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Cross section(s) and details. Wall bracing and/or lateral an lysi . Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: yPeafre S_ee (or(C iiee L e'1 L' 'P.2/ �� t9?-7illd oy7A4 FO FFICE USE ONLY Routed to Permit Technici Date: 11 3 Initials: �i'ry Fees Due: ❑ Yes No Fee Desc ip ion: Amount Due: $ (X.,V Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Deal Applicant Notified: Date: `/6 ,.___ Initia 1:\Building\Forms\TransmittalLetter-Revisions 073 120.doc 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 IN . ' Transmittal Letter T i La A It E) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: j I k`\5 i N R tin ci-ozync DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: (Demote.. \ 1bouIo4c OCT 21 ZOZ1 COMPANY: ,-7-5 4 R jook2%sOn huies 15 LI C CITY OF TIGARU (r / BUILDING DIVISION PHONE: 3 G 0 3� b g6 44 By: EMAIL: &Q rm 41_abOoIQ S @ lei2poo1'Aoi .c g.t._ RE: 6 6 44-4 5(1) i�ocig.ktarm per_n FAST Vc 1 - 00It 1-4- (Site Address) (Permit Number) r O 0i-Or) goshaw Pd 46- .23 9 . (Proj c me or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Dest r iptioli Ct1 r eiier" ,. . 1,12 t`s a74 +§ }r:_='i_:is Additional set(s) of plans. 3 Revisions: 1E eeda ak ,51i eel" 14-' Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): A REMARKS: Yeease See d eu: f'cw Slec,1' C Qe.vicel.) F FICE USE ONL Routed to Pe •' e ician: Date: l l '2, --Z) Initials: Fees Due: -I❑ No Fee Description: Amount Due $ -no l ! (43U R— , _� �� 4 $ t, $ pLorN f'€'Vc.31S< t' ' $ Special /c Instructions: �� Reprint Permit(per PE : ❑ Yes No ❑ Done Applicant Notified: �� .1/j�- [�/Date: L`72- (2 -L--- Initials: A l:\Building\Forms\TransmittalLetter-Revisions_073120.doc 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 111 a Transmittal Le tter etter T i t,A it n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A(k cc i hormslkq1 DATE RECEIVED: DEPT: BUh DING DIVISION %r '\ AiDQ �►1CFROM: A-k r 1Q- 5 NOV 2 20V COMPANY: l02 NRR,csh, 00g Mrs F-4 CITY OF TIGARD PHONE: S © It b g' if 3UILDING DIVISION By: EMAIL: 9-dom% c i,ou ct-..,o. ,,IrY ,,S,, RE: ( b 77/ Scc/ RockA 1if, MST ��.1 — o (Site Address) (Permit Number) P4a,fr ,k 3-32, aa4 (P me or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Descriptions 004 $: ' Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain):, REMARKS: 1 �je e(eV' i 'i.-. &hie 'i j' wo CCCAA RrUt` E'A6 S P � nmis ►VZ sewe ir4e I.,t9t& ne LA & p (, t9& rl ccp� ?len�e scP `,-4,0Ic1d� etei,atioA_ e eir‘(eh a0 z,�sj. a. “ Of( deFait t1 . .,, FOR; F` ICE USE ONLY Routed to Permit Technics : ate: f 71 Initials: Alk- Fees Due: ❑ Yes IT/No Fee Descriptio : Amount Due: a e $ 0,-;,.....____ . $ $ Special Instructions: Reprint Permit (per PE : ❑ Yes No ❑ Done Applicant Notified: Date: G/,(2Z�- Initials: a I:\Building\Forms\TransmittalLetter-Revisions_073120.doc