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Permit 14114 CITY OF TIGARD MASTER PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MST2021-00416 T r I:;A R r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2022 Parcel: 2S 107AA23100 Jurisdiction: Tigard Site address: 16697 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 231 Project: Polygon at Roshak Ridge Lot 231 Project Description: New detached dwelling. NO FINAL INSP UNTIL DEFERRED SDCs ARE 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3689 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<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 3689 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 2 Geo Tech Report Required Prior To Pour PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,432.98 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 QS9-M1_M1n fhrn,nh(lAR 0c2.nnLnnon Yen maw nhtain a rnnv of than nilac nr rliranrt nnactinnc to ni INr hw Tallinn rift 71',10S7 nr 1 son 119 91dd a Issued By: ) 2DCIDL_Q-Ql . Permittee Signature: ( \ 1 • `ICtk.. i� 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. 1-orA-3/ , . Building Permit Application REcEIVED 13-8Ii / Residential , FOR OFFICE USE ONLY AJI, 172021 City of Tigard Received ri Date By: t�� , 1- Permit No.: >�C S(t,�,),-*► 't 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF rIGARD Plan Review ,v cJ Phone: 503.718.2439 Fax: 503.598.1 y 1 it 1 Z/ A Other Permit: t,,,i W U- W f w JILDING DIVISION Date/B : "§M_► T I G A R D Inspection Line: 503.639.4175 Date Ready/By: /�,ur H See Page 2 for Internet: www.tigard-or.gov ,otified/Met /�10' Supplemental Information TYPE OF WORK REQUIRED 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 the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ c�j1�b1�2'' i ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder ❑Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors:3 C_f (19 Job site address: 16697 SW DARWIN LOOP New dwelling area: 3,689 square feet 11 l City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 485 square feet l a,/' Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: 44110.. square feet 7(03 Cross street/directions to job site: Deck area: ` vA •: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST ( Subdivision: Polygon at Roshak Ridge I Lot no.: 231 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. ew 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 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: I ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: 1 City/State/ZIP:Vancouver,WA 98660 Phone:(360)946-8674 Fax::( )360 693-4442 Amount received: E-mail: permitsubmittals@taylormorrison.com-OAIamiAbouhafs@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 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 lic.:207247 Total fee due upon application: $201.60 Authorized signature: DhtQ/L 4ga- G 469L 142/Le, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 08/16/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Applica ' . . . . . .... . FOR OFFICE USE ONLY City of Tigard ' 'ECEIVE® Received �r Permit No.: //� • 13125 SW Hall Blvd.,Tigard,OR 97223 DatelBy: �� I/1 M�� �lJt 1 bp1�� i Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 AUG 1 rW 2021 Date/By: Other Permit: �•'1r■ ege a`� M7c Tui,4 R I� Inspection Line: 503.639.4175 Date Ready/By. furls: la Page w(�(� Internet: wvvw.tigard or.gov CITY OFFTII�GfARD�{ NotitiediMethod Supplemental Information TYPE OF R'Oitk0G-}✓, ISIO x COMMERCIAL FEE* SCHEDULE - USE CHECKLISTy— Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 17,1 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist I i Multi-family 0 Master builder a Other: Description p i Qty. I La. 11 Total JOB SITE INFORMATION AND LOCATION Heating/coolin„: 1 Air conditioning I 46.75 Job site address: 16697 SW Darwin Loop Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000i BTU(ducts/vents) 54.91 Suite/bldg./apt,no.: Project name: Polygon at Roshak Ridge Heat pump _v 61.06 Duct work _ 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 - " Residential boiler(radiator or hydronicl 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.: 231 Other. 23.32 .--t Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas ftreplacelinsert_ 33.39 Flue vent for water heater or gas New construction,type:Single-Family Units fireplace 23.32 __ _ Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 el PROPERTY OWNER El TENANT Othe 23.32 --- Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 Clothes dryer exhaust 33.34 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, ry toilet compartments,utility rooms 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans ,_ 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WEIR,LLC Fuel piping: - S14.15 for first four;S4.03 for each additional Contact name:Tonja Morris Furnace,etc. — Address:703 Broadway SL,Ste 510 Gas heat pump --- Walllsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 _ Water heater _ Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 116. Range E-mail:permitsubmittalsertaylormorrlson.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other: NIECII ANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) — j Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 hu.f,i�,►z, days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tn-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r cn.,an,elP,,m,aetse5;a.r.,.;r 4nt.a4111 I:An. Electrical Permit Application' 1ECEIVE rOR OFFICE LSE:ONI Y City of Tigard A'li& '!,1?,, R 1 IA pcxnut k IN1)Mf •(13125 SW'Ilan Blvd,,Tigard,OR 97223 Plan/ny a OF �p flan Review 11�� Related Permit 4: 2�(O ,,IIIII Phone: 503.71$Z439 Fax: 503.59$I96eD''� TI{,�/'►RD I)atcrTiv 5��1.1•(� `r T'1 C 11 R D Inspection Line' 503.639 4175 Ready 13atc1Ay lurk: li>1 See Page 2 for Internet: www.tigard-orgov BUILDING DNISIO1\—r'°t'a`d'""'"'`3d Supplemental Information TYPE OF WORK PLAN REVIEW New construction ❑Addition alteration/replacement Please check all that apply(submit;sets of plans whims checked) 0 Demolition ID Other: 0 Suvice or feeder 400 amps of more ❑Building over three stones where the available fault current ❑Mariam and boatyard:, CATEGORY OF CONSTRi:CTION exceeds 10,000 amps at 150 volts or ❑floating buildings ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building k° aaad,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations buildings j 0 Multi-family ❑Master builder 0 Other. ❑Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND FIXATION ❑Emerge ncy system larger separately derived Job#: Job site address: 16697 SW Darwin 0 Addition of new motor lixui of system. Loop 100I1F or more. ❑"A"."�_"1-Z","'1-3", City/State/ZIP.: Tigard,OR 9714U Elsix ar more residential units mammal. 'i ❑Health-cart facilities. ❑Recreational vehicle parks. Suite/bldgJapt.#: Project name: Polygon at Roshak Ridge ❑tl zaraous locations 0 Supply voltage for mine than i0 Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: _ FEE SCHEDULE Description I ut7. I raeh i 'total I a, New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 231 includes attached garage. Tax map/parcel#: 1,000 Nilfl.or less 168 54 4 Fa add'!500 sy it or portion 33 92 1 _ DESCRIPTION OF WORK Limited energy,r-ideriti:tl New construction-Type SFLJ (with above sq.ft.) 75.00 2 _. Limited c.ttcrgy,multi-family residential(with above sq.ft.) 75A0 2 O® PROPRenewable Energy 0 Sre PoPROPERTY' OWNER 0 NAh"I' Services or feeders installation,alteration,and/or relocation Name_ Polygon Homes WLH LLC 200 amps or Less 100.70 2 Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2 - 401 amps to 600 amps 200 34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301 04 z Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: OAiamiAbouhafs@taylormorrison.com-PermitSubmittal ay lormorrison.com Temporary services or feeders 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 I intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. 201 amps to 400 amps 125 08 Owner signature: Date: 401 amps to 599 amps 168 54 2 ❑ APPLICANT ___I 0 CONTACT PERSON Branch circuits-new,alteration,or extension, 'Cr panel A Fee for branch circuits with Business name: Polygon Homes WI.H LLC above seance or feeder foe, each branch circuit 7 42 - Contact name: Omar Alami Aboiihsfs 11 Fee for branch Circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.1 s 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone: 360 946 8674 ' Miscellaneous(service or feeder not included) ( ) fax::( ) Each manufactured or modular 67 84 2 Email:OAlamiAbouhafs ataylormotrison.corn-PetmitSubmittals(r taylormomson.com dwelling,service aand/or feeder Reconnectt tmly 67114 2 C O V7 R'i.0 (){ Pump or irn f,ation circle 67 84 _ 2 Business name: Wallace Electric Sign or outline lighting 67 84 2 Address: 105 Dresden St SrFiei circutt(s)or limited-energy See Page 2 2 panel,alteration,or extension. CitylStatetZEP: Astoria OR 97103 Each additional inspection over allowable in any of the above Additional inspection(1 hr mat) 66 2S/lir Phone:(5(13 3)8 0563 Fax:( ) investigation(1 hr min) 90.0 0/hr Email: David@vvallaccwires.com wires.C(lm ' Industrial plant(l hr min) 78 18/hr Inspections for which no lee is CCiI Lie.;224868 Electrical Li'' C 14410 Su I; .: 6363S specifically listed(IS hr min) 90.00!hr Suprv.Electrician signature.required: ELECTRICAL. PERMIT FEES Subtotal Print name:DA fp Date: 114 J . 0 Plan Review Required(25%of permit fee): f r State (12% surchargeof g permit fee) Authorized signature TOTAL PERMIT fl:C: This _- - - pertalt application expires if a permit is not obtained within[81, Print name: , Date: days after it has been accepted as complete. M- -'t + Plumber of inspsvtions allowed per permit 1.tEiuldingTerntiis'4Lc_Pertnttgpp_EL8 ERE.dcc Rev Nil 7l2O15 4'�9615.011/05'COMI Ell 'i • - Plumbing Permit Applicat cEivE Building Fixtures FOR OFFICE USE ONLY City of Tigard 1106 1 . 2'! Received 0 /1 1 Li pr . Penni(No.: INS'�'jo1j-( l 't 13125 SW Hall Blvd.,Tigard,OR 97223 Date _„w,� l _ Plan Review V��111 Phone: 503.718.2439 Fax: 503.590p�OF TIGARD Date/By: Other Permit No.: � ��14p TI G ARD Inspection Line: Sa03.6394175 BUILDING DIVISION Date Ready By: Ruts- EdSee Page 2 for Internet: www.tig rd-or.g ov Notified/Method: _Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information 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(1)bath 312.70 ,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 500.32 4I-Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: i Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: - W7ob site address: 16697 SW Darwin Loop Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18 76 - . - I Footing dram(no.linear ft.: ) Page 2 Suite,/bldg./apt.no.: Project name:name:414peakeplikilitigePolygon 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.: 231 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 Units Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank I2.51 Name:Polygon WLH,LLC Fixturc'sewer cap 25.02 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value: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 _______ CONTRACTOR Water closet 25.02 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-I417 Fax:(971)727-8170 Minimum permit fee: 572.50 CCB Lie.:184372 Plumbing Lic.no.:pb634 - Plan review (25%of permit fee) f} State surcharge(12%of pennit fee) Authorized signature: >� _ 4.6. ``. TOTAL PERMIT FEE 1 Print name:Steve Fowler Date: 1 0/30/20 This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1'.Buiidine`:PamitsiPIATU-PemritAppdoe 10/014)9 440-46167(It1/021COM+WEB) 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT : I T 1 G A RIB Building Permit Review — Residential Building Permit #: {\ 'L,01,\-OD Vita Site Address: 16697 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 231 Planning Review Proposal: New House Verify address/suite#active in Accela. ® In River Terrace: ❑ No ija Yes, River Terrace Review Addendum See comment below Site Plan Elements: $]Erosion Control El 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1 Retained trees with drip line and tree protection measures ®Drawn to scale (standard architect or engineer scale) ®Footprint of new structure(including decks)and PPE ®North arrow ®Utility locations&easements(required for new and additions) TJSite address,project or subdivision name and lot number K]Sidewalk/driveway approach ®Applicant information(name and phone number) Location of wells/septic systems ®Lot dimensions and building setback dimensions K]Street tree size,type and location ]@Square footage of buildings to be demolished $]Street names 0Existing structures on site ®Corner elevations(2'contours if more than 4'differential) ®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ )As ❑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 ® No Received: ❑ Yes ❑ No K] 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 ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified 56 No Applied For: ❑ Yes ❑ No,stop intake K] Land Use Case#: SUB2015-00004 K] Zoning: R-7 K] Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20 X❑ Building Height Max.Height: na Actual Height: 28 J Landscape Area: 20 % ❑x Lot Coverage Max: 80 0/0 Entrance 111 Set back no more than 8'from street-facing wall K] Parallel to street or offset 45 degrees or less Windows 1 Minimum 12%of area of all street-facing facades F: 17%/R: 21% Garage l*] Garage door is behind widest street-facing wall ® Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. © Garage door width is ❑ 12'or less K 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: I7 Conditions met prior to issuance of building permit Notes: MMD2020-00044 modification states houses only need to meet 18.290 standards. IS Approved By Planning: t/ - Date: °' '1.1 to V Revisions (after Building Submittal onl Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BI dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 8/1 I2 i Site Plans: # $ Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: LJ Planning /D Engineering ermit Coordinator 2-Building F Workflow Sign-off: ,I ign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: _ By Permit Technician: �,;.,�, ___._ ___ Date: 7 /2 3/2( En ineering Review Lre Slope at building pad: a & Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Le/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes LJ No Assess Water Quantity Fee in-lieu: ❑ Yes [No LIDA Facility on lot ❑ Yes L/No ll4inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 1./Approved by Engineering: 7 ..� Date: _� _ � 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: X SDC Exemption: ❑ Received 4 Does not apply AD SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A S D6Ce m /`-' Tigard Trans SDC: Yes ❑ N/A Qe � Parks SDC: �J Yes ❑ N/A LIDA ❑ Yes ,ZI N/A OK to Issue Permit Approved by Permit Coordinator: Date: 1O\5 l?pl.I I:\Building\Forms\BldgPermitRvw_RES_122419.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: 16697 SW DARWIN LOOP Nameet c Land Use Case or Polygon at Roshak Ridge Building Permit#: MST2021-00416 Tax Lot Total Parks 2S107AA23100 $8,017.00 #: Lot 231 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: 00 44-/Ma z.'4eali/Gra,,h Date: 10/05/21 Developer: Ohtati gami eauhzzid, Date: 10/05/21 Permit Coordinator: Date: 10/4/2021