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Permit (180)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT $111 ■ JUL 15 2019 Request for Permit Action CITY OF T IGAR[J TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.ti�al�l(d#.ill DIVISION TO:--- CITY OF TIGARD V 0 1 4 -- Building Division 7/214)/19 : %v 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) R tAA(AC \)3 Li-C....... Mailing Address: ---A ( ` SA-. Jam-• `!3�� City/State/Zip: \JOA-r\c-cLA`"-g-- , �'`� C\%UC Phone No.: 3UZ' k.9-Ci ' PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): 4 CANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: •�.\C'1'O < (mak-1•Jkt 1 -(30' D3 Site Address or Parcel#: �` � -} (- )1,-.- c - . LsGQ.�' c - Project Name: O\ -j0sO'6\ Subdivision Name: ®Sk c)&-..�k(k)j-� Lot #: l�- , EXPLANATION: 3-(SANvk WCC kSSt,' L ' C'S\ '. v1k . -t t)\ ctGx� \o �d o, Noi � '?\c\ c<* 2 -‘©''D vs- cs, Signature: .._....qA...,1/4....k....._ Date: 1e \Gi Print Name: .k`- 11 rasi.s Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY R(.„, oute to Sys Admin: Date l-b \I By g�'r Route to Records: Date 7 19 By 1-..' Refund Processed: Date ` g By Invoice Processed: Date By Permit Canceled: Date 7/, f,7 By ". : el Tag Added: Date By I:\Building\Forms\RegPemutAction_1/20518. oc f-----&----ES 7V 4e-- r-724-iv 4 Z 7 ) n/-Z'i /46-71-44-1/7-04144- Dianna Howse From: Steph Toles Sent: Wednesday,July 17, 2019 11:57 AM To: Tonja Morris Cc: PermitSubmittals;#Building Permit Technicians;Allyson Armstrong Subject: RE: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. Hi Tonja, Your entire submittal under MST2019-00064 will be voided. We will require (3)full sets of plans for the new submittal along with the completed applications. Thank you, Steph From:Tonja Morris [mailto:Tonja.Morris@polygonhomes.com] Sent: Wednesday,July 17, 2019 11:48 AM To: Steph Toles<stephaniet@tigard-or.gov> Cc: PermitSubmittals<PermitSubmittals@polygonhomes.com>; #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov>;Allyson Armstrong<AllysonA@tigard-or.gov> Subject: RE: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. Caution! This message was sent from outside your organization. Allow sender I Block sender I am getting this new submittal ready&just have a question to make sure we get this through with the least amount of complications. I have a revised Al page, showing the insulation calcs. Will the rest of the plan set I submitted be used, or do I have to print out 3 more full sets? Tonja Morris Permit Specialist Ton ia.MorrisePolvgonhomes.com Mobile 971-409-5931 Fax 360-693-4442 www.polvcionhomes.com POLYGON OR NOR ,fit From:Steph Toles<stephaniet@tigard-or.gov> Sent: Monday,July 15, 2019 2:31 PM To:Tonja Morris<Tonia.Morris@polygonhomes.com> Cc: PermitSubmittals<PermitSubmittals@polygonhomes.com>; #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov>; Allyson Armstrong<AllysonA@tigard-or.gov> Subject: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. 1 Good afternoon Tonja, I know our Plans Examiner,Allyson, has already reached out to you regarding Polygon at Roshak Ridge, Lot 128, but I wanted to follow-up with you. Since the entire plan set has changed for this lot,you will need to bring us a new submittal,to include new applications. Because permits MST2019-00064&SWR2019-00055 have already been paid for and issued, I have submitted a Request for Permit Action to void these permits and refund some of the fees. Please allow 3-4 weeks for us to issue a refund. Thank you and please let me know if you have any questions. Best, Steph Toles Permit Technician Assistant City of Tigard Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2452 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 i al City ofTigard , , III COMMUNITY DEVELOPMENT DEPARTMENT ‘.t I n r, ,: ' ' TIGARD Building Permit Review — Residential Building Permit #: mS�T' AQ— gU Site Address: t(gg-T SY LiL,;u ii;41- (O. Project Name: Vat? Pk 41- kAkaL 1W-i e Lot #: I to (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review "-?.t.AsIcy s —Mat 1la'. .cvAS-A t T 5 Proposal: Jw S . 'Lm..k- ErcN S x Eit/ erify site address/suite#exists and active in permitstem. `U' River Terrace Neighborhood: EJ No [ Yes,See River Terrace Review Addendum Attached Plan Elements: raa;),‘ Cn ►'� l: P 1 ee(3)copies of site plan M. •:sting structures on site i e plan must be on 8-1/2"x 11"or 11 x 17"paper L •ootprint of new structure(including decks)with finished l► ,wn to scale(standard architect or engineer scale) i•or elevations 7 •rth arrow i 'ty locations&easements(required for new and additions) r ' e address,project or subdivision name and lot number :'Sidewalk/driveway approach �L +plicant information(name and phone number) i +cation of wells/septic systems 11 +t dimensions and building setback dimensions ` v Existing trees to be retained with drip line,and tree I i►1 +uare footage of buildings to be demolished otection measures I! +t area,building coverage area,percentage of coverage and ,Street tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names VildiProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? des ❑No 4root differential) If yes,is a storm water quality facility shown? ❑ No Lirt Clean Water Services—Service Provider Lett54of platted prior to 9/10/1995): 14 nr4 LAU equired: 0 Yes,applicant was notified LEf No Received: 0 Yes 0 No �� taut Public FacilitixImprovement (PH)Permit: `� quired: (g Yes,applicant wasnotified ❑ No7 Applied Fors 0 No,stop intake 2 d Use Case#: gW,c`V0�L A oning. k`tZ Required Setbacks: Front VI Z_ Rear I 0 Side 3 Street Side till-- Garage L v IV andscape Requirement: —:i'sti— 06: wt Coverage Maximum: ilding Height: Maximum Height 3S Actual Height 21) 6,tsual Clearance f I /- rC ii ensitive Lands: Lit Yes ❑ No Type V lern�ir► 6Ea� J �'V�ivh 't,'t 1 Urban Forestry Plan Conditions+ "Met"prior to issuance ofibuildin j permit Notes: �41 ,1 iv k 4 Q"zu'' h 1,,‘t irj p"3- i1,i.ix'Ct. Approved By Planning: 61121dk. Date: 2.--tb -1q Revisions (after l39ilding Submittal only) Re ' Date Revision 1: Approved ❑ Not Approved -LL0 -iii Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPerntitRvw_RES 0101 1 8.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing. ❑ Planning 0 Engineering 0 Permit Coordinator ❑ Building Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: 0 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: Engineering Review Slope at building pad: JVD 7-i N Cil-b C) fAD -F Z-- i<i4ivL__ ❑ Conditions"Met"prior to issuance of building permit ,B' Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes -r No Assess Water Quantity Fee in-lieu: 0 Yes la No . LIDA Facility on lot ❑ Yes P-No 'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: W19'17- -- 6'1N az-vt-xl 5' ?( '0-N t PC't ` ) It1-u ]— Ja Approved by Engineering: jL Date: 2 te5im Revisions (after Buing Submittal only) Reviewer Date Revision 1: LI Approved ❑ Not Approved j,ady 6 7i' / Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ C /� ditions"Met"prior to issuance of building permit Approved,NOT Released: J fT ate: 212 8?)f Notes: Revisions (after uilding Submittal only) Revision nce 1: Date Sent to Applicant. Revisi Notice 2: Date Sent to Applicant Re 'cion Notice 3: Date Sent to Applicant SDC Fees Entered: Wash Co Trans Dev Tax: Imo' Yes 0 N/A I Tigard Trans SDC: [}/ s 0 N/a Parks SDC: Nif Yes ❑ ',/A LIDA ❑ Yes PI N/A ,lJ� /f i/; OK to Issue Permit �e 7" Approved by Permit Coordinator: 4iQ : ''VJ/6 f/q I:\Building\'orms\BldgPeimitRvw RES_010118.docx City of Tigard II II City DEVE,T OPMENT DEPARTMENT T I G A R p River Terrace Building Permit Review Addendum Building Permit #: (X\ -r*-. 13q- ( Ct Site Address: Sv ' S+. Project Name: 19;)7-5;ti at ILaL. ►2i iti, Lot #: 12/ (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? 0 Yes 0 No 1.Articulation: a minimum of 1 element per each street-facing façade 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 ❑ ❑ ❑ ❑ 11/ 2.Eyes on the street: a minimunit of 12%of each street facing facade must indude windows or entrance doors. Percentage Shown: I6 ! 3.Eptrances:At least one entrance must meet both of the foliog standards: L[d Max. 8 ft.setback from longe t street-facin wall '� Parallel to street,angle no more than 45° from street, g or open onto porch Entrance opens to a porch: Yes 0 No / If s,all the following apply. 4 sq.ft. min. Kr ne street facing entry !EJ 1;ft.max. roof above floor of porch Lid 5 ft. depth min. L]Y30%min.porch roof coverage 4.yetailed Design:All buildings shall include a min. of five of_ke following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft.deep VRecessed entry area min.5 ft.wide x 2 ft. deep ll offset min. 16 inches 0 Dormer min.4 ft.wide [} Roof eave min. 12 inch projection 0 °of offset min.of 2 ft. O Roof shingles either tile or wood r.-able,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. [Id Horizontal Iap siding min. 3-7 inches wide Accent siding min. 40%of street façade 0 Window trim min.2'/s"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 ❑ 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. 0 Yes ZNo. If No (Check one): 2ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay 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) 0152-foot-wide garage door 0 40%max. of street façade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: SLWAA& Date: 2.-1.6`)'( I:\Building\Fomu\BldgPamitRvw_RES RT_121417.docx V 0 I 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 Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 7-1711 TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECHVFD JUL 02.2019 FROM: 1 1\Oi2.R.tg Cl F Y ut td ARD COMPANY: � QS f3111�� ! DIVISION PHONE: j�0 5"1100 By: RE: I VW,1 S UJ S kAhsiA't vv2 C oc k ffiS-'20 lq- 00O 1 g 4 (Site Address) Vii;1) Number) CL OSiii4V-qkb&- LOT Q) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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: -VSSGtr( �k U J . NAA- C'1 FttLL R/370 �ET 11-t4L1i it-t1 FO USE ONLY Routed to Perml echnician: Date: / 1TFICE I Initials: MI— Fees Due: es ❑No Fee Des .p : Amount Due: l $ 2 �►-r\ ri / $ 45 $ $ Special Instructions: Reprint Permit(per PE): Yes ❑ No ❑ Done Applicant Notified: Date: Initials: i:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2019-00055 13125 SW Hall Blvd.,Ti Date Issued: 04/16/2019 if(;a1 li.Ls and OR 97223 503.718.2439 9 Parcel: 2S107AA12800 Jurisdiction: Tigard Site address: 16887 SW SUNSHINE COAST ST Project: Polygon at Roshak Ridge,Lot 128 Subdivision: ROSHAK RIDGE Lot: 128 Project Description: Sewer connection for new SF. Contractor: Owner: POLYGON WLH LLC 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 04/16/2019 $5,650.00 Sewer Inspection-Residential 04/16/2019 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,685.00 Required Items and Reports(Conditions) 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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 '987 or 1.800.332.2344. Issued By: %` j Permittee Signature: 4 ''/V ,a4„/e,1 j/Ce/N1" 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.