Permit CITY OF TIGARD MASTER PERMIT
.' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00465
T F(1ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 19 2020 12:00AM
Parcel: 2S107AA07300
Jurisdiction: Tigard
Site address: 14329 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 73
Project: Polygon at Roshak Ridge, Lot 73
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 562 sf Garage: 430 sf Front: 8 Smoke
Dwelling Units: 1 Third: 562 sf Right: 0
Detectors: Yes
Total: 1221 sf Value: $166,000.00 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: V Vent Fans: 4 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'I 500 sf: 2 201-400 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
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SEA VB R-3 1221
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required Prior To
Pour
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $24,550.31
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 952-00 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 •�CQe— ms Permittee Signature:
tic/ �f��Zi G9�'7vA✓
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.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
_ Received L 2Oyp
Cityof Tigard L �Q ( / Permit'MAST r
111 • 131SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review / O �7
Phone: 503.718.2439 Fax: 503.598.1960 Date/BY' I <P/TOW /* C)ther Jg tq�p3 '
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: funs: I{® See Page 2 fori
TIGARD Internet: wtivw.tigard-or.gov BUILDING DIVISION
Notified/Method: �l7/'�E! �� Supplemental Information
/Pt/4"- 77N:3
TIDE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction7 . ❑Demolition Permit fees are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling IDCommercial/industrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms: 1 �5, I a pi y 5
ElMaster builder ❑Other: Number of bathrooms: 2 L� I 1
JOB
SITE� INFORMATION ANTI LOCATION Total number of floors:3 I l S l>�
Job site address: I`1 ,V� (-)A...) W q �� New dwelling area: I square feet 5 VZ
City/State/ZIP:Tigard,OR 97224 Garage/carport area: ` square feet Z.
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet at"1
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
vet Subdivision:Polygon at Roshak Ridge Lot no.: ''3 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New S1 Valuation: $
Existing building area: square feet
IZ El
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon WLH LLC Type of construction:
Lli
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
R Phone:(360)695-7700 Fax:(360)693-4442 New:
V El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon Will LLC {Please refer fa fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax: :(360)693-4442 Amount received:
E-mail:permitsubmittals@pohgonhomes.coro PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:William Lyon Homes,Inc. 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: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda yin Date: ai d-0 el `Fee methodology set by Tri-County Building Industry
Service Board.
I.1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati(R ECEIV ED FOR OFFICE USE ONLY
City of Tigard fl v Received
�y Date/By: Permit Nola`,T7w/��� L1/_�
m 13125 SW Hall Blvd.,Tigard,OR 97223 Alt_ 48 2020 11 t Yv /sF
• Plan Review
jili
- Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
xl,.irsl_17 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Luis: ® See Page 2for Internet www.figard-or.gov BUILDING DIVISION Nol eed/Method: Supplemental Information
WORK
- - - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
TYPE OF
Mechanical permit fees*axe 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
Value:I
CATEGORY OF CONSTRUCTION RESIDENTIAT.EQUIPM NI/SYSTEMS FEES•
IS 1-and 2-family dwelling ❑ CommerciaUidustrial ❑Accessory building Far special information tse checklist
I j Multi-family ❑Master builder ❑ Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
. - Air conditioning I 46.75
Job site address: 14329 SW 169th Ave Furnace 100,000 BM(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,0001 BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name: Roshak Ridge Ductwork 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
Other. 23.32
Subdivision: Roshak Ridge Lot no.: 73
- Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK
Gas fveplace/msert 33.39
- Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 23.32
® PROPERTY OWNER TENANT Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
. 514.15 for first four,$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St Ste 510 Gas heat pump
W all/suspendedhmnit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittalsCtaylOrm0rflSOfl.coffl
Barbecue
440( .- CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ��'" �' ' Fee methodology set by Tri-County Building Industry Service Board
Pnnt name:Elia Duran Date: 7/27/20
Electrical Permit Application EC E�VE , ,,' i , ' ' �'li gF uSyE o`n�.t -'= ` o
i 4` City of Tigard ,IUIL- 2 8 2020 xuaived Permit MST . (2.5
i a v 13125 SW Ball Blvd.,Tigard,OR 97223 Plan Renew 70/ t~O �`
i F-j. Phone: 503.7182439 Fax 503.598.196�,ITY OF TIGARD lhteisy: Related Permit ll:
kTI='.-= ' inspection Line: 503.639.4175 BUILDING DIVISION ReadyDatc/By: huie I Et SeePage2for
• . r Internet www.tigard-or.gov 14oti9edadethod; Supplemental Information
TYPE OF:WORK ,.';:},. .p . .- e^.. : .
®New construction 0 Addition/alteration/replacement Please cheer all that apply(submitI sets ofplans w/items clucked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
%'''O -G " 'CATEGORY.OF:CONSTRDCTION,: ': - '• j..., -.-. . • exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agrieulnn,I
amps for all other installations. Installation
ergs..
❑Multi-family ❑Master builder
❑Other ❑Pin pump. ❑ nsallation of 150 KVA or
:'_ear ..' .JOB Sll'i. F01I..gial iii.A.ND TOCATION i- :" 0 Emergency m. la
rger separately derived
Job# Job site address: ❑Additionofoewmotorloadof system.
14329 SW 169th Ave 100li'or MOIL.
❑•A� .E„"1-2""i-3"
City/State/ZIP:Tigard,OR 97224 0 Six or room residential units. occupancy.
❑Beait scare acuities. 11lteeroational vehicle parks.
Suite/bldgJapt#: _ Project name:Polygon At Roshak Ridge 0 Hazardous locations. ❑supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nomonsL
Cross street/directions to job site: •FEE SC137i:IHILR :, .. .
Description • I Qt. 1 lith j Total 1
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 73 Includes attached garage.
1,000 II or 168.54 4
Tax map/parcel#: _
Ea,addl 500 sq.it or portion 33.92 1
• - DFSO12tPTION OF-WORM' Limited energy,residential
(with above sq.ft) 75.00 2
Limited mergy,multi-fanvdy—
75.00 2
residential(with above sq.it)
Z.PROFERTI,ONVNkft<.-..:... . . . . 0 TEi�ANT. ' . • Renewable Energy ❑.SeePage2
Services or feeders installation,alteration,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or less 100.70 2
Address:703 Broadway St Suite 510 201 amps to 400 amps 133.56 2
401 amps City/Stare/ZIP:Vancouver,WA 98660 to 600 . 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 55226 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 1
intended for sal;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 16834 2
'•.®-APPLICANT ❑ CONTACT FERSON Branch circuits-new,alteration,or extension,per panel
A Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name: Tonja Morris B.Fee for branch circuits without
Address:703 Broadway St Suite 510 service or feeder{Ee'first
56.18 2
branch circuit
City/Stat Z ':Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 I Fax: :(360)693-4442 Each manufactured or modular
Fmdil:permitsubmittals(taylormorrison.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump orirrigation circle 67.84 2_
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal circuit(s)or limited energy
panel,alteration,or extension. 0 See Page 2 2
City/Stet/ IP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(I br min) 6625/hr
Phone:(503)319-2192 Pax( ) Investigation(1 br min) 90.00/br
Finail:solarpdx@me.com Industrial plant(!br min) 78.18/u
Inspectiors for which no fee is 90.00/]rr
t CB Lie.: 199188 Electrical Lie.: c923 Suprv.Lic.: 4874 specifically listed(14 hr min)
. ' Ri F.CTRICAL'PERMTf FEES
Suprv.Electrician signature,required:
Subtotal
Print name: Kilt Rood Date: 7/27/20 0 Plan Review Required(25%ofpermit fee):
State surcharge(12%of petit fee)
Alrthoriredsignett>re: tJi� TOTALPERMl1'N :
fit;"' — _ --1 Thts D¢mk annacaHme amuse rf'...s....:e:.—..s......�../_ate:_.en
Plumbing Permit Application
•
Building Fixtures RECEIVE' FOR OFFlt'i: I SF O\l l
City of Tigard Received
Permit No.:ptc.T /` , ff _ ,
• 13125 SW Hall Blvd.,Tigard,OR 97223 8 Date.ity: ZQ f jJ
Phone: 503.718.2439 Fax: 503.598.1960 '��! ZOZO Plan Review Other Permit No.:
Date/By:
1 iGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: rani: ® See Page 2 for
Internet: www.tigard-or.gov IONiNotified/Method: Supplemental Information
r iILDINGDIVIS
TYPE OF WORK FEE* SCHEDULE
Cil New construction 0 Demolition For special information use checklist.
Description I Qty. 1 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
buildingSFR(3)bath 500.32
❑Accessory 0 Multi-family
Each additional bath kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14329 SW 169th Ave Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: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: I Lot no.: 73 Fixture or item:
1
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon Homes WLH LLC Fixture/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:( 360 693-4442 Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon Homes WLH LLC Medical gas(value:$_) 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
Urinal 25.02
E-mail: permitsubmittals@taylormorrison.com Water closet 25.02
Wolcott CONTRACTOR
Water heater 37.52
Business name:Walcott Plumbing Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale, OR 97060 Subtotal
Phone:(503-667-1781 Fax:( 503a67-9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: r A� - TOTAL PERMIT FEE
Print name: Cliff Bowman Date: 7/28/20 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.
liBuildisePermits\PLMU-PermitApp.doc 10/01/09 440-4616T(l 0/0L'COM/WEB)
City of Tigard
' II I I
COMMUNITY DEVELOPMENT DEPARTMENT
1..4
T►c A x D Building Permit Review — Residential
Building Permit #: 4ST2�jR-fib�(p
Site Address: ,/� �g �( ) �C�i�5�t /lV�
Project Name: ��� �� �' �� Lot #:
(New.� g=subdivision name;Addition or Alteration=4fst/hame of owner)
Planning Review 1///�3����� ��
Pr. .osa1: ) s2 /� iltr �c'r'/ d GcrV6Xi-' !°cjlZ "jf
p Verify address/suite#active in Accela. 1(J In River Terr. e: 0 No Yes, River Terrace Review Addendum
Site„ePlan Elements: '4 Er.sion Control
um ri 3,,copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11' :• twined trees with drip line and tree protection measures
Iprawn to scale(standard architect or engineer scale) J Ffeotprint of new structure(including decks)and FFE
rth arrow U:.'ty locations&easements(required for new and additions)
S, address,project or subdivision name and lot number Si ewalk/driveway approach
.licant information(name and phone number) rl`i- ation of wells/septic systems
dimensions and building setback dimensions eet tree size,type and location
11 :re footage of buildings to be demolished 1LQeet names
it a 'sting structures on site Corner elevations(2'contours if more than 4'diffe tial)
vA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac�? es ❑N45
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown Yes No
•7‘ lean Water Services—Service Provider Lette of platted prior to 9/10/1995):
I�Pequired: ❑ Yes,applicant was notified ►� No Received: ❑ Yes 0 No
ublic Faciliti Improvement(PFI)Permit:
quell: Yes,applicant was notified ❑ No Applied For: Yes 0 No,stop intake
L and Use Case#: c�(1d�:1 fll�/Og oning. �/7 bY)
IQ )
„Required Setbacks: Front: 0 Rear: Side: 0 Street Side: 10 Garage:
ding Height: Max. Height: �' Actual H
Landscape Area: 0 % iP Lot Coverage Max: %
Entrance IS - back no more than 8'from street-facing wall 0 Parallel to str- .r offset 45 degrees or less
Windows 0 Minim °u of area of all street-facing facades
Garage 0 Garage door is b m : ,'dest street-faring wall S"Yli CI es 0 No,one of the following is met:
❑ Door extends no more ..: • 5'from wall a . . ere is a covered porch extending beyond garage.
O Door extends no more than 5'fro and there is a 12 sq ft.window above garage on 2°d floor.
0 Garage door width is 0 1 ' : ess 0 50°° . - s of facade 0 60%or less and includes 7 of following:
❑ Covered port. I Recessed entrance 0 Wall o -- 0 1'Roof eave 0 Roof offset
❑ Fire -•:. g es 0 Lap Siding 0 Roof pitch ❑ Ga. -, - . or gambrel roof 0 Dormer
i Accent siding Window trim 0 Window recess 0 Win.. • . ojection ❑ Balcony
Vi ual Clearance Urban Forestry P�'
I1tti'.ensitive Lands: 0 Yes LAY No Type:
F Conditions met prior to issuance of building permit
Not
Approved By Planning: —' Date:
Revisions (after�ing Submittal only) Reviewer Date
Revision 1: Approved 0 Not Approved iE: r,JL �� -1�'
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\BldgPermitRvw_RES_022819.docx
K
Building Permit Submittal
Original Submittal Date: ‘02-26-'20/4)
Site Plans: # 3
Building Plans: # '.3
Building Permit#: Er Enter building permit# above.
Workflow Routing. 2-Planning 111-Engineering Er Permit Coordinator 11-Building
Workflow Sign-off: R Sign-off for Planning(include notes from planning review)
Route Application Documents: 5 Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Lit Building: original permit application,site plans,building plans,engineer and
beam calcula ns and trust details,if applicable,etc.
Notes:
ir
By Permit Technician: �//� ; Date: /Z/2(v/l g
En�eering Review
Ild'Slope at building pad: 264
❑ Conditions"Met"prior to issuance of building permit �7/g
�,/Easements (encroachments)per engineering conditions of approval and plat
I!G Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ,�/No
Assess Water Quantity Fee in-lieu: 0 Yes L' No
LIDA Facility on lot: ❑ Yes I-No
IJ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
-
LHte Approved by Engineering: ' Date: /
Revisions (after Building Submittal only) er� er Date
Revision 1: (TApproved 0 Not Approved / 2e/Zd
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
O 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:
Revision Notice 3: Date Sent to Applicant:
14,41DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: �es 0 N/A
Parks SDC: Q'Yes ❑ IJ/A
LIDA ❑ Yes N/A
Iss;:: otor:
y• j± :by 7(9
/�2%�ate: /1"/.242
I:\Building\Forms\BldgPennitRvw_RES_022819.docx
City of Tigard
1111II
COMMUNITY DEVELOPMENT DEPARTMENT
AMR River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: , a� /�9/ j ��
Project Name: Po n . s L. 4d- ' Lot #: 7
(New dw� subdivision name;Addition or Alteration=last
e of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? 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 . deep Gabled dormer
ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6f de
❑ 0 S6�E 0
2. Eyes on the street: a minimum of 12%of each street facie far1ade must include windowsdo or entrance doors.
Percentage Shown: 1 A)7"- )�eJp t ? ) /.D p/a
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: 1a Yes 0 No
If yCs,all the following apply sq.ft.min.
ne street facing entry ft.max.roof above floor of porch
/ 5 ft. depth min. aLl 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
❑ covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches ❑ ormer min.4"
ft wide
Roof eave min. 12 inch projection '� �oof offset min.of 2 ft
❑ Roof shingles either tile or wood '(ZJ Gable,hip or gambrel roof design 'T
❑ Roof pitch oriented south min. 500 sq. ft ❑ orizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade Window trim min. 2'/z"wide by 5/S"deep fiS
❑ Window recess min. 3 inches for all street facing ❑ 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 façade
s and Carports:May face the front or side Lo\ on a corner lot.
Setbacks:
No closer to front or side lot , longest street-facing wall. 0 Ye o. If No (Check one):
❑ May extend up to 5 ft. if there is a covere orchrage does not extend beyond the front porch.
❑ May extend up to 5 ft where the garage is p o-s 'ding and there is a window at the second story
above the garage that faces the street min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foo - " garage door 0 40%max. of street facade
max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: '—'.- ..---
I- Date:
\Buildmg\Forms'RtdgPelmitftvw_RES_R7_121417.docx --4 ______
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
li Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: fJ(�/,(,�a ro 0 106 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
I DNJ A JAN 13 2020
FROM:
`�DR Q`S CITY OF TIGARD
�tel� \ \ - BUILDING DIVISION
COMPANY: `JJ „�StlVw„•'A� C�G�
PHONE: 'Jyf' Pgl'to-"1 By:
giit -
if. N3
RE: 21 —iy35 1to9-n4 5720(9- 0o46LI
Site Address) �1 '7 3 (Permit Number)
C6t-!4,K i�,, 6 Lo-r s 1 - 14, C 1/
(Project name or subdivision name and lot number) t Lbl 0G 13 i.4'1
ATTACHED ARE THE FOLLOWING ITEMS: `IG S
Copies: Description: Copies: Description:
Additional set(s) of plans. 5 Revisions: --?1.04t-
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: (Z.G-\ASG FILaw,... ®6Gtc TO COUP ^}
FO O FICE USE ONLY
Routed to Permit Tec ' ian: Date: i ?.I UV Initials: AA-,
Fees Due: ❑Yes No Fee Desc ipti Amount Due:
1\. 0 0 ':( $ p
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:1Building\Forms1Tcansmitta(Letter-Revisions 061316.doc
Mst'20161-11305 1L432.9 Sw 1(cgt►- ,Ae
LEGEND:
ss SANITARY SEWER Pacific
RECEIVE, SD STORM DRAIN Community
—w WATER LINE Design
JAN 13 2020 12564 SW
1 Street
® MANHOLE Tigard,OR
CITY OF TIGARD ■ CATCH BASIN IT,503-941-9484
PLANNING/ENGINEERING DATE: 01/09/2020
STREET LIGHT REVISIONS
_ _ STRAW WATTLE PERIMETER NO. DATE DESCRIPTION
'- T L 1 �1--- = EROSION CONTROL sae n7 ra
�� �' - ` - - Io oI r o1
__ — 4— —9- — — — — _I— _ f r_"__. r `min -
_ � — - = a- — — ROWHOME MIN. SETBACK SUMMARY
I C
-/ PORCH SETBACK: 8' RECEIVED
°° / STORM BUILDING SETBACK: 12'
�r— SW GOLD COAST TERRACE SIDE SETBACK: 0' /3'
SS (PRIVATE ALLEY) LATERAL ss SS JAN 1 3 2020
SANITARY SIDE FACING STREET: CITY OF TIGARD
LASERA1 PUBLIC STREET: 8' BUILDING DIVISION
SD SDI wi 1�n�c>=- SD —5 SD —
3.0' M "^ I I M - ALLEY/PRIVATE STREET: 3'
P.U.E.— ® 2gp 5.0' •^ 279.8
279.9 GARAGE SETBACK:
E j_T � �'- �—Vic—G-9.OSI3 ��--- v- "��- 28o REAR SETBACKE STREET: 30,-5'
1 \
or.
GARAGE 1 /J
BUILDING: -I / 1
N
i
0 76 75 ', 74 K8B 1_-._ / �; � 281-
28281 _ _ — — _ LOT COVERAGE:
cn — -zs2- — — -}- — _. — _4., _s66sF;_ 7z- v POLYGON
L 283 - - - I h - -� — ,n N. L LOT AREA: 866 SF
•
ti 285- — — — _ FFE:290.1 — I — 282
zaa — — \ I — AT ROSHAK
3 - -I z828288 - - - - GFF:280.0 �; ! - ,I- l// BUILDING FOOTPRINT: 567 SF
3 - - - \ ` III • I i —\I p��'rizs3 RIDGE
s ._ • - 288 0 =_o PORCi ,4H II _1�• COVERED PORCH: 68 SF
a 287 14.5 — — 284 CANTILEVER LIVING SPACE: 10 SF
O
8 _l!I:. 286_ — .
:::io
0 SF SIDEWALK Nit
0 SF
..411111...._P.U.E.---- _ PLOT PLAN
�1cc
►1111fr TOTAL COVERAGE: 645 SF
o WATER PLANT (1) STREET TREE:
0.
�— �/ METER DUNE SNOW DOGWOOD / 74.5 %
a SS SS I SS CORNUS CONTROVERSA S IMPERVIOUS AREA: 748 SF
'6 SW 169TH AVENUE -
131
11
SD \I SD I In SD y I SD S
0
v
0
c
POLYGON NORTHWEST (360) 695-7700ED
0 C PROJECT NO.: 395-010
2S1 W7 "!TV OF TIGARD TYPE: CONSTRUCTION
o-
Z/r
Approved
p�p�` ed SCALE REVIEWED BY: CMH
LOT 73 (R-12, SMALL) I�, ®MY �A by Planning D
CASEFILE(S): POLYGON AT ROSHAK RIDGE Date: 1-13--161A i■■�
PDR2015 00002 14329 SW 169TH AVENUE litials. k 1 INCH=20FEET
z
PDR 2016-00002-00006