Permit II CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00146
Date Issued: 10/27/2020
T I C.A It h 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA09300
Jurisdiction: Tigard
Site address: 14394 SW GOLD COAST TER
Subdivision: ROSHAK RIDGE Lot: 93
Project: Polygon at Roshak Ridge-Lot 93
Project Description: New SFA
BUILDING
Floor Areas - Required Setbacks Reauired
Stories: 3 Bedrooms: 2 First: 56 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 562 sf Garage: 497 sf Front: 8 Smoke
Dwelling Units: 1 Third: 562 sf Right: 0
Detectors: Yes
Total: 1180 sf Value: $170,476.25 Rear: 5
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 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr. 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=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: 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 SFA VB R-3 1180
Owner: Contractor:
POLYGON WLH LLC POLYGON WLH,LLC 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: 360-693-4442
Total Fees: $25,301.49
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR ,952-001-0090Y,ou 1mayy obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \--\ b V` a^(.YKt/V a 1��. Permittee Signature: cam' Q� «1t " 'O `
Call 503. 9.4175 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
Lo93 •
Residential FOR OFFICE USE ONLY �/}]� �^
City of Tigard RECEIVED Dater. DSOs �� PermitNo.MST2020-60/ b
' 13125 SW Hall Blvd.,Tigard,OR 97223
• - rl
• 20_U Plan Rev ew ?/ % �7 AA� "-" ^-r "2O20 4
Phone: 503.718.2439 Fax: 503.598.1960 Ill
FEB 0 3 DatdBy: OWerP
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: S/A/,20 420 funs: I H See Paget for
Internet: www.tigard-or.gov Notified/Metho �l Supplemental Information
BUILDING DIVISION js�,*z_ 77,44779_
TYPE OF WORK • 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.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $ i"ICE Li 7G,
❑Accessory building 0 Multi-family Number of bedrooms: 2.
0 Master builder • 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 t .e''',
Job site address: 11f3all, Goa, cai..9-r `-r rO"�, New dwelling area: 't� square feet 5�2
City/State/ZIP:Tigard,OR 97224 T/� Garage/carport area: LiG,t square feet.56 Z,,,
Suite/bldg./apt no.: Project name:Roshak Ridge Covered porch area: square feet 5ui,
Cross street/directions to job site: Deck area: —7 2. square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: R3 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: k(•P 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.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
IM APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
Address:703 Broadway St.,Ste 510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax: :( ) Amount received:
E-mail:permitsnbmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Polygon 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.:204238 Total fee due upon application: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tn-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Rai""' '/j /t/) /
ECEIVED Da[eBy: Permit No.: N(Sr2 20 ,L
" 13125 SW Hall Blvd.,Tigard,OR 972 f+� r
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 rOther Permit:
y i s 4 e.C, Inspection Line: 503.639.4175 FEB G 2020 Date/By:
Date Ready/By: Jars: F1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF T;GARD
BUILDING .!VISION,
TYPE OF.WORK COMMERCIAL FEE*SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
', CATEGORY OF CONS kUCITON ', RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
12 1-and 2-family dwelling ❑Commercialindustrial ❑Accessory building For special information use checklist
Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
JOB SIFE INFORMATION AND LOCATION Heating/cooling:
r• Air conditioning 46.75
Job site address: ,(4 45‘J y G O® C3c4A-s-c I£iZ4 -_ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Roshak Ridge 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:Roshak Ridge Lot no.: q3 Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 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
® PROPERTY OWNER l ElTENANT Other 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 33.39
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
®APPLICANT'' 0 CONTACT PERSON` Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;$4.03 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 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals®polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating SrCooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
b days after it has been accepted as complete.
Authorized signature: (�CLW / a Fee methodologyset byTri-Co unty Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
1:laaildingTermits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
•
Electrical PermitApplicafi®nRECEIVE ,:_f FOROFF16 LIS'"o� = z -
Receivcd M S7"26Z0 -00-t -to.
> - City of Tigard Permit#:
Date/By:
't 13125 SW Hall Blvd,Tigard,OR 97223 FEB tl a ) Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 CITY OF TiGARD Ready Date/By: rods: El See Paget for
e Internet www.tigard-or.gov BUILDING DIVISION NotiBed/Methodi Supplemental Information
,.... • • TYPE op.WORK --i:;. . ''.. r>; -` . _ . . _ . . - .
.•_ -`PLAN;REVIEW ..
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
. , =.`°‘ ':.:'. _.. CAT;EGORY._OF:CONSTRUCTION, --;,._. .- . mopeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to gmmd or exceeds 14,000 0 Commerc al-use erg cultural
F
❑Multi-family El Master builder El Other: 0 Fire forall other installations. nstaings.
pump. 0 Installation of 150 KVA or
'14' JOB SITE:.INFORMATIOIVANB`LOCATION ." . ❑Emergencysystem. larger separately derived
Job#: I Job site address: 1y t,�' Cat, �A_ -ri f ❑100Addition moew motor load of system
1`t 5 L 4w.c� 1DOHP or more. ❑"A","E","I-2","1-3",
City/State/L1P:Tigard,OR 97224 ❑Six or more residential units. occupancy,
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldgiapt.#: _ I Project name:Polygon At Roshak Ridge 0 Hazardous locations. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: "FEE SCOKBOLE ,' .. .
Descrtptton I Qty. I Each 1 Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 9; Includes attached garage.
Tax map/parcel#: 1,000 sq.R.or less 168.54 4
Ea add'l500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK- Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
.. . . _ Renewable Energy 0 See Page 2
.® PROPERTh,-OWNER..-..... ..I. • . . . 0 TENANT.
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 to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 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 sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
- •:..0 APPLICANT .I - ❑ CONTACT PERSON 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,
each branch circuit 7.42 2
Contact name:Nichole Thorpe B.Fee for branch circuits without
Address:703 Broadway St Suite 510 braannchh irce orc fee,first uit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each addl branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com
Reconnect only 67.84 2
CONTRACTOR . Pump or irrigation 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 ❑ See Page 2 2
panel,alteration,or extension.
City/State:Portland OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(I br min) 66.25/hr
Phone:(503)319-2192 I Fax ( ) Investigation(1 hr min) 90.00/hr
Email:solarpdx@me.com •
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lie.: c923 Suprv.Lic.: 4871S specifically listed CA hr min)
- - ELECTRIC'AT PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit.fee):
Authorized signature. TOTAL PERMIT FEE:
- , This permit application expires if a permit is not obtained within 180
Print name: Kile Rood - Date: 03/08/2019 days after it has been accepted as complete.
- * Number of inspections allowed per permit.
Plumbing Permit Application
Building Fixtures RECEIVE I FOR OFFICE LSE ONLY
Cityof Tigard Received111 A ST2 �J� /
g Date/By: Permit No. J `02/ '00 f Llley
II 13125 SW Hall Blvd.,Tigard,OR 97223 FEE U 3 2020 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Date/By:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lures: H See Page 2 for
Internet: www.tigard-or.gov '!c''' Notifiedwtethod' Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. 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
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-family
SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
gp . Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: ki.Nykik Cl 'x (_l:-t .,o d _ Catch basin or area drain 18.76
i•"� Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldgJapt.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
G2 Water service(no.linear ft.: ) Page 2
Subdivision:Roshak Ridge Lot no.: -1 7 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
V t>y\ � �1 Clothes washer 25.02
11�•..7 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROP RTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon 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:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon 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
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Alliance Plumbing Water piping/DWV in WV 56.29
Address: 146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Robert Dishman Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I\Building'PemvhsTLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
a
C COMMUNITY DEVELOPMENT DEPARTMENT
T I G A RD Building Permit Review — Residential
c
Building Permit #: MSr2OW'OOL1-1-&i
Site Address: 5 S)/() cw6e ges �erace
Project Name: I1)d�f/�on <2_-/- /k, ,, -c Lot #:
Planning Review
Pro• s sal: /l1-eu) Q /
IU Verify address/suite# active in Accela. In River T-. .ce: ❑ No .lZYes, River Terrace RevieavAddendum
Sit: Ian Elements: J Erosion Control
opies of site plan on 8-1/2"x 11" or 11 x 17"paper IV -tamed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) ,L F otprint of new structure(including decks)and FFE
rth arrow 'ty locations&easements(required for new and additions)
„Site address,project or subdivision name and lot number fG Sidewalk/driveway approach
Oil. ..licant information(name and phone number) ,a1 !: ation of wells/septic systems
p dimensions and building setback dimensionsS't'i .,,teeet tree size,type and location
uare footage of buildings to be demolished O o Syrtet names
sting structures on site gtorner elevations (2'contours if more than 4'dif�fer tial)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Mes ❑N
impervious area(applicable if R-7,R-12,R-25&R-40) If ves,is a storm water .uali facili shown p ,„4 ■Yes o
w
t.t� Clean Water Services-Service Provider L,ett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
'Water Meter Fixture Unit Worksheet-Addis,Remodels and ADUs
Required: ❑ Yes,applicant was notified 1 No No �� Received: ❑ Yes ❑ No
hi' `SC Exemption for ADU applied for: ❑ Yes iG No Received: ❑ Yes ❑ No
Public Faciliti5Improvement(PH) Permit:
quired: V Yes,applicant was notified ❑ No Aplied For: VJ Yes ❑ No,stop intake
LL and Use Case#: 91/&2/�O�c Oo LIG j oning•. it
4J quired Setbacks: Front: Y/ Rear: � JJ Side: U Street Side: FJJ '" Garage: f�<
ding Height: Max.Height: i'v1/ }- Actual Hei ht:_ Sc.
Landscape Area: -26-) % ❑ Lot Coverage Max:
Entrance et back no more than 8'from street-facing wall ❑ Parallel to et or offset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is be ' iciest street-facing wall V Yes ❑ No,one of the following is met:
❑ Door extends no more ' from wall ere is a covered porch extending beyond garage.
❑ Door extends no more than 5' and there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ ' r less ❑ 50%o of facade ❑ 60%or less and includes 7 of following:
❑ Covered po Recessed entrance ❑ Wall o s ❑ 1'Roof cave ❑ Roof offset
❑ Fir gles ❑ Lap Siding ❑ Roof pitch ❑ Gable, ambrel roof ❑ Dormer
Accent siding Window trim 0 Window recess ❑ Window ' ction ❑ Balcony
►1, Visual Clearance Urban Forestryy
, it\f sitive Lands: El Yes R 1 No Type:
Conditions met prior to issuance of building permit
74: �—
Approved By Planning: — , Date: A -2 _
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 02-03-2020
Site Plans: # 3
Building Plans: # 3
Building Permit#: ,k:l Enter building permit#above.
Workflow Routing: Planning ® Engineering I Permit Coordinator A3 Building
Workflow Sign-off: 4 Sign-off for Planning(include notes from planning review)
Route Application Documents: 1 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 tru t details,if applicable,etc.
Notes:
By Permit Technician: Date: O5-06.2020
Engineering Review
[ Slope at building pad: .04t2:7,4
Conditions "Met"prior to issuance of building permit /OP"
C,/Easements (encroachments)per engineering conditions of approval and plat
I� Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,I No
Assess Water Quantity Fee in-lieu: 0 Yes [ NNo
LIDA Facility on lot: ❑ Yes L7 No
1 Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
'Approved by Engineering: Date: .��1Zd
Revisions(after Building Submittal on Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received V Does not apply
. SDC Fees Entered: Wash Co Trans Dev Tax: .Nr Yes 0 N/A
Tigard Trans SDC: .1 Yes ❑ N/A
Parks SDC: Z Yes ❑ N/A
LIDA El Yes ' N/A
,rle OK to Issue Permit A
Approved by Permit Coordinator: 1\ y , PL... Date: 5I1212o
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
City of Tigard
illCOMMUNITY DEVELOPMENT DEPARTMENT
River Terrace Building Permit Review Addendum
TIGARD
m, i-.... r 3.al _. _ _. �,, _ ..:'wee d
� m..�Li..'"'rs�'es�:im._��',�.txslt*ma.::�5'A:h+x.us;��:.:r� > ._„ ._.:�-,.:, 'A-
Building Permit #:
Site Address: /1/3°f / SV\j GO Cc sfi Ter.
Project Name: PD � ( R(S — g-td i Lot #: C.-?.5(New g=sub vision name;Addition or Alteration last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards?XYes No
1.1. Articulation: a minimum of 1 element per each street-facing facade 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.
Porch min Balcony w/ access 2 Window Projection Vertical Wall Offset a
. 5 . deep 0
ft. de min.2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
0
0
2. Eyes bn the street: a minimum of 12% f each street facing façade must include windows or entrance doors.
Percentage Shown: >,,2°�o
3. trances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longe street- facing wall ❑ Parallel to street,angle no more than 45° from street,
or o en onto porch
Entrance opens to a porch: Yes 0 No
If i�s,all the following apply: rZS sq.ft. min.
ne street facing entry ft.max.roof above floor of porch
Y. 5 ft. depth min. 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
yCovered porch min. 5 ft.wide x 5 ft. deep f" 0 Recessed entry area min.5 ft.wide x 2 ft. deep
❑ all offset min. 16 inches 0 Dormer min.4 ft.wide
Vii Roof eave min. 12 inch projectiott - ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood 0 =able,hip or gambrel roof design'
❑Xoof pitch oriented south min. 500 sq. ft. a porizontal lap siding min. 3-7 inches wideg-
02,
'6dAccent siding min.40%of street facade/ V indow trim min.2 1"wide by 5/8"deep
❑ ) mdow recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft.deep
Egi Balcony min. 5 ft.wide x 3 ft deep with inside access 0 Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corn r lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. Yes 0 No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May 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 a garage that faces the street with a min. area of 12 sq.ft.
Wi h: (Check one)
12-foot-wide garage door 0 40% max.of street facade
O 50%max. of street facade with 7 detailed design elements
Notes:
) /
Approved By Planning: 2,/ Date: 4 0 0 iD
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