Permit 71 CITY OF TIGARD MASTER PERMIT
= COMMUNITY DEVELOPMENT Permit#: MST2020-00147
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2020
T I G AR D Parcel: 2S107AA09400
Jurisdiction: Tigard
Site address: 14390 SW GOLD COAST TER
Subdivision: ROSHAK RIDGE Lot: 94
Project: Polygon at Roshak Ridge-Lot 94
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
Stones: 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 Tvpes 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
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 WI 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 952-001-0090.00e_ L+
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: �1S Jc r tV C Permittee Signature: On Q 1 c-c1�d�
Ca 1503.639.4175 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
LO9LJ
Residential RECEIVED R FOR OFFICE USE ONLY
City of Tigard eceived. OS 0 C 202 Permit No.: (1/ r2020-O01
• 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 3 2020 Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By: 2o Other Permit:aJR2020 -0 55
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/B . C rums. See Paget for
Internet: www.tiganl-ocgov BUILDING DIVISION Notified/Method J/ /� 400 Supplemental Information
79-i L 7v/✓m
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.
® 1-and 2-family dwelling ❑Commercia]industrial Valuation: $ 1, ' Li 7Lo
❑Accessory building 0 Multi-family Number of bedrooms: 'L
❑Master builder 0 Other: Number of bathrooms:
JOB
SITE INFORMATION�ANT/ LOCATION Total number of floors: 3 I LP,-7
Job site address: 1 LOCI 0 (,Olio I nAFFs-r New dwelling area: I 1 J square feet 54 2
City/State/ZIP:Tigard,OR 97224 Garage/carport area: Lien square feet 5102
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: square feet SG;
Cross street/directions to job site: Deck area: -7D_ square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 91f Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
('CP 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 0 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:
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 rece ved:
E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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 Fce(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:204238 Total fee due upon application: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE LSE ONLY
�/�/�
City of Tigard R�C�'EVE I DatReceivedes Permit MST24Z0 /�/�1147
_ 'l 13125 SW Hall Blvd.,Tigard,OR 97223 ' • y
. Phone: 503.718.2439 Fax: 503.598.1960 Date/ByReview
Inspection 503.639.4175 GFP ( ;/�,%�} Date/By: Other Permit
7 1 i?s h I) p Date Ready/By: Jars: RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CI I Y ur I:UARD
1 , , ,Lr- TYPE OlT�'i�r£ -_ 1 ,ri ION COMMERCIAL IEE* SCHEDULE USE CHECKLIST
�
-- Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCT ION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
tg 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
-_- Air conditioning 46.75
Job site address: 11.-tbRID &acts ( oi S c -1—q, .� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Roshak Ridge Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Roshak Ridge Lot no.: cf.{ 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 s ❑ TENANT Other: 23.32
-- Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St,Ste.510 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
PI APPLICANT ,F 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)6934442 Fireplace
Range
E-mail: permitsubmittals(dpolygonhomes.com Barbecue
CONTRACTOR i � . Clothes dryer(gas)
Other
Business name:Pro Heating&Cooling { 'Pfl,KetIANICAL PERMIT FEES* t, -4gf
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 lit.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
n� days after it has been accepted as complete.
Authorized signature: W 1I�l'J U'�'Q'�' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
I:\Buildwg\Permits\ EC PermitApp_040113.doc 440-4617r(I 1/02/COM/WEB)
� £ .2 -Q r :.
Electrical Permit AppIicationRECEIVEI BXY ,+ o0F c ;use; lrr Y
Received M ST2020-OD 11- 7
a City of Tigard ZOZO Date/sy Pewit#:
I - . 13125 SW hall Blvd.,Tigard OR 97223 F�' 3 Plan Review
-'. Phone: 503.7182439 Fax: 503.598.1960 Datelay: Related Permit#:
Inspection Line: 503.639.4175 CITY oFTIGARD ReadyDateBy: puns: lidSeePage2for
2lGaxn gars-or.gov BUILDING DIVISION Noti5edIMethrvl
c Internet: www.ti Supplemental Information
.-. TYPE OF WORK " .:. ; . . .: '. 'PI4.0VIEW_
®New construction ❑Addition/alteration/replacesnent Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 Building over three stories.
❑Demolition CI Other.. - .
where the available fault current 0 Marinas and boatyards.
'',...I'.
"','', -,: pRY._OF.-CONSTRIICTION.., , >;; ;: . , ,. . .,, exceeds 1g000 amps at150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to gonna,or exceeds 14,000 ❑commercial-use agricultural
❑Multi-farm ly ❑Master builder IDpum Other: 0 Fops u all other installations. buildings.
0 InstallationFire of 150 ICVA or
'4;; JOB SITE:IlQFORMA4TIOIVAND'LOCATIOIiT;' : -• ❑Bmergencysystem. larger separately derived
Job#: Job site address: 'y O Qic,D (t j Z 0 100AdHP o of new motor load of system.
DOHP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ElSix or more residential units. occupancy.
❑Health-care facAides. ❑Recreational vehicle parks.
Suite/bldg./apt#: _ Project name:Polygon At Roshak Ridge 0 Hazardous locations. El Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: FEE SCHEDULE .
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 9 it Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea add'1500 sq.It 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.R)
Renewable Energy ❑_See Page 2
®_PROPERTY;OWNER>--. . ❑ 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 to400 amps 33.56 2
401 amps to 600 amps 200.34 2
City/State/L1P: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 55226 2
Email: relocation
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
APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,Qer 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 servicern ci�eder fee,first t 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/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/br
Phone:(503)319-2192 Fax( ) Investigation(1 hr min) 90.00/hr
Email:solarpdx@me.com •
Indrsteialplant(lhrmin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: 48715 specifically listed(`h hr min)
KtFCIRICAT PERMIT FEES
Suprv.Electrician signature,required Subtotal:
Print name Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT P the
�/ 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 FOR OFFICE USE ONLY
City of Tigard RECEIVED Received Permit No.: 7
- y 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: msuozo-00(4
Phone: 503.718.2439 Fax: 503.598.196 0 3 2020 Plan Review
Date/By: Other Permit No.:
T I GARD Inspection Line: 503.639.4175 r,,. - ,�p r- Date Ready/By: Iuris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORi'{u11 :''' 1--lVl71t1f`I FEE* SCHEDULE
® New construction ❑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 Multi-family SFR(3)bath 500.32
®
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
N L JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: tIk ;k13 CACIV> QiERIS( tQ,g Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 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:Roshak Ridge l Lot no.: qIN Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
ply ,X DESCRIPTION OF WORK ? Backwater valve 12.51
, r �1 Clothes washer 25.02
CIN V �\ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixtue/sewercap 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 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 pemut 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\Permits\PLMU-PermiiApp.doc 10/01/09 440-4616T(10/02/COM1WEB)
10r City of Tigard
C q COMMUNITY DEVELOPMENT DEPARTMENT
T1GAuD Building Permit Review — Residential
Building Permit #: -MOW"00 7
Site Address: 3 0 /0 (53/ GetS-- ,rraa
Project Name: ,c2_ ) Lot #:
Planning Review
Pro• .sal: 4,414) C
ITA Verify address/suite #active in Accela. In River Te .ce: ❑ No Yes,River Terrace Review Addendum
Sit: 'Ian Elements: 9 Erosion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper 111 -tained trees with drip line and tree protection measures
Ir2rawn to scale (standard architect or engineer scale) F otprint of new structure(including decks)and FFE
rth arrow 'ty locations&easements(required for new and additions)
ILJyStte address,project or subdivision name and lot number I►,Sidewalk/driveway approach
01 plicant information(name and phone number) I V s; ation of wells/septic systems
Zfrdimensions and building setback dimensions !,S,keeet tree size,type and location
II..,uare footage of buildings to be demolished S)ket names
I "e.sting structures on site VComer elevations(2'contours if more than 4'dif�fer tial)
V et area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? lA z es ON
impervious area(applicable if R-7,R-12,R-25&R-40) If es,is a storm water .uali facili shown gt ■Yes Io
Iri
III Clean Water Services—Service Provider Lett (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: 0 Yes,applicant was notified 44 No �� Received: CIYes ❑ No
11" C Exemption for ADU applied for: El Yes 1t7 No Received: ❑ Yes El No
iT Public Faciliti (Improvement (PFI) Permit /
quired: VI. Yes,applicant was notified 0 No lied For: ICJ Yes ❑ No, stop intake
1:21,and Use Case#: lii6QE/c- OCTning: £��,y
Vitieequired Setbacks: Front: y, Rear: pp �l Side:_V Street Side:n Yvif-' Garage: /63. s--
ding Height: Max. Height Vim/ Actual H . ht:- Js
Landscape Area: �� % ❑ Lot Coverage Max: e %
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 Ill Garage door is be ' Idest street-facing wall V Yes El 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°a floor.
❑ Garage door width is ❑ r less 0 50%o of facade ❑ 60%or less and includes 7 of following:
El Covered po Recessed entrance 0 Wall o s ❑ 1'Roof cave ❑ Roof offset
❑ Fir ' gles ❑ Lap Siding ❑ Roof pitch ❑ Gable, brel roof ❑ Dormer
Accent siding Window trim El Window recess ❑ Window ' ction ❑ Balcony
►1: Visual Clearance Urban Forestry an
tt nsitiveLands: ❑ Yes No Type:
Conditions met prior to issuance of building permit
No s:
Approved By Planning: —ic_______/ Date: 2700/.2 0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_I22419.docx
Building Permit Submittal 4
Original Submittal Date: Dr-3 ;2DZ0
Site Plans: # 3
Building Plans: #
Building Permit#: ['Enter building permit#above.
Workflow Routing: Er Planning E Engineering Er Permit Coordinator ClfBuilding
Workflow Sign-off: 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.
lR Building: original permit application, site plans,building plans,engineer and
beam calculations an. trust details,if applicable,etc.
Notes: /
By Permit Technician: 1 /AiWV-, Date: Q$-0$-2o2
En -sneering Review
[ Slope at building pad: 0oD�
11,eonditions "Met"prior to issuance of building permit ,e//e
L Easements (encroachments)per engineering conditions of approval and plat
l'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes VNo
Assess Water Quantity Fee in-lieu: ❑ Yes [.„No
LIDA Facility on lot: ❑ Yes II No
I Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:�
Kd'Approved by Engineering: �� Date: Sm2a
Revisions(after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Permit Coordinator Review
15( Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions(after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received lr Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: k Yes 0 N/A
Tigard Trans SDC: Tg,r Yes 0 N/A
Parks SDC: g Yes ❑ N/A
LIDA ❑ Yes 19 N/A
LX OK to Issue Permit
Approved by Permit Coordinator: tyt,o Date: 6/12-12°
I:\Building\FormslBldgPermitRvw_RES_122419.docx
P'
City of Tigard
COMMUNITY DEVET OPMENT DEPARTMENT
T I G A[t D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: Jig 0 sv\i C- kk CQ is Ter.
Project Name: Pi ivl ( �.f�Sl ,,K- 12to ii Lot #:
(New g=sub vision name;Addition or Alteration0 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?XYes No
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 ft. de min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide
Gabled dormer
0 0 D
2.Eyes bn the strer*Yrret: a minimum of 12% f each street facing facade must include windows or entrance doors.
>1.Percentage Shown: 2.c�a
7'trances:At least one entrance must meet both of the following standards:
ax. 8 ft. setback from lunge street- facing wall 0 Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No
If es,all the following apply: sq.ft. min.
L� ra ne street facing entry ft max. roof above floor of porch
it 5 ft. depth min. 30%min.porch roof coverage
4. tailed Design:All buildings shall include a min.of five of the following elements on all street-facing facades:
roy
Covered porch min. 5 ft.wide x 5 ft. deep' ' 0 Recessed entry area min.5 ft.wide x 2 ft. deep
❑ all offset min. 16 inches 0 Dormer min.4 ft.wide
Vi Roof eave min. 12 inch projectiorf' 0/Roof offset min. of 2 ft.
O Roof shingles either tile or wood C able,hip or gambrel roof design'
❑,00f pitch oriented south min. 500 sq. ft. ! porizontal lap siding min. 3-7 inches wid4-
1Q Accent siding min. 40%of street facade/ indow trim min.2 1/2"wide by 5/8"deep
❑ indoor recess min.3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft.deep
05 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 com lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. Yes ❑ 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.
O 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 : (Check one)
12-foot-wide garage door 0 40%max. of street facade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: --------j(L___ Date: e?
I.\Building\Forms\BldgPamitRvw_RES_RT_121417.docx