Permit 71 CITY OF TIGARD MASTER PERMIT
_ • COMMUNITY DEVELOPMENT Permit#: MST2020-00148
Date Issued: 10/27/2020
T I G A IT D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA09500
Jurisdiction: Tigard
Site address: 14374 SW GOLD COAST TER
Subdivision: ROSHAK RIDGE Lot: 95
Project: Polygon at Roshak Ridge-Lot 95
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
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
Yes
Dwelling Units: 1 Third: 562 sf Right: 0
Detectors:
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
Fum<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'l 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 Y
Other: N Other Description: Ecompasing.
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. 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: 16\�VqIr411 1J�W C Permittee Signature: on gyp i i L4\ Ov'\
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.
V +
LOT 9G
Building Permit Application
Residential FOR OFFICE USE ONLY
Cityof Tigard RECEIVED Dateaga. �n �n V
Date/91 -� �2�2.0 Permit No.:MSTZO�- .O r'f'7l
13125 SW Hall Blvd.,Tigard,OR. 97223 F E B 0 3 2020 Plan Review /'��7� ,��q
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Z0� / Other Perm t�W/L L(/w v�/�
rtG4RD Inspection Line: CITY OF TIGARD Date Ready �J/� Jun,: 0 See Page 2for
Internet: www.tigardor.gov NotiSed/Method:�` ^'v Supplemental Information
BUILDING DIVISION 014174- 7-174.
TYPE OF WORK REQUIRED DATA:I-AND.2-FAMILY DWELLING.
®New construction ❑Demolition Permit fees'are based on the value of the work performed.
❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF C ONSTRUCTION work indicated on this application
El1-and 2-family dwelling 0 Commercial industrial Valuation: $ '1O( y�r
❑Accessory building El Multi-familyNumber of bedrooms: 'z, �v
❑Master builder • ❑Other: Number of bathrooms: .�.
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 t le-77
Job site address: '4574. VOu) ea4.5•r 7%b2 New dwelling area: I Mb square feet 502-
city/State/ZIP:Tigard,OR 97224 Garage/carport area L 41 square feet j'L
Suite/bldg./apt no.: Project name:Roshak Ridge Covered porch area: square feet 54
Cross slreet/directions to job site: Deck area: 'D. square feet
• Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 9$ 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
k(p 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:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St.,Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( ) .
E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 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 lie.:204238
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 Fee methodology set by Tri County Building Industry
Service Board.
I:\Buiklinv\PermitsdBUP-RESPermitAm.doc 02/24/2011 440-4611T/1 1/07/C(1M/WRR1
Mechanical Permit Application FOR OFFICE USE ONLY
Tigard City
of RECEIVE 9 Received
Date/By: Permit No.:
'I 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 FEB 0 3 2020 Plan Review
Date/By: Other Permit:
1 I i;.. I:ly Inspection Line: 503.639.4175 Date Ready/By:o' Jtnis: See Page 2 for
Internet: www.tigard-or.gov
CITY OF TiGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE*SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
fg 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/cooing:
LKb�l4 //��,� Air conditioning 46.75
Job site address:
G O[A l�h 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.: G, Other 23.32
—1 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 ❑ 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/crawispace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other 23.32
Fuel piping:
Business name:Polygon WLH,LLC
$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@polygonbomes.com Barbecue
.AAN CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
— : MECHANICAL PERMIT FEES*....
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 lic.:209001 TOTAL PERMIT FEE
hum-am,
This permit application expires if a permit is not obtained within 180
iJ
G A: 1hu � days after it has been accepted as complete.
Authorized Signature: WGL * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
tTBu lding\Permitsts C_PamitApp_040113.doc 440-4617T(11/02/COM'WEB)
Electrical Permit ApplicatioiECEIVED FOR OFFICE LSE ONLY.
City of Tigard FEB 0 3 2020 Received
Date/BB . Permit ft: .
'r 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.19t'Ty O.-TIGARD DawB
Inspection Line: 503.639.4175 ReadyDateBy; T : Hi SeePage2for
TIGARD
c Internet www.tigard-or.gov BUILDING DIVISION NotiSrd/Mettod Supplemental Information
.......
- :-r:y:.
_ TYPE OF.WORK C';;,. : _.. _
._r;x. r. :'PI1A11j;RE�W-..; •trc' :. .
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
1:Demolition Other 0 Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
.' . ..- . ,.. . ..:-CAx,EGORY OF.-CONSTRiTCTION. .,_. `::;. '..-;..-....:,:;.1.. . , ,., exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
El Multi-family ❑Master builder 0 Other: amps u all other installations buildings.
0Fire pump. 0 Installation of 150 KVA or
`t`,;F*: JOB SiTP).::7IQFORMA3'ION.AND'LQCATION; i - ❑EmergencYsystem. larger separately derived
Job#: Job site address: i' iq Gus, o,OR �ST-rZ 0 100AddHP o of ore.motor load of system.
IOOHP or more. ❑"A" "&""1-2""I-3"
City/State/L1P:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt#: _ Pi ject name:Polygon At Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than
• ❑Service or feeder 600 amps or more. 600 volts mminaL
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#: q 5 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
• DESCRIPTION OF'WORK . :.: Limited energy,residential
(with above sq.ft.) 75.00 2
-Limited energy,multi-family
residential(with above sq.ft) 75.00 2
Renewable Energy ❑,See Page 2
®.PROPERTh:OWNER-,`..... . . 0 TENANT.
Services or feeders installationialteration,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
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 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
- -.n.APPLICANT El 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, 7.42 2
each branch circuit
Contact name:Nichole Thorpe • B.Fee for branch circuits without
Address:703 Broadway St Sake 510 service or feeder fee,f rst 56.18 2
branch circuit
City/State/L.W:Vancouver,WA 98660 Each add'l 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 El 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) 66.25/hr
Phone:(503)319-2192 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 Lie.: 199188 Electrical Lic.: c923 Suprv.Lie.: 48715 specifically listed(if,br min)
ELECTRICAL 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 ge(12%of permit fee):
-„,-,:,-,r,. .,.......„- .
Authorized signature:
TOTAL PERMIT PEE:
This permit application expires if a permit is not obtained within 18D
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
r a Plan Re: Permit No.:
_ • 13125 SW Hall Blvd.,Tigard,OR 97223 ;E Q 0 3 2020
Internet: www.ti and-or. ov i ,�, an Review
Phone: 503.718.2439 Fax: 503.598.1960 J Date/By: Other Permit No.:
TIGARD Inspection Line: g 03.63.4175 CT T C R D Date Ready/By: Tuts: 0 See Page 2 for
p CITY
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
ElAccessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION 2,Its Site utilities:
Job site address: t�{'51 IA C� 0_,,,,-,.. �' i� 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 it: ) Page 2
alJ
Subdivision:Roshak Ridge I Lot no.: _ Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
( , ' - OV1 n^ � �` Clothes washer 25.02
\! V ,14 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY 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
CONTRACTOR Water closet 25.02
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 y. ..__- Plumbing Lic.no.:PB732
Plan review (25%of permit fee)
iki_,.
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 bas been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
P\Buildivg Permits\PLMU-PemiitApp.doc I0/01/09 440-4616T(10/01/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 AR D Building Permit Review — Residential
Building Permit #: M STZDZ.()— 00!76
Site Address: N53-17) S)A_) -a gQ-c4 7rroga
Project Name: ,t)1 An ,a-1 L L1 ,� Lot #:
Planning Review QQ
Pro. I sal: j,t) -C)r
1% Verify address/suite#active in Accela. Ilail In River Terr.ce: ❑ No Yes,River Terrace Review Addendum
Sit: Ian Elements: • J Erosion Control
15 3,copies of site plan on 8-1/2"x 11"or 11 x 17"paper IPA -tamed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) !F otprint of new structure(including decks)and FFE
• .rth arrow l 'ty locations&easements(required for new and additions)
�P� a address,project or subdivision name and lot number IG Sidewalk/driveway approach
VJr�(iplicant information(name and phone number) U i: ation of wells/septic systems
�� dimensions and building setback dimensions 1 S et tree size,type and location
ware footage of buildings to be demolished IIVS,tet names
sting structures on site Corner elevations (2'contours if more than 4'dif�fe 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 es,is a storm water .uali facili shown i 4,1 •Yes o
\ Ill* Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 14 No Received: ❑ Yes ❑ No
ktYWater Meter Fixture Unit Worksheet—Addii s,Remodels and ADUs
Required: ❑ Yes,applicant was notified 'IQ No /
Received: ❑ Yes ❑ No
kV.' `I C Exemption for ADU applied for: ❑ Yes id No Received: El Yes ❑ No
T Public FacilitiVlmprovement (PFI) Permit:
lquired: ' Yes,applicant wasg notified El No _ Aplied For: �7 Yes El No, stop intake
and Use Case#: ati Qo/c OOW BV:„ oning &12
I quired Setbacks: Front: a Rear: S Side: Cl Street Side: �1M Garage: /e. c-
ding Height: Max. Height: A)1�}- Actual He. ht: _ Ss
Landscape Area: -20 % El Lot Coverage Max:O0/0
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 ' 'dest street-facing wall �1 Yes ❑ No,one of the following is met:
❑ Door extends no more 'from w ere is a coveted porch extending beyond garage.
❑ Door extends no more than 5' and there is a 12 sq ft.window above garage on 2nd 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 eave ❑ Roof offset
❑ Fir gles ❑ Lap Siding ❑ Roof pitch ❑ Gable, ' , ambrel roof ❑ Dormer
Accent siding Window trim ❑ Window recess 0 Window ' ction 0 Balcony
01 Visual Clearance Urban Forestry
10 nsitive Lands: I: Yes No Type:
Conditions met prior to issuance of building permit
No s: �, —
Approved By Planning: � Date: 2 0/-2()
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
1:1Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: Q2e.3"2620 •
Site Plans: # 3
Building Plans: # 1/43
Building Permit#: Q'Enter building permit#above.
Workflow Routing: EE'Planning 5VEngineering Et'Permit Coordinator EiBuilding
Workflow Sign-off: Tr Sign-off for Planning (include notes from planning review)
Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
C�YBuilding. original permit application, site plans,building plans, engineer and
beam calculations and . st details,if applicable,etc.
Notes:
By Permit Technician: J /l/7ll. Date: -D$62020
Enpneering Review
[ 'Slope at building pad: 2 d fd
t,�,/Conditions "Met"prior to issuance of building permit:
[Id Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ZrNo
Assess Water Quantity Fee in-lieu: 0 Yes �Tr No
LIDA Facility on lot: 0 Yes [ No
tr Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[kl te Approved by Engineering: Date: „Ir
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
X 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 birDoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: lx Yes 0 N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: lir Yes ❑ N/A
LIDA ❑ Yes N/A
eg OK to Issue Permit
Approved by Permit Coordinator: A"— Date: S/12,120
I:Building\Forms\BldgPemutRvw_RES_122419.docx
` City of Tigard
71 i COMMUNITY DEVELOPMENT DEPARTMENT
..
T I G A It D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: / Sv i Goo ar,ist Tex-.
Project Name: ` rt ( ROSh� - 1Z,1
L Lot #: �S
ew g=sub vision 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?X.Yes No
L 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
2. Eyes bn the street: a minimum of 12%°�f each street facing facade must include windows or entrance doors.
Percentage Shown: >,,2°/a
3. trances:At least one entrance must meet both of the following standards:
fMax. 8 ft. setback from longe street facing wall 0 Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yAs, all the following apply: sq.ft.min.
One street facing entry ft.max.roof above floor of porch
iG 5 ft. depth min. 30%nun. 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 /' 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
0/Wall offset min. 16 inches 0 Dormer nun.4 ft.wide
Z1 Roof eave min. 12 inch projection 're." ❑ oof offset min. of 2 ft.
0 Roof shingles either tile or wood IZ able,hip or gambrel roof design'
❑,00f pitch oriented south min. 500 sq. ft. 1'� orizontal lap siding min. 3-7 inches widc-
ldAccent siding min. 40%of street facade/ Window trim min.2 1/2'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
25 Balcony nun. 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 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.
❑ 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
O 50%max. of street facade with 7 detailed design elements
Notes:
-4 Approved By Planning: —�------ r � (.____ Date: 0
I:\Building\Forms\aldgPamtlRvw_RES_RT_121417.doct