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Permit
CITY OF TIGARD MASTER PERMIT 14.0.-- ' COMMUNITY DEVELOPMENT Permit#: MST2020-00149 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2020 T f G A RD Parcel: 2S107AA09600 Jurisdiction: Tigard Site address: 14370 SW GOLD COAST TER Subdivision: ROSHAK RIDGE Lot: 96 Project: Polygon at Roshak Ridge-Lot 96 Project Description: New SFA BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 3 First: 65 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 684 sf Garage: 606 sf Front: 8 Smoke Dwelling Units: 1 Third: 672 sf Right: 0 Detectors: Yes Total: 1421 sf Value: $208,030.12 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: 4 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'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O SvdFdr: 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 1421 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: 360-6934442 Total Fees: $26,486.53 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 mayy obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344..2 Issued By: �,1"�\IANlpevt)e Permittee Signature: C1tf1 GTOi�.4ClOh 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 LoT 6 Residential RECEIVE I FOR OFFICE USE ONLY City of Tigard FEB d 3 2020 DRecate Dvr-e9 -2020 Permit No.:MST201d-ay 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l 24a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �(�(J ,411 Otter Perm ts���� j � Inspection Line: 503.639.4175 CITY OF TIGARD Dale Ready B / Tern H See Page 2 for TIGARD pBUILDING DIVISION r� s Internet: www.tigardor.gov Notified/Method� 7i/ Zo Supplemental Information 6"-111/4,-c. 7VN1— TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑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. —Q 2 El 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ L1 OS0 ❑Accessory building 0 Multi-family Number of bedrooms: 3 0 Master builder • 0 Other: Number of bathrooms: >eg 3 JOB SITE INFORMATION AND LOCATION Total num of_flio ors: 3 2-o ---7 Job site address: ,I4370 &oLp C .g-r- --4.'zit_ New dwelling area! - square feet (p-j City/State/ZIP:Tigard,OR 97224 Garage&caet oQla*a: S.,, square feet W 61-1 SuitefbldgJapt.no.: Project name:Roshak Ridge Covered porch area: square feet (JPS Cross street directions to job site: Deck area r C� square feet er s e ea: rZ square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Roshak Ridge Lot no.: q(p 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 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 ❑ 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 FLS plan review fee(if applicable): Address:703 Broadway St,Ste 510 City/State/Z.IP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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: $201.60 Authorized signature: ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Toni a Morris Date:04/17l2019 *Fee methodology set by Tri-County Building Industry Service Board T•\Rnildioe\Perrone\RT iP-RF.SPrrmit Arm.dor. 02/24/201 1 440-4613T(1 1/02/COM/WEBI Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE Re�t°�Date Rev Permit No.: .1 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date By: Other Permit: Inspection Line: 503.639.4175 FEB 0 3 2020 l l i i i it I? Date Ready/By: kris: 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUII DING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alterationjreplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other. mechanical materials,equipment,labor,overhead,and profit. Value:$ i��t RESIDENTIAL EQUIPMENT/SYSTEMS FEES* CATEGORY OF CONSTRUCTION 1 KM 1-and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist. Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE LNFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: (�310 Clocts nWiHST °1—i, .-s— 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 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 Subdivision: Roshak Ridge Lot no.: 9 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 Other: 23.32 ® PROPERTY OWNER j ❑ TENANT _ Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway Si,Ste.510 eqw 33.39 Clothes d drryer 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 El CONTACT PERSON Other. 23.32 Fuel piping: Business name:Polygon WLH,LLC S14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway Si,Ste 510 Gras 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 -1 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 lie.:209001 TOTAL PERMIT FEE C This permit application expires if a permit is not obtained within 180 A: „ h days after it has been accepted as complete Authorized signature: tttiiiWW * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 I:1&nudiagTermits\ EC PatrutApp 040113.doc 440-46I77(11/02/COM/WEB) • Electrical Permit Application ,,,,IltUtlVE 'us ©l�r .� __' City of Tigard "B`: Permit#: Date/By: 0 13125 SW Hall Blvd,Tigard,OR 97223 FEB 0 3 2020 Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 Ready Date/By:OF TiGARD buns: H See Page 2 for TIG?R,° Internet: www.tigard-or.gov Notified/Method: s .BUILDING D!\/ISION mp entalI¢tormanon TYPE OF.WORK . - • . ;` --,.,. ' ==PLAN,REyrgW..,: . . ®New construction 0 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 ❑Marinas and boatyards. :i. ::,:.;•.;;.==�:;:::.:,.. . ..;.:CATEGORY.�OF:CONS A RUCTION,,r,,:T:::,.:' ., . .. 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 amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other. ❑Fire pump. 0 Installation of 150 KVA or `_t i 1;: JOB sTrt.-INFORh1 riois i1ND'LOCATION: •• ❑Emergency system. larger separately derived Job#: Job site address: 't t^ Obtot ,,,� -r ,.y� ❑l00 tioo of new motor load of system. ��� � N! V�F'� Tif�F� IOOHP or more. ❑••A„ "E, "1_2,••1.3' City/State/G1P:Tigard,OR 97224 ❑Six or mom residential units. occupancy. ❑Brolth-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: _ Project name:Polygon At Roshak Ridge ID Hazardous locations. 0 Supply voltage for more than ❑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#: egt.t4, Includes attached garage. Tax map/parcel#. 1,000 sq.it or less 168.54 4 Fa add'1500 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 ❑.See Page 2 ®.PROPERTI;OWNER ❑ TENANT. Services or feeders installation,alteration,and/or relocation Name:William Lyon Homes,Inc. 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address:703 Broadway St Suite 510 401 amps to 600 amps 200.34 2 City/State'ZTP: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 • IS APPLICANT' ❑ 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 BroadwaySt Suite 510 service irr feeder fee,first 56.18 2 branch circlet City/State,ZIP: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 Fmail:permitsubmittals@polygonhomes.com dwelling nd/or feeder Reconnect t 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) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 br min) 90.00/br 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 Lic.: c923 Suprv.Lic.: 4875 specifically listed eh.br min) . .. ' ELECTRICAL 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): TOTAL PERMIT FEE: Authorized signature: A 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 von 'Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY RECEIVE L eceived City of TigardDare : Permit No.: III al 13125 SW Hall Blvd.,Tigard,OR 97223 y a Phone: 503.718.2439 Fax: 503.598.1960 FEB 0 3 2020 Plan Review Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 _ _ __�„_.:.,;..,r-, Date Ready/By: furs: See Page 2 for Internet: www.tigard-or.gnv Notified/Method: Supplemental Information TYPE OF WORKS (1)IN(� UIV1Jiv V FEE* SCHEDULE ®New construction 0 Demolition Far special information use checklist Description Qty. Ea. j 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 SFR(3)bath 500.32 ❑Accessory building ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION j111. 4: Site utilities: Job site address: i L-11 O G .) Co Gar) 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 Lot no.: O%(i Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 coo J IY'S1 ` Clothes washer 25.02 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 j 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 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:Budding'Pe`mits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) r .. _ r City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT C T 1 G A RD Building Permit Review — Residential ,./_( (7 - . 2..„ N 'r Building Permit #: MST2O20-001'M Site Address: 1Lt-g 0 O/G? Ga-C4 �ffeaCQ Project Name: l//2 ccL. 7,41 Lot #: 4c9 Planning Review Pro P •s a 1: /Q/,v Q I% Verify address/suite #active in Accela. UCJ In River Terr.ce: ❑ No 1LEi Yes,River Terrace Review Addendum Sit: 'lan Elements: AErosion Control IF:3„copies of site plan on 8-1/2"x 11"or 11 x 17"paper 14� -tamed trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) VA F otprint of new structure(including decks)and FFE l �1 rth arrow 1Z ty locations&easements(required for new and additions) O�to address,project or subdivision name and lot number f►,Sidewalk/driveway approach Vl plicant information(name and phone number) II i,cation of wells/septic systems re • dimensions and building setback dimensions A S eet tree size,type and location 11..uare footage of buildings to be demolished Vi S)ket names Ili +.sting structures on site Comer elevations(2'contours if more than 4'diffeer tial) 1[I V .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ON impervious area(applicable if R-7,R-12,R-25&R-40) If es,is a storm water .uali facili shown i a° •Yes `tom("o Iat� Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified No Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet-Addis,Remodels and ADUs Required: ❑ Yes,applicant was notified .e No / Received: ❑ Yes ❑ No [IV ,a C Exemption for ADU applied for: ❑ Yes lG No Received: ❑ Yes ❑ No MI Public Facifitigaflmprovement (PFI) Permit: / � squired: [' Yes,applicant was notified ❑ No 2A lied For: / Yes ❑ No,stop intake "i2 and Use Case#: 9u,'Qff�o/�: ®OW tlQ�j oning: A2. 1 / quired Setbacks: Front YJ Rear: 'S Side:_C.- Street Side: YV/f' Garage: I e_ c- ding Height: Max.Height: /A'" Actual Hei ht:_ JCS Landscape Area: -20 % ❑ 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 0 Garage door is be ' 'dest street-facing wall V Yes 0 No,one of the following is met: ❑ Door extends no more 'from wa exe 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 eave ❑ Roof offset ❑ Fir ' gles ❑ Lap Siding 0 Roof pitch 0 Gable, , mbrel roof ❑ Dormer Accent siding Window trim '/ ❑ Window recess ❑ Window ' ction ❑ Balcony M Visual Clearance Urban Forestry l ast 10 nsittve Lands: 0 Yes No Type: Conditions met prior to issuance of building permit No s: Approved By Planning: --- , k___ Date: 400/-2 0 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:1Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: DZ~D3-ZO20 Site Plans: # "3 Building Plans: # Building Permit#: I Enter building permit#above. Workflow Routing: 2-Planning 11--Engineering El- Permit Coordinator [ /Building Workflow Sign-off: Er"Sign-off for Planning(include notes from planning review) Route Application Documents: [r]'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 calculation trust details,if applicable, etc. Notes: By Permit Technician: i; / / Date: 15--C fj-ZQJZO Engineering Review L SSlope at building pad: 2C,AFF. �JL�,/Conditions "Met"prior to issuance of building permit /�(� [d Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes f"No Assess Water Quantity Fee in-lieu: 0 Yes l� o LIDA Facility on lot: ❑ Yes 'CJ No tr/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: VApproved by Engineering: Date: l/ a Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 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: ❑ Received 54 Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: L' Yes ❑ N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: 4 Yes ❑ N/A LIDA ❑ Yes .' N/A lat OK to Issue Permit J�Approved by Permit Coordinator: 7� / Date: 5I1 a/ ° I:1BuildingFonns\BldgPennitRvw_RES_122419.docx F , - City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G a n River Terrace Building Permit Review Addendum f F: - i:vel e:.`� .-..,i—. xr.16:U3 Lisi..wtia:P 'r'&ua”_t:..:aa„ 4-45-a..e.-,7:u:_. __:_ _ _. Building Permit #: Site Address: / ! ) SWGOW G2E- Teir. Ot Project Name: P py1 t R(S --- 12.A Lot #: 63(� (New g=sub vision name;Addition or Alteration( last name of owner) I Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?XXes 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 0 ft. de min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer 0 0 2. Eyes on the a minimum of 12%9f each street facing façade must include windows or entrance doors. Percentage Shown: >/.2 7a 3. Ez(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 open onto porch Entrance opens to a porch: Yes ❑ No If y4, all the following apply: sq.ft.min. fine street facing entry ft.max. roof above floor of porch i7; 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: 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 1701 Roof eave nun. 12 inch projectionf4 0/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 0 'able,hip or gambrel roof design' ❑Foof pitch oriented south min. 500 sq. ft. 1.Ird orizontal lap siding min. 3-7 inches widef-- 'AdAccent siding min.40%of street facade/ VWindow trim min.2 1/"wide by 5/8"deep ❑ ) endow recess min.3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep E.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 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 : (Check one) 12-foot-wide garage door 0 40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: —_ _ Date: 0f7/ ," I\Building\Forms\BIdgPumi[Rvw_RES_RT_121417.docx