Permit CITY OF TIGARD MASTER PERMIT
' I' COMMUNITY DEVELOPMENT Permit#: MST2020-00101
T f[;A R f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 012 7/2 0 2 0
Parcel: 2S107AA09700
Jurisdiction: Tigard
Site address: 14354 SW GOLD COAST TER
Subdivision: ROSHAK RIDGE Lot: 97
Project: Polygon at Roshak Ridge, Lot 97
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 78 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 34 Bathrooms: 3 Second: 684 sf Garage: 613 sf Front: 12 Smoke
Dwelling Units: 1 Third: 673 sf Right: 3
Detectors: Yes
Total: 1435 sf Value: $210,085.67 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 Storm Sewer: 100
0
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 Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo 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 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 1435
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: $26,674.23
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: 1Vv Ot C VV C Permittee Signature: dh ctpp It: LdL 1Z l'^
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 �� G
Residential RECEIVE . FOR OFFICE USE ONLY
City of Tigard Received,
• 13125SW Hall Blvd,Ti and OR 97223 FEB 0 3 1.020 Date/By: D3-3 -
f 2020 PermitNo.A51702I�IOJo/
Phone: 503.7182439 Fax: 503.598.1960Plan y 1EW 4 Qj J?iD 1 Per �/QZQ�4004,5
Inspection Line: 503.639.4175 CITY OFTiGARD Date Ready/By: f /// Juris. 0 See Page 2 for
TIGARD BUILDING DIVISION
Internet: www.tigard-or.gov NotifredlMethod: rQ/�` 7{/ Supplemental Information
E-1t1AI` rdn/k;9"
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
❑Addition1alterapon/replacement , 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. _
Iol "-
® 1-and 2-family dwellingCommercial/industrial❑ Valuation $
0 Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder 0 Other. Number of bathrooms: 3
✓✓ , JOB SITE INFORMATION AND LOCATION Total number of floors: a 2(>4$
2 fob site address: 1({35L j ao,,,,„ CA5-r -RAP New dwelling area: 14-65 square feet(C3
I_City/State/ZIP:Tigard,OR 97224.5
Garage/carport area: �' square feet (1
Suite/bldgJapt no.: Project name:Roshak Ridge Covered porch area: square feet 7
a_ Cross street/directions to job site: Deck area: 2 square feet
Other structure area: square feet
' l I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: qiPermit 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
(.. L.= • DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER L 0 TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/StateJZIP: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:Tooja Morris
Address:703 Broadway St.,Ste 510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
Phone:(360)695-7700 Fax::( )
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 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: $201.60 i
Authorized signature: ` This permit application expires if a permit is not o'
within I80 days after it has been accepted as co
Print name:Tonj a Morris Date:04l17/2019 *Fee methodology set by Tri-County Building Ind]
Service Board
I\Rniliino\Permits\RtIP-RFSPermitAnn dem (12/24/201 I 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
•
y s Received
City of Tigard Permit No.:14 r24 f/Y��/a/
'! 13125 SW Hall Blvd.,Tigard,O V Dan Rev _I V �..v �/
Dan Review
Phone: 503.718.2439 Fax: 503.598.196Bg 03 202Q Date By: Other Pum t'
I tiA It I'+ Inspection Line: 503.639.4175 t t Date Ready/By: luris: El See Page 2 for
Internet: www.tigardor.gov CITY OF TIGARD Notified/Method: Supplemental Information
3UILDING DIMS!C'
TYPE OF WORK COMMERCIAL FEE*SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION. - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*.
X 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building For special information use checklist
Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: (.4. 14 G x) Cm T Air conditioning / 46.75
�121� 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
q Other 23.32
Subdivision:Roshak Ridge Lot no.: 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
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/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 beater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
ermitsubmittals Range
E-mail:p @polygonhomes.coro Barbecue
4(111 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($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
hu La days after it has been accepted as complete.
Authorized signature: ""`^� "'^^y," . Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019 ,
I-Building\Permits\MEC_Pem i1App_040113.doc 440-4617T(11102/COM/WEB)
- Electrical Permit Applica{�+,�p�.y(,��l�a- -;�� a �'� o a �
Y t V E'VED -"� „T S 5;C''' ..- lc :'''."rfa � ¢i r`$.� r,.
Received
: City of Tigard Permit#:MSTZOZA-p1'J!a/
1 v; r 13125 SW Hall Blvd,Tigard,OR 972 Plan Review
t: a Phone: 503.718.2439 Fax: 503.598.1'9k O 3 202� Date/By; RelatedPemt#:
L. Inspection Line: 503.639.4175 Ready Date/By: Jam: H See Page 2 for
'TIGARD Intemet w ww .tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF.WORK =. °}. ; :: -; -PLAN REVIEW wdr '. `'::::
®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 ❑Building over three stories.
❑Demolition ❑Ot11eI
where the available fault current 0 Marinas and boatyards.
'.,:.''-. .''- '' -'-' CATjrGORY_OF�CONSTR1JCTION ?.',; _ exceeds 10,000 amps atl5o volts or ❑Floating buildings.
I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to gmmd or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. bul7dings.
❑Multi-family ❑Master builder ❑ Other: 0 Fire pump. ❑Installation of 150 KVA or
`sZ'>",' JOB STTE:rtkFOBMA3'ION'AND LOCATION r"- • ❑Emergeucy system. larger separately derived
Job#: Job site address: t�?5 GO) Tom— Addition of new motor load of system
100F3 or more. ❑"A""E" "1-2""1-3"
City/State/ZIP:Tigard,OR97224 Six or snore residential units. occupancy.
❑Health-care facilities. ❑Recreatioyal vehicle parks.
Suite/bldgiapt.#: _ Project name:Polygon At Roshak Ridge ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nouinaL
Cross street/directions to job site: FEE SClULE
Description I Qty. I Each -I Total I a
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: Cil Includes attached garage.
Tax map/parcel#: 1,000 sq.it or less 168.54 4
• Ea.add'l500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
_ Renewable Energy aSee Page 2
®.PROPERTIS.OWNER-`.`. . . . - 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 13336 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
• ® APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for bnmch 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 BroadwaySt Suite 510 service or fueds fee,first
��circuit 56.18 2
City/State/LIP:Vancouver,WA 98660 Each add'I 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
dwelEmail: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 •
Industoalplant(1 hrmin) 78.18/lu
Inspections for which no fee is 90.00/In
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4876' specifically listed('h hr min)
' ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required Subtotal:
Print name: Kilt Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: -7e-ir., .......," .
TOTAL PERMIT'FEE:
Date: 03/08/2019..... ...,,,,....
This permit application expires if a permit is not obtained within 180
Print name: Kile Rood days after it has been accepted as complete.
-
* Number ofin as spectio allowed per permit
` -'- --. ._ . .__ - - .
Plumbing Permit Application
• .Building Fixtures r11r]EQE 5/ED FOR OFFICE USE ONLY
t,
City Of and Received
Tigard 4srzozo ev/or
' 13125 ll ` DateBy: Permit No.
• SW Hall Blvd.,Tigard OR 97223 1a O an Plan Review
Phone: 503.718.2439 Fax:,503.598.1960 Other Permit No.:
Inspection Line: 503.639.4175 CITY OF TIGARD DateBy:
TIGARD I'll' Date Ready/By: kids: 0 See Page2for
Internet: www.tigard-or.gov ,)ti''� Notified/Method: Supplemental Information
:n
TYPE OF WORK FEE* SCHEDULE
1.
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. f Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 it for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
0 I-and 2-family dwelling IDCommercial/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:
Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 'Ll?5y G fa CR6-y "'r am Catch basin or area Main 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 I Lot no.: ` Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
CA
1 r 1 � C` Clothes washer 25.02
V ,1 �J Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ 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 I Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Contact name:Tonja Morris Primer 12.51
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: $72.50
CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
a:
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Punt name:Robert Dishman _ Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i:\Building)PermitssPLMU-PermitApp.doe 10/01/09 440-4616T(i0/02/COM/WEB)
r
{' City of Tigard
r COMMUNITY DEVF.T OPMENT DEPARTMENT
III
TIGARD Building Permit Review — Residential
Building Permit #: M S 12020-00101
Site Address: 115S'i gW 60t1 Cuj- Jena.,
Project Name: POLYGON AT ROSHAK RIDGE Lot #: 17--
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Revip1q','
Py osal: NtlJ fiv\Vr-Q Un, I1--6 CO
�1
f i Verify address/suite# active in Accela. ® In River Terrace: ❑ No II Yes,River Terrace Review Addendum
Sit Plan Elements: rosion Control
RVXopies of site plan on 8-1/2"x 11"or 11 x 17"paper liCAR5Ained trees with drip line and tree protection measures
Hiprawn to scale(standard architect or engineer scale) IL.P otprint of new structure(including decks)and FFE
)orth arrow locations&easements (required for new and additions)
rr.)$ite address,project or subdivision name and lot number tdewalk/driveway approach
Ig plicant information (name and phone number) cation of wells/septic systems
Lot dimensions and building setback dimensions Il�dStr�e t tree size,type and location
are footage of buildings to be demolished L�J'Str names
A 'sting structures on site [ orner elevations(2'contours if more than 4'differential)
A .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? l'es ❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ❑No
® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Lp A ' 'l
Required: IDYes,applicant was notified Ill NoReceived: ❑ Yes ❑ No r' y �^'YN
® Public Facilities Improvement(PFI)Permit:
jt"quired: . yes,applicant was notified ❑ No Applie or: �/. Yes \❑ No,stop intake
Z.LijLand Use Case#: PDR2015-00002/SUB2015-00004 pp� ning: R'�2- �J
V./Required Setbacks: Front 02 Rear. Side: V ' Street Side: k Garage: f
� lding Height: Max. Height: air.,
Actual Height: 3j
t Landscape Area: Z0 % L4'Lot Coverage Max: 4'd %
11 Entrance ❑ Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
�Y�� Windows 0 Minimum 12%of area of all street-facing facades
k Pet Garage 0 Garage door is behind widest street-facing wall 0 Yes ❑ No,one of the following is met.
El Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
Q ❑ Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2.d floor.
El Garage door width is 0 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave 0 Roof offset
El Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof El Dormer
❑ Accent siding —p Window trim ID Window recess ❑ Window projection ❑ Balcony
sual Clearance [ Urban Forestry Plan
ECISIensitive Lands: CIYes QGPl No Type:
® Conditions met prior to issuance of building permit f (�
lr �is: Conditions to be met prior b uilding permi issuance ',0 i'fw 11 lri Plw Lin., 1<? ei I t-?4J-
�Approved By Planning: -ovVlwt�. `- Date: Z.- 3 le is
Revisions (after Building Submittal only) Reviewer Date
Revision 1: D Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
is Building\Forms\BldgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: P2/0'9/2t20
Site Plans: # t3
Building Plans: # l3
Building Permit#: Er Enter building permit#above.
Workflow Routing: Er Planning Ea- Engineering RYPermit Coordinator [`Building
Workflow Sign-off: [$ Sign-off for Planning(include notes from planning review)
Route Application Documents: [o]-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er Building. original permit application, site plans,building plans, engineer and
beam calculation d trust details,if applicable,etc.
Notes:
By Permit Technician: //,� Date: 3-3/- 2i 2O
Engineering Review !�
[VSlope at building pad: 2-
[Conditions "Met"prior to issuance of building permit /Y/
[4/Fasements (encroachments)per engineering conditions of approval and plat
E r Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes tYNo
Assess Water Quantity Fee in-lieu: ❑ Yes No
1/ LIDA Facility on lot: 0 Yes �No
Ili/Final Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: r
14/Approved by Engineering: Date: 9/,72d)
Revisions (after Building Submittal onl Reviewer ! Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
k-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:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: 'I. Yes 0 N/A
Parks SDC: . Yes 0 N/A
LIDA 0 Yes 1'N/A
N'OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
- City of Tigard
; ill
I s COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address:I4 2494 f H. (434`l'Sv\l GoW ( ,t.,t 1 er.
Project Name: O r (, Ras � R-te;�r o , Lot #: —ID i
ew g= sub ision name;Addition or Alteration last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I):
Is the project subject to the plan district design standards? ,Yes VfNo
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. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft. wide min.2 ft., 6f de Gabled dormer
2. Eyes on the street: a um f 12% of each street facing façade must include windows or entrance doors.
Percentage Shown: � • p,/.t r O/0
3.
Eptrances:At least one entrance must meet both of the follo g standards:
Ui Max. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45" from street,
or open onto porch
Entrance opens to a porch: Yes 0 No
If yes,all the following apply: ..ET 25 sq.ft. min.
'One street facing entry ,R] 12 ft.max.roof above floor of porch
5 ft. depth min. ,K 30%min.porch roof coverage
4.Detailed 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 1"--
. .
.:E .ecessed entry area min. 5 ft.wide x 2 ft.deep
Wall offset min. 16 inches Dormer min..4 ft. wide
,Roof eave min. 12 inch projection IS 0 Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood able,hip or gambrel roof design it S
❑ goof pitch oriented south min. 500 sq. ft. ig, Horizontal lap siding min. 3-7 inches wide C
Accent siding min.40%of street facade f ( ❑ Window trim min.21/2"wide by 5/8"deep
❑ Window recess mint.3 inches for all street fang Day window min. 5 ft wide by 2 ft. deep
[W alcony 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 corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
-liftMay 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 the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
V(12-foot-wide garage door 0 40%max. of street façade
❑ 50"/o max. of street facade with 7 detailed design elements
Notes:
LiuApproved By Planning: . Date: Z-3-Lp Z 0
I:\Building1Forms‘BldgPermeRvw_RBS_RT 121417.docx