Permit CITY OF TIGARD MASTER PERMIT
a F`, COMMUNITY DEVELOPMENT Permit#: MST2020-00003
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 111 9/20 2 0
TtO 160 Parcel: 2S106DB25600
Jurisdiction: Tigard
Site address: 17297 SW FOREST HOLLOW ST
Subdivision: RIVER TERRACE EAST 3 Lot: 282
Project: River Terrace East No. 3, Lot 282
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26.5 Bathrooms: 3 Second: 1285 sf Garage: 416 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2263 sf Value: $297,398.66 Rear: 8
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: i Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100
Tubs/Showers: 3 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: 0 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 W/Svc or Fdr: 0
Ea addl 500 sf: 4 201-400 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 SF VB R-3 2263
Owner: Contractor:
Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
PHONE: PHONE:
FAX:
Total Fees: $36,681.85
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.
' ,try 1�
Issued By: �Y+VI k WcD DA14467 Permittee Signature: on ape lacaTR CY\
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 L or 2 V 7
Residential RECEIVED FOR OFFICE USE ONLY
- City of Tigard DEC 1 9 2019 Received /,/ - I , c Permit No.Rg- ZOr ),?,
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Rev (/ c LY
ITY OF TIGARD P1anReview n GC 7
Phone: 503.718.2439 Fax: 503.598.19�0 DateBy: tI aj !�`a � Od1C`PRLl/j,(�
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/13y: kris: El See Paget for
Internet: www.tigard-or.gov Notified/Method: I t l SIl W .CDO Supplemental Information 1
TYPE OF WORK REQUIRED DATA:1-AND2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.p q
El 1-and 2-family dwelling El Commercial/industrial Valuation: $ 2 /7 3 1
0 Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z a(a-71
Job site address: j"'j Z,g"I Fe'reM OD LLO V S-` New dwelling area �I� 12 feet I Z! S
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet i 7 g
Suite/bldg./apt.no.: Project name:River Terrace East.st 3 - JC Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East#63- 3C, Lot no.: 2e-2 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
e 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 I] CONTACT PERSON BUILDING PERMIT F.EES*
Business name:Polygon WLH,LLC (Please refer So 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:
Amount received:
Phone:(360)695-7700 Fax :( )
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSUEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc 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:Vancouver WA 98660 • Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)6934442
State surcharge(12%of permit fee): $21.60
CCB Ge.:207247 -- _ Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:12 f lqM *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildina\Penn ts1BUP-RESPermitAon.doc 02/24/2011 440-4613T(I 1/02/COM/WF.RI
. Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RD y:
ed
Permit No.:
at
13125 SW Hall Blvd.,Tigard,OR 97223 e
Phone: 503.718.2439 Fax: 503.598.1960 an Review
III -
Date/By: Other Permit
T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TIT E OF WORK' COMMERCIAL FEE* SCI1IDULE — USE LHLCKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIIEN3TAI,F,QUIPMENT/SYSTEMS FEES*
® 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 INFORMATION AND LOCATION Heating/cooling
Air conditioning 46.75
Job site address: 172q 7 Fa12E5T f-64.4.40£4) 51- Furnace 100,000 BTU Lucts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldgJapt.no.: Project name: ,T `.4451"ik 3 - 3e, 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
1 Flue/vent for any of above 23.32
Subdivision:: IZT E143T 143 - .3`. Lot no.: 2,1 Z Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
• DESCRIPTION OF WORK Gras 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
23.32
K.PROPERTY OWNER I ❑: NA 1? Other
- 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 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® thijCANT^ 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;54.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
Range
E-mail:permitsubmittals®polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TBD Other
MECBANIF41 PERMIT FEES*'
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
* days after it has been accepted as complete.
Authorized signatur . (1, . _ .mot * Fee methodology set by Li-County Building Industry Service Board
Print name:Tonja Morris x„"' Date: 1,61.t 01 19
-Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard
Received
. Date/B
Plan R Permit#:
13125 S W Hall Blvd.,Tigard,OR 97223 Rey:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By. lurit: 0 See Page 2 for
TIGARD Internet: www-tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: - where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commerciallindustrial ❑Accessory building
less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder D Other: 0 Fire pump. 0 Installation of 150 ICVA or
JOB SITE INFORMATION AND LOCATION D Emergency system larger separately derived
❑Job#: Job site address: 1 72.l / FOa. T {. �•, 1 VT Addition mf ores motor load of system.
J
I I" N/�J I ODHP or more. ❑"A" "E„ •`1 p,"1_3"
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
� ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt#: Project name:(Q C ^�g'S• 44 3. 3Cj ❑Hazardous locations. . 0 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 IQty. I Earl I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: 1Z'` j-/-t&?j— 34. Lot#: Includes attached garage.
1,000 sq.R.or less 168.54 4
Tax map/parcel#:
Ea.add'1500 sq ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 7500. 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
la PROPERTY OWNER ❑ TENANT. - Services or-feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less 100.70 2
Address:703 Broadway St.Ste 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 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, +er panel
A.Fee for branch circuits with
Business name:Polygon WLH LLC above service or feeder fee, 7 42 2
each branch circuit
Contact name:Tonja Morris B.Fee for branch circuits without
sAddress: 703 BroadwaySt.Ste 510 branch
it feederitfee,first 56.18 2
branch circuit
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: :(630)693-4442 Each manufactured or modular 67 84 2
dweEmail: ermitsubmittals of onhomes.com Reconnect
P QP Yg Reconnect only 67.84 2
CONTRACTOR : -. Pump or irrigation circle 67.84 2
Business name: TBD Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ gee Page 2 2
Address: panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(ii hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature TOTAL PERMIT FEE:
!!l111
This permit application expires if a permit is not obtained within 180
r
Print name: Tonja Morris Date: t�`�n[0 days after it has been accepted as complete.
1 • Number of inspections allowed per permit.
I1Buildine'PermitslELC Permitst ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/CObUWEB
. ' Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
Received 'ns rzo y^^Ny y,53
- City of Tigard Receive: Permit No.:ri _ L� tti{f�J
II n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD InspectionLine: 503.639.4175 Date Ready/By: rani: El See Page 2 for
Y Y
Internet: www.tigard-or.gov NonfiedlMethod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 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 ElCommercial/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 Site utilities:
Catch basin or area drain 18.76
Job site address: 11?Al s-r B .4...ot v ST Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
/� Footing drain(no.Linear ft. ) Page 2
ICI
Suite/bldg./apt.no.: Project name: �g5.r it 3- 3 C 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: AT }5T 0 3 3 C., Lot no.: ZB'2 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 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/Z1P:Vancouver WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 12.51
Igl APPLICAN"I' ❑ 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
s 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:TBD Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lie.: Plumbing Lie.no.: Plan review (25%of permit fee)
)' State surcharge(12%of permit fee)
Authorized signatur • 1,�7- TOTAL PERMIT FEE
Print name:Tonja Morris Date: `�' `3:1,cti This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
11Buildin¢'Petmirs\PLMG-PemuiAoo.doc 10/01/09 440.4616T(10/02fCOM/WFB)
A
. r
• City of Tigard
COMMUNITY DEVET OPMENT DEPARTMENT
T l c A R D Building Permit Review — Residential
Building Permit #: MS I202D -00003
Site Address: 1.2-11- SW -Fvr - I}„114ld Si
Project Name: i 1 tract. CO' #3 Lot #: ZgZ
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review I �1 12!20 (�\ Wns: RAv► 'e aw) v�hd %
Pr osal: \('tu SFY& �lan -3`1 3 ' K
Verify address/suite#active in Accela. Lld In River Teerrr: ❑ No 1:/es,River Terrace Review Addendum
Sit/Plan Elements: E Er..ion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper II ' - ained trees with drip line and tree protection measures
L°f. -.wn to scale(standard architect or engineer scale) L Fyotprint of new structure(including decks) and FFE
Y N.rth arrow locations&easements(required for new and additions)
i e address,project or subdivision name and lot number idewalk/driveway approach
F .. 'cant information(name and phone number) '�•- anon of wells/septic systems
0.t dimensions and building setback dimensions v'St tree size,type and location
-•ware footage of buildings to be demolished Corner elevations(2'contours if more than 4'diffe7ntial)
0 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ Yes L]No
ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yf51CJNo
Sir I Clean Water Services-Service Provider Letter of platted prior to 9/10/1995): Lj 4 (1'4 C. , l_ /
quired: [I Yes,applicant was notified No Received: ❑ Yes ❑ No / 7 1 ""�
LV Public Facilities Improvement (PFI) Permit: / '
Required: CI Yes,applicant was notified B/No Applied For. ❑ Yes 7
C 0 No,stop intake
i2Kand Use Case#: PD�-1�16-do013 (Zoning. 1?-it,-it, (V
equired Setbacks: Front: )�- p Rear: � 10 Side: 3, Street Side: Garage: 2-0
L� Building Height: Max.Height:� — Actual Height: 16.
0/tandscape Area: Z.fl % Lam' Lot Coverage Max: 8 %
ntrance 0 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
p p Windows CI Minimum 12%of area of all street-facing facades
h^�1 Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
0 Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
4, 0 Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess CIWindow projection ❑ Balcony
Visual Clearance Urban Forestry l 1an
LDS nsitive Lands: ❑ Yes No Type:
ersnditic s ti priotrx to issuance of building p;Amit ,41- aii4
Approved By Planning: . �„C Date: -12-11-)1
Revisions (after Building Submittal only) Reviee er, Dfio
to
Revision 1: �- Approved ❑ Not Approved f v— T`fJL 9
Revision 2: 0 Approved 0 Not Approved �J
Revision 3: ❑ Approved 0 Not Approved
I:\BuildinglForms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal ►
Original Submittal Date: /2—/9'-/9
Site Plans: # 3
Building Plans: # 3
Building Permit#: Cv]'Enter building permit#above.
Workflow Routing: 2' Planning 2 Engineering a-Permit Coordinator C'3'Building
Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review)
Route Application Documents: 2' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2- Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: . Date: D/'02—Q
Enfijneering Review
IV Slope at building pad: 2_4'
iT Conditions "Met"prior to issuance of building permit
®'Easements (encroachments)per engineering conditions of approval and plat
t /Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes IilNo
Assess Water Quantity Fee in-lieu: ❑ Yes C,.e..�,/No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: p Date:
Notes: e2'4. a r 'yCrf , C '4 afc j14491 kl GS74
Date:
Revisions (after Building Submittal only) Reviewer o " Date
Revision 1: V Approved 0 Not Approved /e///3too j.NGe
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
.k Co dons "Met"prior to issuance of building permit
Approved,NOT Released: �f� ,G a ate: 1/3/74-2
Notes: DLO 110 '(SSu-2 Inl'L-h l C.r-'-t—c a-re_ rn.¢ f. —O it ei'�
Revisions (after Building Submittal only) 1
Revision Notice 1: Date Sent to Applicant: fi., 16I2- 2("x)
Revision Notice 2: Date Sent to Applicant:
Rev)idn Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: ye 0 N/A
Parks SDC: 0
OK to Issue Permit LIDA 0 Yes N/A ET#�
Approved by Permit Coordinator: te:
I:1BuildingTonns\BldgPennitRvw_RES_022819.docx
•
City of Tigard
i II COMMUNITY DEVELOPMENT DEPARTMENT
e
T r c A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1.9-1J ,E J h*ut Nilid,.: St.
Project Name: k I lei& t,w)- #-3 Lot #: 2-y2
(New dwelling=subdivision 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? ❑ Yes ❑ 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide
❑ 0 0 0
2. Eyes on the street: a minimum of 12%of each street facie facade must include windows or entrance doors.
Percentage Shown: lhY = Ire‘)6St 4--, 7- 15/.
3. E ances: At least one entrance must meet both of the folllow,__g standards:
U.YMax. 8 ft. setback from longe street- facing wall '-a'r a del 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: II 255 sq.ft. min.
[ One street facing entry Ell.ft.max. roof above floor of porch
[ 5 ft. depth min. 2 30%min.porch roof coverage
4.petalled Design: All buildings shall include a min. of five of the following elements on all street-facing facades:
P� vexed porch min. 5 ft.wide x 5 ft. deep IB-"Kecessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches 0 Dormer min. 4 ft. wide
Roof eave min. 12 inch projection ❑, Ropf offset min. of 2 ft.
❑ Roof shingles either tile or wood L('Gable,hip or gambrel roof design
❑ '.efof pitch oriented south min. 500 sq. ft. ❑hF-6rizontal lap siding min. 3-7 inches wide
®/Accent siding min.40%of street facade 5Window 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
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks:
No/loser to front or side lot line,than longest street-facing wall. 0 Yes IL'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 the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ ],2�foot-wide garage door 0 40%max. of street facade
3/50%max. of street facade with 7 detailed design elements
Notes: P //—
Approved By Planning: .% ( y,i Date: YI-i' 1 y
g\I:\BuddinFortes\BldgPermi1Rvw_RES_RT_121417.docx ��"-��
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
NI " Transmittal Letter
T 1 G A R D 13125 SW Hall Blvd.A•_Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /1l f5D1J A 416-rQO/JG DATE RECEIVED:
DEPT: BUILDING DIVISION
REC9VI--
FROM: t dN-1A- I}7oee,15 SEP 2 2020
COMPANY: LpE. 1 no,�e.[s0A) CITY OF TIG S O
PHONE: 97 i 0 9 5 93 I By: -
RE: l-v2q 7 6-.6sr 1-hi L(rpGt/ GT M57'2o0v — 0000 3
(Site Address) (Permit Number)
R1 UGC 7Te1ei0e6E EAST /-17T 2S2
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: A1, A3, ALI, A5,Ate, 147,/1'8`
Cross section(s) and details. Wall bracing and/or lateral analysis. Rq
2 Floor/roof framing. Basement and retaining walls.
Z Beam calculations. gal3F Z Engineer's calculations.
Other(explain):
REMARKS: Vu,(20 pte rnau- c -to ( TTIC• WI'V.VA/ 5126 /LOGY,0AJ
F1FFICE USE ONLY
Routed to Permit Technic'an: Date: \( 3 2-0Zc) Initials: l
Fees Due: El Yes No Fee Des p on: Amount Due:
s„„-0 I-—
i' .. k__) E s
Special
Instructions: XNo
Reprint Permit (per PE): I I Yes ElDone
Applicant Notified: Date: Initials:
I:1 Building\Forms 1 Trans ini ttalLetter-Revisions_061316.doc
Agnes Lindor
From: Agnes Lindor
Sent: Thursday, October 22, 2020 10:04 AM
To: Tonja Morris
Cc: #Building Permit Technicians; Boris Piatski; Albert Shields;Joe Wisniewski
Subject: MST2020-000002 and MST2020-00003
Attachments: Conditions 10-22-20.pdf
Good morning-
These permits are on hold until conditions of approval are met. Please contact Boris to coordinate meeting conditions of
approval.Attached are the conditions.Thanks,
Agnes Lindor J Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesLPtigard-or.gov
1
Albert Shields
From: Albert Shields
Sent: Monday,January 13, 2020 6:01 PM
To: PermitSubmittals
Cc: Monica Bilodeau; Boris Piatski; Allyson Armstrong
Subject: MST2020-00002 & -00003
Attachments: River Terrace East No. 3 - 01-13-2020.pdf
Happy New Year,Tonja.
I've attached a copy of the Conditions of Approval for River Terrace East No. 3. According to our records, 18 of the
conditions remain Not Met and 2 more show as Partially Met. At the same time,we've received the above permit
applications. They were to be met before we could issue site or building permits or before final plat so I can't release
either of these permits at this time.
Unfortunately,the Engineering Technician who was working on this project has left the city and I can't check with him to
verify that the record is correct and that all of these conditions remain Not Met.
Would you please review this list and let me know if any of the subject items have actually been met and, if so,when
documentation was sent to us?
Meanwhile, I will code these two permits as "Approved (for Plan Review) but Not Released." Plan Review will proceed
but the permits will otherwise be on Hold until it becomes clear that all of the Conditions of Approval have been met.
Please let me know if you have any questions.
Albert Shields.
i