Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
RECEIVI-4 't
JAhi 2 9 2020
)1111 N. Request for Permit Action
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigarda#10NG D V Si1T,
TO: CITY OF TIGARD V It 0
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 _ // Z.0 474-7
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: n Owner [ Applicant ❑ Contractor ❑ City Staff
Check(V)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOr ,Iato O LL
Mailing Address: t'
2 3Sk. ) Ske_
City/State/Zip: VGZ.6CA5wfl.C2, W c<6(0(00
Phone No.: ao O - " l oO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
Fr CANCEL/VOID PERMIT APPLICATION.
I I REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: P1 12020-0001414-14
o 22
Site Address or Parcel#: fytq.7.p 144..4 o Gam 0011-5--r
Project Name: (,,SNr- toQVp U
Subdivision Name: Lot#: I P upG
EXPLANATION: (# Q-3 u..13pA L fr a -W I r'-eu) - p ‘ ¶ SQ
Signature: Date: I Nick 2a
Print Name: orris
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund o£
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
/"6?2,M/S ni°7" rCS F
P6-1v4.)f•1/4/6 — f.�rtt,��/isJ �'t�g->.l .�--��/i - N�� Co"ig ,�o
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 3/j/ By 1�
Refund Processed: Date /1///1 By4' Invoice Processed: Date 3/o Zv By ./'%
Permit Canceled: Date 3/j//'2,) By /-r Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_12651 .doc
Vfl ! O
Building Permit Application ,3 /1 )c .,,v�
Residential RECEIVED FOR OFFICE IlSE ONLY
City of Tigard FEB 2 5 2019 Received DateBy: e�-Q��2� PermitNct/isrzo2o-ceQzZ
- '� 13125 SW Hall Blvd.,Tigard,OR 97223 Ban Review `_
Phone: 503.718.2439 Fax: 503.59 1LA ry Other Pe ��Q��QZ.�
OF TIGARD Date/By:
T 1 G A K D Inspection Line: 503.639.4175 Date Ready By: luris: 0 See Page 2 for
Internet: www.tigard-or.gov a�11�-DING DIVISION Notified/Method. Supplemental Information
TYPE OF WORK REQUIRED'DATA:I-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling Valuation: $
El
❑Accessory building El Multi-familyNumber of bedrooms: 2,
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: l LA 1 ibil t 10(., �Da .ex r � New dwelling area: 1mLI square feet
City/State/ZIP:Tigard,OR 97224 V \/ 11` 111 Garage/carport area: 9.1 , square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge 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:Polygon at Roshak Ridge Lot no.: li ' 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
DESCRIPTION OF WORK work indicated on this application.
New SF Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon WLH LLC Type of construction:
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
ICI APPLICANT. 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
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::(360)693-4442
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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/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.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ama avin Date: *Fee methodology set by Tri-County Building Industry
Ar
Service Board.
I:\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011 440-46 13T(1 1/02/COM/WEB)
Mechanical Permit Applicati lE E1VED FOR OFFICE USE ONLY
City of Tigard Received permit No.: *�cc 7'� ,y�y�
. Date/By:
IV!
O r2au�-Oe�7ZZ
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
Inspection Line: 503.639.4175Date/By:
TIGARD CITY OFTIGARD Date Ready/By. luris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE(2l#LCKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CON;;!'RUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION'AND LOCATION Heating/cooling:
i L -I vk ��yv eO.O �� 5�� 'V'a(� AirFurnace conditioning0 ,0 (ducts/vents) i 46.75
Job site address: 100,000 BTU 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:Polygon at 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:Polygon at Roshak Ridge Lot no.: I 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
14 PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
ID APPLICANT p CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Gavin 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:
MECHANICAL PERMIT REES*
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 lic.: ' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Si r4IIM * Fee methodology set by Tri-County Building Industry Service Board
Print name:Aman s.. avin I Date: a , �//J��
r
I:ABuilding\Permits\MEC_PermitApp_040113.doc 440 61�11/02 OM/WEB)
"'IVED
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 DateBea MST 2020—COO 22-
II - Permit#:
. 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Review
Phone: 503.718.2439 Fax: 503.598.190]-y OF T IGARD Date/B : Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Surfs: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OFs CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family 0 Master builder ❑Other: 0 amps for other installations. Inbustdings.
pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 1 Ut ` V l S V V LlOIA WA fii 1 1 K J ❑100FI oo of new motor load of system
V 100HP or more. ❑system
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
ty g 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge ❑Hazardous locations. El 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 1 Lot#: Oli` Includes attached garage.
1,000 sq.ft.or less 't 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion I 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 0 See Page 2
® PROPERTY OW1?ER I ❑ 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 I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per 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:Amanda Gavin B.Fee for branch circuits without
Address:703 BroadwaySt.Ste 510 service or feeder fee,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
Email:permitsubmittals@polygonhomes.com Reconnect
and/or feeder
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 El See Page 2 2
Address: panel,alteration,or extension. g
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.Lic.: specifically listed(Yz hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,req fired: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signatu TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amanda Ga i'n Date:a- a.-?- days after it has been accepted as complete.
v ` Number of inspections allowed per permit.
I_lBuilding\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 4 -4615T(11/05/ M/WEB
• Plumbing Permit Application RECEIVED
Building Fixtures FEB 2 5 2019 FOR OFFICE USE ONLY
City of Tigard Received Mc1 W�^O2.r
- gPermit No.: J v(J (r�
III13125 SW Hall Blvd.,Tigard,OR 97223 vI IY OF TIGARD Date/By:
Plan Phone: 503.718.2439 Fax: 503.598.l9 lJILDING DIVISION Date/By:
Other Permit No..
DateBy:
Inspection Line: 503.639.4175 Date Read B Juris: H See Page 2 for
T I G A R D Internet: www.ti and-or. ov y y g
g g Notified/Method: Supplemental Information
TYPE OF WORK FLE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description Qty. Ea. 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
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 1 500.32
❑Accessory ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I LI q'ZL- C7v 3 e D I ����„f� ry`�(Q) Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 V v `J6 v l Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Polygon at 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:Polygon at Roshak Ridge Lot no.: Qi( Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIY1ION OF WORK Backwater valve 112.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
•® PROPERTY OWNER I El 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:(360)693-4442 Ice maker 12.51
10 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Amanda Gavin
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
CONTRA„
CT( t Water closet 25.02
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
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee)
Authorized signat •
���(((��^ TOTAL PERMIT FEE
Print name:Amanda vin Date:0 qiU I This permit application expires if a permit is not obtained within 180 days
I I after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(1 0/02/COM/WEB)
City of Tigard
71, . .p COMMUNITY DEVELOPMENT DEPARTMENT
r 1 c A R'13 Building Permit Review — Residential
Building Permit #: MSS2020-0002Z-
Site Address: AA71,2Li --C .) qa ( - 7--erraei
Project Name: i°0/ , ,71 £ ,L �L Ei ' Lot #: j/
(New j Iing=subdivision name;Addition or Alteration=if name of owner)
Planning Review
Pro�sal: Aka) QT-4-
rr Verify address/suite# active in Accela. Er/In River Terra : ❑ No t✓J Yes, River Terrace Review Addendum
Sitt Plan Elements: r.sion Control
6�J opies of site plan on 8-1/2"x 11"or 11 x 17"paper II ••tained trees with drip line and tree protection measures
511 D awn to scale(standard architect or engineer scale) _J F tprint of new structure(including decks) and FFE
rth arrow 1 UU•.'ty locations&easements (required for new and additions)
11-'6Si address,project or subdivision name and lot number in Sidewalk/driveway approach
t14Ir plicant information(name and phone number) a; ;,,cation of wells/septic systems
t dimensions and building setback dimensions ►.S eet tree size,type and location
rIa « .re footage of buildings to be demolished VS",eet names
!P sting structures on site I Corner elevations(2'contours if more than 4'diffe itial)
V Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced VJYes 0
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes MNo
Clean Water Services—Service Provider Lettot platted prior to 9/10/1995):
/Pequired: ❑ Yes,applicant was notified L✓J No Received: ❑ Yes ❑ No
ublic Facilitie mprovement(PFI) Permit:
Required: V Yes,applicant was notified ❑ No Applied or: yes ❑ No,stop intake
lekland Use Case#: -a -d1S 22 � Zoning: L.— ( L)
wequired Setbacks: Front: h2 Rear: Side: Q Street Side: Garage: /g, S
ilding Height: Max. Height: Actual He' ht: '•'3-4--
Landscape Area: 2O % Lot Coverage Max: %
Entrance back no more than 8'from street-facing wall ❑ Parallel eet or offset 45 degrees or less
Windows ❑ Minimum ° of area of all street-facing facades
in
Garage ❑ Garage door is beh ' est street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more a ' rom w nd there is a covered porch extending beyond garage.
❑ Door extends no more than ' om d there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is 'or less ❑ 50%or e facade ❑ 60%or less and includes 7 of following:
❑ Covered c ❑ Recessed entrance ❑ Wall offse 1'Roof eave ❑ Roof offset
❑ ' e shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, ambrel roof ❑ Dormer
/ ❑ Accent siding Window trim ❑ Window recess ❑ Window pr . 'on ❑ Balcony
t Visual Clearance Urban Forestry path
111 . -nsitive Lands: ❑ Yes No Type:
► . Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: — — • Date: ,..)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: OL 25''20/g
Site Plans: # 3
Building Plans: # .3
Building Permit#: Er Enter building permit#above.
Workflow Routing: ll Planning CY Engineering l7- Permit Coordinator Et"Building
Workflow Sign-off: le- Sign-off for Planning(include notes from planning review)
Route Application Documents: IP- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
11' Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 1)/-O7-202.4)
Engineering Review
141ope at building pad: if
[PrConditions "Met"prior to issuance of building permit
41
Easements (encroachments)per engineering conditions of a approval and plat
� g Pp
C water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes k No
Assess Water Quantity Fee in-lieu: El Yes L o
�/ LIDA Facility on lot: ❑ Yes E No
lg Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes:
L(d Approved by Engineering: Date: / ) 2-e,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ 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:
Revision Notice 3: Date Sent to Applicant:
IJSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes El N/A
Tigard Trans SDC: l'Yes ❑ N/A
Parks SDC: [(es El N/A
�. LIDA ❑ Yes �'N/A
LL- K to Issue Permit
Approved by Permit Coordinator: WiliDate: ii.tri)-4)
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
..,.. 1 y. ...,:. . �. �.r t6r>„ir.5.. .,< ..limey_ �, �n ._.:. t<<;::._��..r�. ..,?... .:,: �,....:cv .. . _."a >,.J ..0 ,.«•e>Y� � - i:., ..
Building Permit #: l MMv6AA ST2 -M b 7
Site Address: , / � . - s fl )) E / r,,_,,�-- a c-
Project Name. # ,,. *2- _ y i, _ f /, /ice Lot #: ��
(Ne (1 T ng=subdivision name;Addition or Alteration_ name of owner)
Planning Review of River Terrace Plan Dist Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? Er 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. 5 ft. deepGabled dormer
ft.t?i3" min. 2ft., 5 ft.wide min. 2 ft., Eft. e
d£Erie. ..wor -i- 1 w
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: F` >) %, £! j 0 `/v ! >1.2_o
0
3. trances:At least one entrance must meet both of the folio g standards:
ri
Max. 8 ft. setback from longest street acing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ❑ Yes No
If yes,all the following apply: ❑ 25 sq.ft. min.
❑ One street facing entry ❑ 12 ft. max.roof above floor of porch
❑ 5 ft. depth min. ❑ 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:
❑ overed porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches . ❑�°rmer min. 4 ft.wide `�
iZ Roof eave min. 12 inch projection i.���I �' 1�/�of offset min.of 2 ft.f� `t
❑ Roof shingles either tile or wood sable,hip or gambrel roof designf i&r
�❑ oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide l
ccent siding min.40%of street facade / 0-Window Window trim min. 2'/2"wide by 5/8" deep f 'f
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ 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 corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
❑ I)4ay 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.
W : (Check one)
12-foot-wide garage door ❑ 40%max. of street facade
El 50%max. of street facade with 7 detailed design elements
Notes:
-9—
Approved By Planning: --- C ' '� Date: /i & l
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