Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
JAN 2 9 2020
)111 Request for Permit Action tiD
q CITY OF ��G����1
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard ING DWI
' TO: CITY OF TIGARDV CH D
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 /// 2' 4
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner !I Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Toujaak tiorna W 1,1-I LLC
Mailing Address: 1O3 Sk.
) SV_. S1
City/State/Zip: VGLIA,C,pu,VGR. IN CV:6lo(oO
Phone No.: 3,0 0- (p 5 " 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
rEr CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
n INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: 20-OOOt , Pr, 2O,0
4.44,44/4
Site Address or Parcel#: y gift) GOLD &45'7.
Project Name:
Subdivision Name: g&p, .� - Lot#: -c I ? I
EXPLANATION: `4e-u bnri L4i,t w I 1.,-eu -( c c'e\ A- I SQ CI.--
Signature: Date: 1 2ct Za
Print Name: 11 O t"Ir I S
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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. Please72 allow 3-4 weeks for processing refund requests.
/ ,i/%S I OT /SSo
//,v f A/6 — /3 r f l,.»/iv //t_g."/ Cev-V+4E'7
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 3/jr ,2 By .
Refund Processed: Date /1ff R Bye Invoice Processed: Date _3/// 20 By -
Permit Canceled: Date 3//,/2ia By Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_120518.doc
" V ', ' I k: ';'
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
- Cityof Tigard Received ��)
FEBE EB 2 5 2019 DateBv: D�_O/ ZOZU Permit No �w
2.6
11
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 lrt OF TIGARD Date/B : Other Permi&(J220�"e00
TIGARD Inspection Line: 503.639.4175 DIVISION Date RzadyBy: Juris: EI See Page 2 for
Internet: www.tigard-or.gov RUIN-DWG Notified Ivfethod: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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
work indicated on this application.
CATEGORY OF CONSTRUCTION
® 1-and 2-family dwellingValuation: $
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
97
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 9 4 q D sio ,610 /,( , aka `�, 'r f(k/ New dwelling area: a� square feet
City/State/ZIP:Tigard,OR 97224 ((JJ" 1 ` Garage/carport area: square feet
l �
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.:ow 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 SFA, Valuation: $
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:
•
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer tn 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
Phone:(360)695-7700 Fax: :(360)693-4442 Amount received:
E-mail:permitsubmittals(a polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 V�A 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: $201.60
Authorized signatnfe: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amandt avin Date: 0_0' m *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\PermitslBUP-RESPermitApp.doc 02/24/2011 440 613T(l1/0 /COM/WEB)
•
Mechanical Permit ApplicatiollECEIVEI Received FOR OFFICE USE ONLY
- a City of Z lgai C� Date/By: Permit No.:�s r219,Zo pe z
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: I3 See Page 2 for
Internet: www.tieard-or.gov BUILDING DIVISION Notified/Method: Supplemental information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHE.CKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
TOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: U u O C 1/� 1 j� D 10t (3(it 'l torc1 co , Furnace 100,000 BTU(ducts/vents) , 46.75
City/State/ZIP:Tigard,OR 97224 V 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 1 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: 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
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment I 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust l 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
® APPLICANT 0 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 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 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 signa /. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Aman sr-Gavin Date: 0-
1
Electrical Permit Application DECEIVE , FOR OFFICE USE ONLY
Received
Date/By: Permit#: (/
C�n„�-092./
II City of Tigard MJ �
a 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 5 2019 Plan Review
-
Phone: 503.718.2439 Fax: 503.598.1960 DateB : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: runs: IRI See Page 2 for
TIGARDt. Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
E New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more IDBuilding over three stories.
❑Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling ❑ CommerciaUindustrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: t(i(� SY V��D �o a f x, ❑Addition H of new motor load of system.
100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential traits. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge ❑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
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#:/0 Includes attached garage.
1
Tax map/parcel#: `v 1,000 sq.ft.or less 168.54 4
Ea.add'1500 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
residential(with above sq.ft.) 75.00 2
Renewable Energy ElSee Page 2
® PROPERTY OWNER ❑ TENANTServices 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
Branch circuits—new,alteration,or extension,per panel
® APPLICANT ❑ CONTACT PERSON 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 branch
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 dwelling,service 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
Address: panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(I 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(A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: / ` TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amanda eF in Date: a-- l� days after it has been accepted as complete.
t * Number of inspections allowed per permit.
I.\BuildingTermits\ELC_PermitApp_ELR_EREdoc Rev 06/17/2015 430-1615T(1 /05/COM/WEB
Plumbing Permit Application RECEIV Fixtures RECEIVII FOR OFFICE USE ONLY
City of Tigard Received permit No.: q� /
IN - q 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Date/By: Ji�,ST1�Z02/
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
CITY OF TIGAR II Date/By:
Inspection Line: 503.639.4175 BUILDING DIVISI a hate Ready/By: Juris: 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov } y
0 Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
El New construction El Demolition For special information use checklist.
Description Qty. Ea. 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
El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
El Accessory building SFR(3)bath 500.32
❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.fr.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
pimp p S1 A) /i o /o/]l -r r n A ) Catch basin or area drain 18.76
Job site address: �l "l V Ull ('�(J t V V h 'Cf�/ 1 (il (ICJ
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: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 I Lot no.: aD 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 .I 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/ZIP:Vancouver WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 12.51
® 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(iPpolygonhomes.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
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee)
Authorized si TOTAL PERMIT FEE
Print name:Am Gavin Date: �/
r]_-d (1 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\Permits\PLMU-PermitApp doc 10/01/09 440-4616T(10/02/COM/WEBI
City of Tigard
11
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A x o Building Permit Review — Residential
Building Permit #: MS T2.O2D- Z,
Site Address: /4141L/? C)k.) q he ( ' ?-7. -e_
Project Name: PO//J ,71 L 6 ". Lot #: C-7''
(New rif ng=subdivision name;Addition or Alteration=ir name of owner)
Planning Review
Pro sal: Akio K2F-A-
EV Verify address/suite# active in Accela. Ia In River Terra : ❑ No Yes, River Terrace Review Addendum
Sit,Plan Elements: r.sion Control
Vicopies of site plan on 8-1/2"x 11"or 11 x 17"paper 111 A-tained trees with drip line and tree protection measures
bill awn to scale(standard architect or engineer scale) _�/F tprint of new structure(including decks) and FFE
rth arrow Wig -ty locations&easements(required for new and additions)
;11Si address,project or subdivision name and lot number 'Sidewalk/driveway approach
lUtpplicant information(name and phone number) ltti;‘ cation of wells/septic systems
(QLot dimensions and building setback dimensions T SS eet tree size,type and location
`
Ulf e .re footage of buildings to be demolished VS,eet names
11 -sting structures on site I2torner elevations(2'contours if more than 4'diffe tial)
%Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? IQ Yes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No
lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified L✓1 No Received: ❑ Yes ❑ No
i2 Public Facilitie mprovement(PFI) Permit: Zes
Required: Yes,applicant was notified ❑ No Applied or: ❑ No,stop intake
V6and Use Case#: 2U&.20/S Cen94 IQ zoning: L .2 „ )
wequired Setbacks: Front: /� Rear: Side: 0 Street Side: Garage: /�.,
ZLBilding Height: Max. Height: Actual Hei ht: ~'3- --
andscape Area: .=-2® % 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
hi
Garage ❑ Garage door is ben ' 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 ❑ Recessed entrance ❑ Wall offse 1'Roof eave ❑ Roof offset
❑ shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, ambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess ❑ Window p - -on ❑ Balcony
Visual Clearance Bt4rban Forestry
,,Ph
111 . •nsitive Lands: ❑ Yes L11 No Type:
ffl 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: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: OZ 2510/9
Site Plans: # S
Building Plans: # 3
Building Permit#: Q' Enter building permit#above.
Workflow Routing: 2 Planning [ Engineering Ca'Permit Coordinator Et Building
Workflow Sign-off: [ I 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: O/-07 2&Zo
l'AIA_-<.zr a`..xAkttC,Ki$frX';3,hv .Y.3!,,,,I,5s .. eg4:C.95 ialMalteIWZ P ,e f'..q t.1K::ib'�S••,. •w•••. $SV$'li4“rb709/ 630: YtlSw"4..ii>. flt-16,t-IXAE V.IdtABEMI VAW,
En ineering Review
Slope at building pad: 44
/ '
(Conditions "Met"prior to issuance of building permit �
[a/Easements (encroachments)per engineering conditions of approval and plat
[ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [k"No
Assess Water Quantity Fee in lieu: 0 Yes 453o
LIDA Facility on lot: ❑ Yes No
CP/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
II /Approved by Engineering: Date: /stl2eP'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 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:
R vision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: Byes ❑ N/A
Tigard Trans SDC: Z es ❑ N/A
Parks SDC: Q Yes ❑ /A
LIDA ❑ Yes 2 N/A
OK to Issue Permit Approved by Permit Coordinator: 011/
Date: i/Qd
i>62
1:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
11111 a COMMUNITY DEVELOPMENT DEPARTMENT
C >
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: M S 12 20 0002J
Site Address: / L/G QA ) 5 / ' ( 3 as'+ 7-e/toC--
Project Name: / _, �, /e�� �, / 's/ �, Lot #: 90
(Ne f► f ng=subdivision name;Addition or Alteration iirname of owner)
Planning Review of River Terrace Plan Dist Design Standards (18.640.070.L):
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. 5 ft. deep Gabled dormer
ft. de min. 2ft.,5 ft.wide min. 2 ft., 6ft. e
❑ ❑ ❑
dZ /pvr- -i- gi&"
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: F` ) 71, £! j 7v ! >,C2,O,
a
3. trances:At least one entrance must meet both of the follo g standards:
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 façades:
0 overed porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
IF
all offset min. 16 inches ❑�°rmer min. 4 ft.wide �
LI Roof eave min. 12 inch projection'i ld of offset min.of 2 ft.r412-`t
❑ Roof shingles either tile or wood gable,hip or gambrel roof design f i1
41
❑ oof pitch oriented south min. 500 sq. ft. h�orizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade`/ i4 Window trim min. 2 1/2"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 façade
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):
j❑ ay 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
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: — -- _ / Date:
I.\Building\Forms\BldgPermitRvw_RES_RT_121417.docx