Permit w
RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
Ni Request for Permit Action CITY OF rUOMt D
7 1 C;A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard �NG DIVISION
CITY OF TIGARD -WADvoIDBuilding Division
13125 SW Hall Blvd.,Tigard,OR 97223 3/// 2P
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: n Owner Q Applicant ❑ Contractor ❑ City Staff
Check(V)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOCAja/Wt'644ag ' J/ -1 , LLC--
Mailing Address: 102) 3S . t rjk
City/State/Zip: V aintovve_R Lk) (} cet 6(0O
Phone No.: 5,o O' Lpq S " 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
7' CANCEL/VOID PERMIT APPLICATION.
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#: nisi 202O-Do&V. , l9 io, — -
ofttri AstAigoic
Site Address or Parcel#: igg7D 11.444410 41'2q Goal h.5'r
Project Name: (,USV 'D?- pg
Subdivision Name: p� � Lot#: 'r?I . .LibG
EXPLANATION: W t'1€ ) t VOr SQ }
Signature: Date: I ( 2Gt\ 2a
Print Name: p orris
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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. Please allow 3-4 weeks for processing refund requests.
/"EE/1/75 A/o /sSGc
P6,v)fA/6 - 6 u/►..aa,,'Je• c.q->./ Carer- ,�.i5
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 3/7, yk) By
Refund Processed: Date Af//9 By Invoice Processed: Date /r/2,-) By MC-
Permit Canceled: Date 3//'/7-0 By /^i Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_12 51S.doc
. v AI. I E)
Building Permit Application
3 ! 2.-c
Residential RECEIVED FOR OFFICE USE ONLY
City ofW Tigard Received 0! d7 Msr2ozv^�a,9
!I _ FEB 2 5 2019 Date/By: �� PennitNo ^/� ' w
,� • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �n
• Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Pen R W WO le)
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1 and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 y t410 10 Cl 0la (1L) (-'�,10/�/'�/�/� /� New dwelling area: \7- . square feet
City/State/ZIP:Tigard,OR 97224" I '''��� V t t Garage/carport area: L]((p square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: 6 I S 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.: 8g 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: $
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 ❑ CONTACT PERSON BUILDING PERMIT FEES`
Business name:Polygon WLH LLC (Ple.nr refer lo 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(a�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.
Permit Fee(includes plan review
City/State/ZIP:Vancouver WA 98660 $180.00and 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: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda G in Date:— ]ri `Fee methodology set by Tri-County Building Industry
r Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application RECEIVE L•eceived FOR OFFICE USE ONLY
2' City of Tigard Permit No.:
Date/By: M ST2vl�✓-00019
q lig 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Ready/By: 7ur s: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD DateRd/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYS EMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use check-list.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE LNFORMATION AND LOCATION
Air conditioning ( 46.75
Job site address: ` � LI 1 u ) El 0`ck.C u� `revY' Fumace 100,000 BTU(ducts/vents) I 46.75
City/State/Z1P:Tigard,OR 97224 l Fumace 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 I 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: gg
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
0 PROPERTY OWNER I] TENANT Other: 23.32
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, 22
toilet compartments,utility rooms) J 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® APPLICANT Q 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
WalUsuspended/unit heater
City/State/ZIP:Vancouver WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E mail:permitsubmittalsgpolygonhomes.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 sign lit. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amand Gavin Date:
a-- I11
Electrical Permit Application RECEIVE BFOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received MS n f20-000 19
- Dan Review
4 te/By: Permit#: �/ `q
ihil • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDateBy: Suris: See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: I El See
Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 Building over three stories.
El 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.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATIOs'' ❑Emergency system. larger separately derived
Job#: Job site address: I Li g 1 D S r V C ( coo /O ,❑Addition of new motor load of system.
VVV 11� w 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Polygon at Roshak Ridge 0 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 . Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge 1 Lot#: kK Includes attached garage.
1,000 sq.ft.or less r 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energ
y,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
El PROPERTY OWNER 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 I 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 0 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
service or feeder fee,first
Address:703 Broadway St.Ste 510 branch circuit 56.18 2
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
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com 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. ElSee 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(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:
Inspections for which no fee is 90.00/hr
CA h
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed( r min) _
ELECTRICAL PERMIT FELS
Suprv.Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorize TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: da Gavin Date: .9-?- til days after it has been accepted as complete.
* Number of inspections allowed per permit.
I1Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 0-4615T 1/05/COM/WEB
Plumbing Permit Application R EC E(V , _
Building Fixtures FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2011 Received �ST2UW-000I '
- Date/By:
Permit No.:
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev ew
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGAR liate/By: Other Pennit No.:
Inspection Line: 503.639.4175 BUILDING DIVISI S.1 }B to Read Juris H See Page 2 for
TIGARD Internet: w gww.tigard-or. ov y
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSI'RUCFION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
El Accessory buildingSFR(3)bath 500.32
0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:) q q-7 D V V Cl l//( (OM --.„Q/l/y`/A (V Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 0 V t� P ► !!� 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 I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 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
El APPLICANT ❑ 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
CONTRACTOR 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 (23%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Amanda vin Date: 42/1eeJ
r1 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\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEBI
City of Tigard
IICOMMUNITY DEVELOPMENT DEPARTMENT
■
T-t c A R D Building Permit Review — Residential
Building Permit #: M ST21)ZV UW 19
Site Address: /212/ -a) (a (62,0}- 7�.Ta& _
Project Name: Pp/ ; d L iei� Lot #: CJ
(New l40,(ng=subdivision name;Addition or Alteration= s name of owner)
Planning Review
Pro�sal: Aka)
Verify address/suite#active in Accela. 1a In River Terra : ❑ No L✓J Yes, River Terrace Review Addendum
Sit.Plan Elements: r.sion Control
.1"K copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11 b•tained trees with drip line and tree protection measures
' D orr_awn to scale(standard architect or engineer scale) _�I F tprint of new structure(including decks)and FFE
rth arrow I�JU .ty locations&easements (required for new and additions)
ASi address,project or subdivision name and lot number 'Sidewalk/driveway approach
plicant information(name and phone number) 0;!.cation of wells/septic systems
t dimensions and building setback dimensions % eet tree size,type and location
f SS�•1 « .re footage of buildings to be demolished hQS�et names
el' 'sting structures on site I:tomer elevations(2'contours if more than 4'diffe tial)
YA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? gYes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?1,31Mil Yes ki No
lean Water Services—Service Provider Letty(lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified L No Received: ❑ Yes ❑ No
i Public Faciliti yimprovement (PFI) Permit: /Yes
Required: Yes,applicant was notified El No Applied or: ❑ No,stop intake
oLand Use Case#: �U O/S aw Zoning: h)
eq.uired Setbacks: Front: /..2 Rear: Side: 0 Street Side: Garage: / % S-
uilding Height: Max. Height: —�\J \ Actual Hei ht: ".--. 3—
Landscape Area: 2O % VLot 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
Garage CI Garage door is behin . 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
❑ " e shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, ambrel roof ❑ Dormer
❑ Accent siding I. Window trim ❑ Window recess ❑ Window p " "on ❑ Balcony
Visual Clearance PA' Urban Forestry,,pat
O . •nsitive Lands: CI Yes L11 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
ermitRvw_RES_122819.docx
Building Permit Submittal
Original Submittal Date: 01'25-2o/9
Site Plans: # 3
Building Plans: # ,..3
Building Permit#: IR Enter building permit#above.
Workflow Routing: 2- Planning [fl Engineering Cr' Permit Coordinator C'Building
Workflow Sign-off: ® Sign-off for Planning(include notes from planning review)
Route Application Documents: El Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
It Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .
By Permit Technician: Date: eV-47-262.o
r>,ji}Eti iZi,'.:-;a...t data)£...1=1, _5:.,:t lk,,, )ie 3s!#..1,, WF el OLU I '*s'_` e€fG 1.tEdl.ikrk^.Eul' 15.£,..,.-,.2 yifra..k:-.',V .§Ltail..s..W_.x d tstiff,� . 't1',C.M'19.' :l,AF 2Aals:
En veering Review
Ilil Slope at building pad: 1 6
[rConditions"Met"prior to issuance of building permit/V/61
tywEasements (encroachments)per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [t(No
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ❑ Yes PN4o
'Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
CP/Approved by Engineering: Date: //�d/�
Revisions (after Building Submittal only) Reviewer L Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ 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:
SDC Fees Entered: Wash Co Trans Dev Tax: /12"Yes ❑ N/A
Tigard Trans SDC: QVYes ❑ N/A
Parks SDC: Er Yes ❑ IN./A
/ LIDA ❑ Yes Inr-N/A
IfJ OK to Issue Permit / /ye'
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
t
a
City of Tigard
11111 a COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D River Terrace Building Permit Review Addendum
.a-. Q ha..x: tx t ....: .ss+s's.,4, .. .., „,,.,m tr,w44+ '.,, a;. . mf 4,,, s w..,4ff.1.!'0s x •ks-. ,ss:=.aa*..w:..
Building Permit #: M S7 202_0 0019
Site Address: /4/7 a ) (7/ av_C'T � a C'e___
Project Name: d� y, &- f?AI- -/'.a Lot #:
(Ne ng=subdivision name;Addition or Alteration- a name of owner)
Planning Review of River Terrace Plan Dist Design Standards (18.640.070.I.):
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.,Eft. e
❑ ❑ ❑
dZ 77- -i- gib
2. Eyes on the street: a minimum of 12%of each street facine facade must include windows or entrance doors.
Percentage Shown: F` > 70 je! 0 F1/4 ., >/..2-o,
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: Cl 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 CI Recessed entry area min. 5 ft.wide x 2 ft. deep
io
all offset min. 16 inches'�i ❑ ormer min.4 ft.wide
U/ Roof eave min. 12 inch projection .. _ 1dof offset min. of 2 ft.'1
CI Roof shingles either tile or wood 1L able,hip or gambrel roof designrrreC
❑ oof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wide } —
Accent siding min. 40%of street facade/ V Window trim min. 2 1/2"wide by 5/8"deep
❑ 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):
❑ Iylay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
d—,/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)
V12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: . -- = i____� Date: 0
t:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx