Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
JAN 2 9 2020
III
m Request for Permit Action - RD
q CITY OF t!G�i�ne
T t G n R l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard.&UJL ING OiVI..
TO: CITY OF TIGARD \/ Q
Building Division
13125 SW Hall Blvd.,Tigard, OR 97223 3/// Z.0 4W
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner [Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOr oab-A) tItYma5 W(A-1 , Gt-C-
Mailing Address: 1Oa �. S 510
City/State/Zip: V .".CA5V`.VG•R t&j °k`6(o(oO
Phone No.: .o O' to.a5 " "1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
yr 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#: write, `$4z
itteet
Site Address or Parcel#: l 1.5t11211 ��7
Goa)
Project Name:
Subdivision Name: p% )). � Lot#: ?(J 1
EXPLANATION: E-4e-3 ui im 3W vo '}c O\- Y.VOr ` 5 Q } i-
Signature: Date: 1 2R. Za
Print Name: Q11 Orris
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3./,Pllease allow 3-4 weeks for processing refund requests.
E'A✓41/7S AO7 /5Saa,l7
Route to Sys Admin: Date By Route to Records: Date 3//, 2& By
Refund Processed: Date Ai/ Befrir Invoice Processed: Date 3j/, yv By
Permit Canceled: Date 3//d'2a By Parcel Tag Added: Date // By •
I:\Building\Forms\RegPermitAction_120518.doc
Building Permit Application „ 3, , j CT 87
lio
Residential RECEIVED FOR OFFICE USE ONLY
. City of Tigard Received �y
_ FEB 2 5 2019 DateB,v: to/
PennitNo.:��r2dZb �—oi$
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �W\
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permi
Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris: ® See Page 2 for
TIGARD p BUILDING DIVISION
Internet: www.tigard-or.gov Notified Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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
❑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: $
ElAccessory building ❑Multi-family Number of bedrooms: 2.--,
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t(,A Lt1 IJ ^ 1 C 0(/LW Cf C -� „P�'at( New dwelling area: I L�- square feet
City/State/ZIP:Tigard,OR 97224 VV��// t/L Garage/carport area: 1-•• square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: ;;//JJ/L,� 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.: 0 1 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 SEA Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENA,NT 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 toleeschedule)
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)6934442
E-mail: permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM 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/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-44424 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signa I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:A ands . ••yin V Date: �e— j� *Fee methodology set by Tri-County Building.Industry
lService Board.
I:ABuilding\Permits\BUP-RES Perm itApp.doc 02/24/2011 440 613T(1 /02/COM/WEB)
Mechanical Permit Applicatio ECElVED FOR OFFICE USE ONLY'
City of Tigard Received Permit o.: p
FEB 2 5 2019 DatDate/By: p i N �t�f�1 sr -000�0
e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Iuris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
' Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CON51 RUCTION RESIDENTIAL EQUIPMENT/SYS ELMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
(q u r—l f (A) C D ( to T V V ( AirFurnace conditioning0 ,0 46.75
Job site address: J 1 f%� 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 t V` 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 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: 9'7 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 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
El PROPERTY OWNER 0 TENANTOther: 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 I 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
APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH LLC
S14.15 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:permitsubmittals()polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TBD Other:
MECHA�t'ICAL 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:Arran Date:g-Pa" 1rl
Electrical Permit ApplicationRECEIVED FOR OFFICE USE ONLY
Received ���
- City of Tigard Date/By:
Permit#: STZQ (/V ��
71a 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD ReadyDate/By: Juris:
TIGARD p o o ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONS rI{ lCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
ElI-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 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:l4 L1'1(k W V OM(u l t o 7`� 111� (/I p,❑Addition of new motor load of system.
{{ l 100HP or more. ❑"A","E","I-2","1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 1 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 I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 8'1 Includes attached garage.
1,000 sq.ft.or less I 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 1 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
EtRenewable Energy 0 See Page 2
PROPERTY OWNER + 0 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
Address:703 Broadway branch St.Ste 510 service or feeder fee,first 56.18 2
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(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(%2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requ'.id: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signa re:
' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ama$a. .v n Date: a- n days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_Permit...._ELR_ERE.doc Rev 06/17/2015 0-4615T 1/05/COM/WEB
Plumbing Permit Application
Building Fixtures RECEIVE I FOR OFFICE USE ONLY
City of Tigardilh Received PermitNo.:A s7-20zio,od sig
. p 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Date/By:
Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Inspection Line: 503.639.4175 CITY OF TIGARD DateBy:
TIGARD Internet: www.tigard-or.gov BUILDING DIVISIO Date ReadyBy. Juris. H See Page 2 for
o Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑ Demolition For special information use checklist
Description Qty. 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 ❑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:
q f it q (',t l b h Ki/ t�otti-p�/��/�i/n ` Catch basin or area dram 18.76
Job site address: I `-i J l/lJ �J` �,(f 1'T/V 1 Ul lXJ
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.: .-I Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 1 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(a"Ppolygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:TBD Water pipine/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 signs e: TOTAL PERMIT FEE
�� s permit appl
ication expires if a permit is not obtained within 180 days
Print name:Aman Gavin Date: �� after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp doe 10/01/09 440-4616T(I0/02/COM/WEBI
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T c A xD Building Permit Review — Residential
Building Permit #: M ST2O2O-f V 1 g
Site Address: /0)7 y c---)v). gke (1- '']�n-a6 _
Project Name: PQf ; ,7) L £i s Lot #:
(New 41 ng=subdivision name;Addition or Alteration= name of owner)
Planning Review
Proo /sal: k j,U
rE Verify address/suite#active in Accela. 14 In River Terra : ❑ No Yes, River Terrace Review Addendum
Sit,Plan Elements: r.sion Control
.0( 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
In rjsawn to scale (standard architect or engineer scale) _J Ftprint of new structure(including decks)and FFE
rth arrow Vi U •ty locations&easements(required for new and additions)
Siye address,project or subdivision name and lot number 'n Sidewalk/driveway approach
Vr) plicant information(name and phone number) ,I ;,,,cation of wells/septic systems
t dimensions and building setback dimensions 'SS eet tree size,type and location
4-�CI.. .re footage of buildings to be demolished VS Set names
Iti
i11 "sting structures on site IdCorner elevations(2'contours if more than 4'diffe�tial)
VA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? VIYes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No
(Clean Water Services—Service Provider LettY(lot platted prior to 9/10/1995):
Zequired: ❑ Yes,applicant was notified !E No Received: ❑ Yes ❑ No
'ublic Facilitie mprovement(PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied or: V yes ❑ No,stop intake
((kand Use Case#: .a(15.2d1S- t Zoning: L CM))
equired Setbacks: Front: h2 Rear: Side: 0 Street Side: Garage: #3. S-
L,Building Height: Max. Height: Actual He' ht: '‘''3'4—
a. 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
Garage ❑ Garage door is behin ' est street-facing wall N— 0 Yes ❑ No,one of the following is met:
❑ Door extends no more ' 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 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
O Accent siding PI Window trim ❑ Window recess 0 Window pr " "on ❑ Balcony
Visual Clearance l►. Urban Forestr,_y,,11
111W. -nsitive Lands: ❑ Yes [ No Type:
M Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: / Dater
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
vision 3: ❑ Approved ❑ Not Approved
'' xw RES 022819.docx
Building Permit Submittal
Original Submittal Date: 02/25/20a9
Site Plans: # .3
Building Plans: # .3
Building Permit#: Enter building permit#above.
Workflow Routing: Fr Planning Ca'Engineering E Permit Coordinator [J�Building
Workflow Sign-off: LGl' Sign-off for Planning(include notes from planning review)
Route Application Documents: E' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
LB Building: original permit application, site plans,building plans,engineer and
beam calculations and st details,if applicable,etc.
Notes:
By Permit Technician: Date: d7-49-2020
Sift tixtt&33£ a Ala k...i L3C1 YAM 2. Sgainri. v' Z4H, Q$Mati€3£4•lAtEln 3YU,C,. IMiNI ,tISS`.
Enifineering Review
Slope at building pad:
if/conditions
f/
SM'Conditions "Met"prior to issuance of building permit m(.4
Ely Easements (encroachments)per engineering conditions of approval and plat
['Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [4Ao
Assess Water Quantity Fee in-lieu: ❑ Yes [4lo
LIDA Facility on lot: ❑ Yes [No
Cr/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:te
L(d` Approved by Engineering: Date: `/T �d
Revisions (after Building Submittal only) Reviewer 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:
R ision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ N/A
Parks SDC: aYes ❑ N�A
LIDA LI Yes LFE N/A
OK to Issue Permit
Approved by Permit Coordinator: difF--Date: //1(72/4-
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
r 1 .r
T l cA RD River Terrace Building Permit Review Addendum
0 :- .4. . . 4%, ,, :ffi.Kw .,4-r 0 ; .. ,, . ; 1. .Ye a.: . : .:,
Building Permit #: M5T202D -0 7OIS
Site Address: J21L1 7 Q1fri_) �T,/9 ( + `�-errn ce_____
Project Name: Fted� n ,� jI t 'd- Lot #: 3�
(Ne ng=subdivision name;Addition or Alteration— a name of owner)
Planning Review of River Terrace Plan Dist ' t Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? 5 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
❑ ❑ ❑
"E 'm,7- g Oe
2. Eyes on the street: a minimum of 12%of each street facinz facade must include windows or entrance doors.
Percentage Shown: F' >A /„ £! _o `/o . >,L2 „,
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
ivi
all offset min. 16 inches" ❑ rmer min.4 ft.wide
LI Roof eave min. 12 inch projectionf. $' IQ�of offset min. of 2 ft.r' -
❑ Roof shingles either tile or wood 0/able,able,hip or gambrel roof design'
VA❑ oof pitch oriented south min. 500 sq. ft. h�orizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade. Ia Window trim min. 2 i/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 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):
❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
cf
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 façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: --- - L____--- Date:
I:\Building\Forms\BldgPennitRvw_RES_RT_121417.docx