Permit AECBVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
:1111 II Request for Permit Action CITY OF TIGARP
Tic;A1;1, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tig � G(JI�ISI�nt
TO: CITY OF TIGARD
Building Division
VC) I D
13125 SW Hall Blvd.,Tigard,OR 97223 '3/i i/2ca C//
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner [ Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name: TO(Ajatik
INVOICE TO: (Business or Individual) 164‘42 g ( i 1/ L' , L -C
Mailing Address: 102) 'ernockj.00,35�. Sk- S10
City/State/Zip: VC+.-U ' u,V'l•R.. $&) f c‘t(p(00
Phone No.: i o 0 s " 1-1 OC
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
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#: 10,5T O4 6j
web
/woo .
Site Address or Parcel#: efiallgef `, '1# / ° GO()) COAST Tom.
Project Name:
Subdivision Name: - Lot#: cZ 940 Blbe 2
EXPLANATION: 1{ Q5 U.-L3fYI k, tt n-2t1J O Y V�r ISO } -
4
Signature: 1 Date: 1 1 2R k 2a
Print Name: or 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
/° 4T /VOT AS-S. (&2S•
PE/vlJ/n/6- — get/ /DG9-�j2e-i4/45z,) A/0 Go
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date ,3/A/2e B
Refund Processed: Date N .4- By Alati Invoice Processed: Date ..z V7_,) B
Permit Canceled: Date 3 // 20 By id/ Parcel Tag Added: Date By
I:\Building\Forms\RegPemiltAction_12051 .doc
L... 0T
Building Permit Application " ,9 92-.
Residential RECEIVED FOR OFFICE USE ONLY
Cityof Tigard 5 2019 Received 01-O2-20 PermitNo.M 4•
g FEB 2 Date/By: 1'1(S ,L.(,/'
III
- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _�+II/O7„
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Pe"`4>IN I�LU
lill'Y OF TIGARD
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: Juris: ® See Page 2 for
Internet: www.tigard-or.gov 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
(El1-and 2-family dwelling ❑Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms: a1
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14 LI DO S V\) (Iota a LUotS- - (\ �� New dwelling area: I M L- square feet
City/State/ZIP:Tigard,OR 97224 l�►v l Garage/carport area: 543 square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: 3S. 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.: (12 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
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
ID 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:
{ APPLICAN'T .. 0 CONTACT PERSON BUILDING PE1T.FEES*
Business name:Polygon WLH LLC fptfelfeeseheduiel
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::(360)693-4442 Amount received:
E-mail: permitsubmittals a polygonhomes.com /PHOTOVOLTAIC'SOLAl< 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)6934442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized signature: A14 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Gavin Date: a:2_ i l *FeeService methodologyBoard. set by Tri-County Building Industry
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(11/0 /COM/WEB)
rdechanical Permit Application_ FOR OFFICE USE ONLY
City of Tigard RECEIVE • Date/By:
Plan Received
Permit No.: Zd20 �
III
- " 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 5 2019 Date/By: Other Permit:
T I GARD Inspection Line: 503.639.4175 Date Ready/By: luris RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. Supplemental Information
BUILDING DIVISION
' „,��, T. . ,.,Cis FEE*'SCHE13
TYPE OF WORD 1VII�IERCIAL I7I.E-= USE CHECKLIST'
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
- CATEGORY OF CONSfRVCTION
- . ENT1Ai.P UI MENs1'`T,S STEMS"F ES*,.{,
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AIVI)".LOCAfOAI Heating/cooling:
�� r�� Co y _, 1 Air conditioning (ducts/vents)
1 46.75
Job site address: IlVJJ111 ---r_e/nl/ Furnace 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 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 OFWOE° 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
10 PROPERTY OWNEROther: 23.32
0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment 1 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) i ' 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
APPLICANT I]
-. Other: 23.32
CONTACT"4'E[tSfl1Y
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 sign. e: Aillak * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda avin Date: 2— 19
I:\Building\Permits\MEC_PermitApp_040113-doc 44 4 ad)
(11/02 OM/WEB)
Electrical Permit Application 8ECEIVED
FOR OFFICE USE ONLN'
City of Tigard DateBed Permit#: MS1ZQ'� czxx)
FEBIt 52019 y.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready DateBy: Surfs: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified Method: Supplemental Information
BUILDING DIVISION PP
TYPE OF WOR ,,. P 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 stones.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB"SITE INFORMATION=AND LOCATION, ❑Emergency system. larger separately derived
Job#: Job site address: \ 1 1� � I`1 1 y/n tlitit system.100HP or more ❑"A" "E" "1-2" "1-3"
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Polygon at Roshak Ridge ❑Hazardous locations. ❑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 I Lot#: 019_, Includes attached garage.
1,000 sq.ft.or less i 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion I 33.92 I
DESCRIPTION OF WORK - Limited energy,residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® 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 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 0 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 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
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2
�y.., ) CONTRt crOR,,.. _ Pump or irrigation circle 67.84 2
Business name:TBD Sign or outline lighting 67.84 2
Sig
circuit(s)or
gy
Address: panellalte ation orlextensionei 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(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signatur, •equired: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signal��' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amand Gavin Date: O lei days after it has been accepted as complete.
' Number of inspections allowed per permit.
I:�BuildingWermits�ELC_PermitApp_ELR_ERE.doc Rev o6/17/2015 0-4615T(I I/O/COM/WEB
-Plumbing Permit Application
Building Fixtures IVED FOR OFFICE USE O\'1.1
City of Tigard FEB 2 5 2019 Received pi
4
. Date/By: Permit No. I
III
w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196Q`,I j V OF TIGARD Other Permit No.:
Inspection Line: 503.639.4175 DateBy:
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION DateReadyBy: Juris: 0 See Page 2for
Notified/Method: Supplemental Information
-,TYPE OF WORK „ "l FEES ` LE ;'
®New construction ❑Demolition For special information use checklist
Description Qty. I Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
.CATEGORY OF CON ECTION SFR(1)bath 312.70
Z 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath l 500.32
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: 1 q quo ¶\A) ��i1 c'i" -1 r��i fir) Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 `1 Il�,� 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 1 Lot no.:ict9-- Fixture or item:
Tax map/parcel no.: Backflow preventer ' 31.27
DESCIIIPl OlE WORT valve
Back-water al 12 51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY'OWNER Cl 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
1141 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
ya 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 signature: TOTAL PERMIT FEE
Print name:Amanda Date: 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\PLMO-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
,
City of Tigard
Ili
COMMUNITY DEVELOPMENT DEPARTMENT
ill ■
TiGARD Building Permit Review — Residential
Building Permit #: /1/44 ST 202.0- 0
Site Address: J 00 ) CiWal c? -- ar1oa
Project Name: fi c. 7 Lot #: 9,Z,
(Ne 'ng=subdivision name;Addition or Altera' =last name of owner)
Planning Review
Prosal: 4,44) r
V Verify address/suite# active in Accela. OA• In River Terr ce: ❑ No M Yes,River Terrace Review Addendum
Sitlan Elements: VJErosion Control
L✓,J, copies of site plan on 8-1/2"x 11"or 11 x 17"paper �tained trees with drip line and tree protection measures
IIVJawn to scale(standard architect or engineer scale) lam' otprint of new structure(including decks)and FFE
is •rth arrow V• 'ty locations&easements(required for new and additions)
TA 5itt address,project or subdivision name and lot number idewalk/driveway approach
'p plicant information(name and phone number) ation of wells/septic systems
Lo dimensions and building setback dimensions }feet tree size,type and location
1`I':l uare footage of buildings to be demolished VXeet names
it i. 'sting structures on site 0Comer elevations(2'contours if more than 4'diffe ntial)
P Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ❑ o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? W Yes No
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
Public Facilities'improvement(PFI) Permit: /
Required: V Yes,applicant was notified ❑ No Applied For: 1Qf Yes ❑ No,stop intake
6 nd Use Case#: ,-��1 �/� O )O 12 Zoning: t/7 0?...)
V/Wequired Setbacks: Front: l2 Rear: Side: C3 Street Side: Garage: /3.
'• ding Height: Max. Height: Actual Height:
✓ Landscape Area: 2 CD % Lot Coverage Max: 4(�
p g
Entrance back no more than 8'from street-facing wall ❑ Parallel to street o set 45 degrees or less
Windows ❑ Minim °A of area of all street-facing facades
Garage ❑ Garage door is be ' widest street-facing wall s ❑ No,one of the following is met:
❑ Door extends no mor 5'from wall and is a covered porch extending beyond garage.
❑ Door extends no more than 5' and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12' s ❑ 5 less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ V a set ❑ 1'Roof eave ❑ Roof offset
❑ Fire s ' es ❑ Lap Siding ❑ Roof pitch ❑ hip,or gambrel roof ❑ Dormer
ccent siding Window trim ❑ Window recess ❑ • ow projection ❑ Balcony
ct: isual Clearance Urban Forestry/Pl n
sensitive Lands: ❑ Yes V No Type:
❑ Conditipars me;prior to issuance_of building permi
Not : Mfx'17cen A ULa--- A G, A/077— 1— ZO-i 6
V Approved By Planning: — F Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
R Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
i
Building Permit Submittal
Original Submittal Date: O2"25 2a/9
Site Plans: # .3
Building Plans: # .3
Building Permit#: [ Enter building permit#above.
Workflow Routing: R' Planning [il•-"Engineering [ 'Permit Coordinator [ Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: [0-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ES Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: D/-D2-2OZ.d
En neering Review
O
;lope at building pad: 2 /�
[ ...onditions "Met"prior to issuance of building permit
[ F' asements (encroachments)per engineering conditions of approval and plat
/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 711No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes erNo
• Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
II/Approved by Engineering: Date: 1/17,2 )
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:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_RES 022819.docx
•
•
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: M ST ZOZO-0 COCA-
Site Address: t--) art) da' ry a:7 et
Project Name: Di d Lot #: CX.2
(New g=subdivision name;Addition or Alteration=la• me of owner)
Planning Review of River Terrace Plan Disct Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? ilai 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/ acc ss 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dormer
ft. dee min. 2ft., 5 ft.wide min. 2 ft.,6f wide
2. Eyes on the street: a minimum of 12%of each street facin façade must inclu ews or entrance doors.
Percentage Shown: F.: >P-% e - >1-° G
3. E ances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from lon est street cin wall Parallel to street,angle no more than 45° from street,
g g 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:
❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep
❑}mall offset min. 16 inches ff ❑ ormer min. 4 ft.wide
101 Roof eave min. 12 inch projection�/X►" 7oof offset min. of 2 ft.f'❑ Roof shingles either tile or woo ble,hip or gambrel roof designPX-
❑ t sof pitch oriented south min. 500 sq. ft. [ orizontal lap siding min. 3-7 inches wide Ej
r Accent siding min.40%of street facade' 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 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):
❑�Glay 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.
Wid : (Check one)
12-foot-wide garage door ❑ 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
J
Approved By Planning: /� Date: ,"7
1:\Building\Forms\B1dgPermitRvw_RES_RT_1214I 7.docx