Permit RECEtVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
Request for Permit Action111
CITY OF TIGARD
1k;n t,l 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503 718 2439 • www.tig �h'G MOON!
TO: CITY OF TIGARD
Building Division VOID
13125 SW Hall Blvd.,Tigard,OR 97223 3/, /Zi, may//
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner iKpplicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) ?oujatyik) (. Q s W l.FI , r
Mailing Address: 1O3 Sk, ) S S 1 O
City/State/Zip: \Q.Xkt vort-R, , IN t>r °b l0(00
Phone No.: ' oe- (oc 5 - 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
Fr CANCEL/VOID PERMIT APPLICATION.
(1 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#: MST 1 >O0O ..
2 � , , ; / 30
O
Site Address or Parcel#: }+it,* /y37if 37O GO(.,p CvAsr T
Project Name: I,M g,VO.-k- U
Subdivision Name: - ei"&0` * 9 QS Lot#: 'IZ 6 &DE(2
EXPLANATION: `-ems Vi bnn L,4\nt w l r -eu.) 40 k-cee-% ! SQ C k--
r . tt
Signature: Date: 1 1 -Lot 1 2a
Print Name: p?1 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
/4`)ER./4/ : /1MMOT /SSGt P-1S
PE/V.U/"/6 — all/L-AS e'VG- /°4/97./!261//C'Z-cJ /1/49 7 60 —i/*L er=1 a a -
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date ,3/j//2e B /.
Refund Processed: Date i/ 4— By Invoice Processed: Date r.////� B .1
Permit Canceled: Date 3 // 2v By /C Parcel Tag Added: Date / / By
I:\Building\Forms\RegPermitAction_120518.doc
Building
S
Permit Application ;_ T.
9 5
PP �D2p iResidential RECEIVE\lip
FOR OFFICE USE ONLY
5 2019 Received
FEB 2
City of Tigard Date/By: O/OZ 2O,Z0 PermitNo.gsrzo2.0 7
111
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196tDate/By: � moo Other Permi �Q 7
Inspection Line: 503.639.4175 ITY OF TIGARDI" Date Ready/By: Juris: El See Page 2 for
TIGARD BUILDING DIVISION
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 ,,=-
workindicated on this application.ap
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms: f)"
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND CATION Total number of floors: ..
Job site address: l q 9,'l 1' S' 1 1 D I r�u �'r' L� New dwelling area: I square feet
City/State/ZIP:Tigard,OR 97224`� `-1 l ` V` Garage/carport area: u 5 square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST"
Subdivision:Polygon at Roshak Ridge Lot no.: 015 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 SFA Valuation: $
Existing building area: square feet
New building area: square feet
121 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*":. ;
„ -1 (Please refer to fee sch edule)
Business name:Polygon WLH LLC
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@polygonhomes.com PHOTOVOLTAIC SOLAR PANE SYSI'EM FEES*
yy �y Commercial and residential prescriptive installation of
3 ,;COI ': RA�'OI2" , /T,,., ,+
� �;., ' � , 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)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized signattte ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
a
Print name:Amanda vin Date: a l Service Board.
I:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati EiVE® FOR OFFICE USE O\LV
- City of Tigard Received
Date/By I FEB 2 5 2019 Permit No.: 1"�
-0 1Vzo-00007 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITYReady/By: ]nt'S. Ell See Page
Internet: www.tigard-or.gov
BUILDING
TIGARDG DIVISIONDateSupplemental Notified/Method: Information
TYPE OF WORK COMMERCIAL FEET SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGO•RY (IF CANS"I ItITG TION.; RESIDENTIAL EQUIPMENT/.SYSTEMSS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
JOB STI'E TNFORMATIOI� z#Nl).LOCATION
q 3-14 S�Ci D10'�. Loo5� j Air conditioning (ducts/vents)
46.75
Job site address: 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 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: �/S
Other: 23.32
l Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
s
DESCREPTION OF WORK., .'" ` Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
.E PROPERTY OWNER TNT 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,
toilet compartments,utility rooms) 3 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
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:
_. . . ,
ECHAMCAt.PERMIT FEES'''..;;';
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax: Plan review(25%of permit fee)
( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda avin Date:42,,,im
I:\Building\Permits\MEC_PermitApp_040113.doc 4617T(11/ OM/WEB)
°Electrical Permit ApplicatiogiEc EIVED FOR OFFICE ['SEONLI'
41
City of Tigard Received , ig11-^�,�^r�,,,,^
II : q Date/ : Permit#: M ' (.y�f'�/W
I 4 13125 SW Hall Blvd.,Tigard,OR 97223FEB 2 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: ® See Page 2 for
TIGARD 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):
❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
El Multi-family0 Master builder 0 Other: ampsfor all other installations. buildings.
0Firere pump. El Installation of 150 KVA or
.JOB SITE INFORMATION AND LOCATION, `.' '' 0 Emergency system. larger separately derived
Job#: I Job site address: I L1 7�1 if )VV 1/I O V/ t'T /���j�1� ❑Addition of new motor load of system
V VVV LLL»,vvv 1 t,!Y ,1 .!Q Addition
or more. ❑sy t,"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.#: 1 Project name:Polygon at Roshak Ridge ❑Hazardous locations. El Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qtt'• I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge I Lot#:nj 5— Includes attached garage.
1,000 sq.ft.or less ' 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 1 33.92 1
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 ❑ See Page 2
158] PROPERTY OWNER 1 El TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less 100.70 2
Address:703 Broadway St.Ste 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
APPLICANT 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 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
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.Lie.: specifically listed('/z hr min)
ELEL I1 ICAL PERMIT FEES
Suprv.Electrician signature,r quired: 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 vin Date: �/ days after it has been accepted as complete.
v l * Number of inspections allowed per permit.
I\BuildingWermits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 440 615TQ 1/05 COM/WEB
' Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City City of Tigard Received permit No.f►A
III a 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan R view Date/B7
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 DIVISION DateReeadyBy: orris: ® SeePage2for
Notified/Method: Supplemental Information
' ' TYPE OF WORK" `: FEE* SCHEDULE
®New construction ❑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
O 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
O Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
` • • JOB SITE INFORMATION AND LOCATION Site utilities:
1214 St ) CID(rf 1 J 1/'A t"-Fe'n rrt /(1 ) Catch basin or area drain 18.76
Job site address: (, V�./ _` I/� wlJl. `'V V y l/t lX
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 Lot no.:Gs- Fixture or item:
Tax map/parcel no.: 6 Backflow preventer 31.27
t Backwater valve l 12.51
ll SCR rtioN or WOfli y
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
-'" PROPERTY OW R j ❑ 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
►:4 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
Water closet 25.02
CONTRACTOR"
" . Water heater 37.52
Business name:TBD Water Pip >�1 ma WV 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 signa6: TOTAL PERMIT FEE
Print name:Amand auto Date: a 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.doe 10/01/09 440-4616T(10/02/COM/WEB)
` City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
wiz.
Building Permit #: M STZO -O0W7
Site Address: ,/I/O - S& �/I 2 1-
Project Name: PO/ 77 cal f /J 1_ l� , , Lot #: %----
(Nevi/ /filling=subdivision name;Addition or Altera/ =last name of owner)
Planning Review
Pro osal: 4) i
Er Verify address/suite#active in Accela. v In River Te .ce: ❑ No M Yes,River Terrace Review Addendum
Sit lan Elements: U Erosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper Pi' tained trees with drip line and tree protection measures
IV awn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
rth arrow 14 + 'ty locations&easements(required for new and additions)
address,projector subdivision name and lot number ; ;dewalk/driveway approach
V pplicant information(name and phone number) e1 At, ation of wells/septic systems
le Lo dimensions and building setback dimensions eet tree size,type and location
``'t i uare footage of buildings to be demolished VJS eet names
►N 'sting structures on site Corner elevations(2'contours if more than 4'diffe ntial)
I.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?Or Yes No
Clean Water Services—Service Provider Letty(lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified 1121 No Received: ❑ Yes ❑ No
7116 Public Facilitie,s'mprovement(PFI) Permit:
Required: VIYes,applicant was notified ❑ No Applied For: 2 Yes CI No,stop intake
nd Use Case#: —�// /S— Opeli2' oning: /e—l2
Vequired Setbacks: Front: /2 Rear: Side: Street Side: Gar
_ age:age: 43
ding Height: Max. Height: Actual Height: '"
Lan e Area:dsca G' % `� °
p Lot Coverage Max: �C� /°
Entrance back no more than 8'from street-facing wall ❑ Parallel to street o set 45 degrees or less
Windows ❑ minim %of area of all street-facing facades
Garage ❑ Garage door is be ' widest street-facing wall 3* s ❑ No,one of the following is met:
Cl 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 ❑ less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ set Cl 1'Roof eave ❑ Roof offset
❑ Fire s ' es ❑ Lap Siding ❑ Roof pitch ❑ hip,or gambrel roof ❑ Dormer
ccent siding JD Window trim ❑ Window recess ❑ ow projection ❑ Balcony
10 isual Clearance Oil Urban Forestry Ian
11Wwensitive Lands: ❑ Yes V No Type:
❑ Condi4 met prior to issuance of byeding permi
Not : l611f, 4e l UM-,L -t�-f �1�1�: ? , ✓lt9/77— 1SS ,,U�'L
Qd Approved ByPlanning: — — \
PP Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: b2^26 2O/9
Site Plans: # .3
Building Plans: # 0
Building Permit#: R'Enter building permit#above.
Workflow Routing: e Planning Er Engineering ER Permit Coordinator El—Building
Workflow Sign-off: Er 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.
E t Building: original permit application, site plans,building plans,engineer and
beam calculations an trust details,if applicable,etc.
Notes:
By Permit Technician: Date: P/-a2- 2020
k,:5i4t. Itt,I, ,,,,, _:de:.lfirx r: a,-.a. ;itTOEbIL ME11,014" -' - ArliAle:s s'..: 07N£lfEE.T4 w. ,s tAtaSr'n7144a,:stw�b:4'3 lhAlt LI ,
,E,ngineering Review
1,1,i/4lope at building pad: LA
If Conditions "Met"prior to issuance of building permit 1/44
F,,asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [No
Assess Water Quantity Fee in-lieu: ❑ Yes 6.10
LIDA Facility on lot: ❑ Yes �'J No
Of(Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: Date: �l�/Z�
Revisions (after Building Submittal only) Reviewer r Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 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:
E SDC Fees Entered: Wash Co Trans Dev Tax: [ Yes ❑ N/A
Tigard Trans SDC: C"Yes ❑ N/A
Parks SDC: VYes ❑ /A
LIDA ❑ Yes 'f' 1V/A
OK to Issue Permit
Approved /,/90
by Permit Coordinator: 467-Date: 1,
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
City of Tigard
iti
COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 cA R o River Terrace Building Permit Review Addendum
v .xki'k"c'd'r stl.i'f'hems..S.Hi:f37't. 4.sI ..;r.1 :,.,.,..ae,` {_.i'14tiy=4, r. ,s....vu}...+D1A'_C�3�.'n#x.+'>'..§»A.r"t#,:.F3i StCk.cn,af.;r„ .; hr < hr N• ...r-4 o-ro...
Building Permit #: MSr2o2.o "00007
Site Address: /�,i9/ /d_a) $ (7,, j/ a
Project Name: r#)1 `;_, , - ��Or L_ _ 1` Lot #:
Ch.;---
(NewOr g=subdivision name;Addition or Alteration=la e of owner)
Planning Review of River Terrace Plan Disct Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? Lb(Yes El 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.
Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. dee min. 2ft., 5 ft.wide min. 2 ft.,6f wide Gabled dormer
2. Eyes on the street: a minimum of 12%of each street facin, facade must inclucws or entrance doors.
Percentage Shown: F: >J,2% ( •: >10- 'ft
3. E rances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from longest street cing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: 0 Yes No
If yes,all the following apply: ❑ 25 sq.ft.min.
O One street facing entry 0 12 ft.max.roof above floor of porch
El 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:
O Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
`R❑ all offset min. 16 inches ❑ rmer min.4 ft.wide y�►
oof eave min. 12 inch projection�/'rfJ''" lick oof offset min. of 2 ft:17 t"
❑ Roof shingles either tile or wood Vable,hip or gambrel roof design'/4'f--
❑ .of pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wide Ea
I. Accent siding min. 40%of street façade indow trim min. 21/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft.deep
El 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):
❑Xlay 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 facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
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Approved By Planning: c------'— ' Date:
I:Building\Forms\BldgPermitRvw RES RT I214I7.docx