Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT BAN 2 9 2020
111 at
2 Request for Permit Action CITY��o�►�TIGARD
i i C,A k 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tiga t3v��,iVISIO�`1
TO: CITY OF TIGARD
Building Division VC) I D
13125 SW Hall Blvd.,Tigard,OR 97223 3/j//Z0 !
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner 2 Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TocAjatJA) i4trma g v '(,a '�/ .. ' Lw'
Mailing Address: 103 `- 3 , ) Ske_ 510
City/State/Zip: Voak,ezVoVe-R. lv 1 c‘tWo0
Phone No.: to 0 ( 5 " 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
y( 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#: MST 1 O2b-O000 4 , !a / , N •
411(4494 PP",
Site Address or Parcel#: -'-aj , 1437° Gou> Cis-r ` e -
Project Name: 1-.USy`, p� pg\PpiG. Q,,
Subdivision Name: RCQJ �c Lot#: Gl2 ' ai)E(2
EXPLANATION: Q-.3 u,A0 M L i`rt -W 1 ri-2VJ 40 t Y4 4 S Q }-1--
Signature: Date: 1 12,ot.t 2a
Print Name: 11 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
10E/2..NJ/TS A/07-- /S'Sa
PEA/�/"/6- - get/t-/a,,v - AO j2 ' 'e , 17 e.47) .
Route to Sys Admin: Date By Route to Records: Date 3//,/7 e B *l:/i
Refund Processed: Date B/V t�- Invoice Processed: Date /,,/2p B �.'`,
Permit Canceled: Date 3 // 2c7 By 7 -- Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_120518.doc
Building Permit Application (i LO
i
9
Residential RECEIVED FOR OFFICE USE ONLY'
Received , 612��-.0600Q
- City of Tigard FEB 2 5 2019 p/- oZ-2020 Permit No.: �1/'C7 �!L(/ (/�/(J
13125 SW Hall Blvd.,Tigard,OR 97223 Dan Re
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960CITY OF TIGARD Date/By: Other Permit WIZ2OZO-00061
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: Juris: 0 See Page2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
'' TYPE OF WORD -3 `�,r, 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY'OF CONSIII ICTION
work indicated on this application.
❑ ,
, Valuation: $
® 1-and 2-family dwellingCommercial/industrial
[3Accessory building ❑Multi-family Number of bedrooms: 2-,
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 14 fl D 5tio Ii o[OL C 0/`-u! �J
Vl-t-fAr �(} New dwelling area: 12)0/4 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: e 11•3 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-I SE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.:V l(n Permit fees*are based on the value of the work performed.
Tax map/parcel no.: C 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 S _..
F
Valuation: $
Existing building area: square feet
New building area: square feet
El 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:
APP1,ICANT 0 CONTACT'PERSON..; ' ' BUILDING PERMIT FEESti
fptr cerefertofeeschedule). ::
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
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
CON RAC T R 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)6934442
State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized s = - A. 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: /1 ��li *Fee methodology set by Tri-County Building Industry
C�21' e Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(11/02/COM/WEB)
Mechanical Permit Applicatif ECEIA VQED FOR OFFICE l'SE ONLY
Received Q
. City of Tigard Permit No.: ,ASr2D2o_oOJ�fl�
a 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 2019 Date/By: „'► f�� U V v
Phone: 503.718.2439 Fax: 503.598.1960 J Plan Review Other Permit:
Inspection Line: 503.639.4175 Date/By:
TIGARD Internet: www.tigard-or.gov CITY OF TIGARD NotDatified Method:ady/By: Juris ®Eee Page 2 for
lemental Information
BUILDING DIVISION pp
T YT'E'O '°WORK >v COMMERCIAL.FEE* SCHEDULE4!tISE Cn CKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:
CATEGORY OF,CONSTRUCTION ';
RESIDENTIAL EQUIPMENT,/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INF'OItII�ATI{'31�I:AMID:1����`I���fi��'
Heating/cooling:
I�.31 U WCi10 t_ .Go(A, �� `t (ducts/vents)
Air conditioning 46.75
Job site address: (V� 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 I 23.32
Subdivision:Polygon at Roshak Ridge Lot no.:1 C
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WOE 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:
e PROPERTY OWNER.. 0 TEN 23.32
;
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 1 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
0 .APPLICANT. ,...' 0 CONTACT.PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Gavin Furnace,etc.
Address:703 Broadway St.Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
.. ... ` CONTRACTOR'1'.. = 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 signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Gay' Date: d-- G
I:\Bullding\Permits\MEC_PermitApp_040113.doc 440 17T(11/02/ M/lWEB)
Electrical Permit Application RECEIVED FOR OFFICE I'SE oNLV
City of TI and FEB 2 5 2019 Received n^
IN - g Date/B Permit#: . zow-�0 8
q 13125 SW Hall Blvd.,Tigard,OR 97223 ITY OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.598.1-WILDING DIVISION DateB : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK;, -,, r�
,� P REVIEW
CO 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.
❑Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
c GORV O>l+' IJC ION ,- 0- 1,T` exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
ngs.
❑Multi-family 0 Master builder 0 Other: amps form all other installations. Inbustallation
0 Fire pump. ❑Installation of 150 KVA or
JOB SITE',INFORMATIONAND LOCATION 0 Emergency system. larger separately derived
Job#: F Job site address:I L�1 D c 1 fa t"�� �❑Addition of new motor load of system.
✓�^„� 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 1 Project name:Polygon at Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE ;
Description I Qty. I Each ] Total %I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: oi,� Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#:
`
Ea.add'I 500 sq.ft.or portion ) 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 , 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 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
r®�_ ,„rIkA , - a 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'I 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
Ct7N 1 RACI Celli
.. 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
Industrial plant(1 hr min) 78.18/hr
Email:
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%hr min)
1-(F4Ci°RL CAL PERMIT.FEES
Suprv.Electrician signature,requir d: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
TOTAL PERMIT FEE:
2y This permit application expires if a permit is not obtained within 180
Print name: Amanda Gavin Date- O v l� days after it has been accepted as complete.
* Number of inspections allowed per permit.
LABuilding\Pelmits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615TQ /OS/COM/WEB
Plumbing Permit Applicatind FC E IVE D
Building Fixtures FEB 2 5 2019 FOR OFFICE USE ONLY
- City of Tigard Received 2n �+
g Permit No.: Cj�LV�-O a
� 13125 SW Hall Blvd.,Tigard,OR 97£2iTY OF TIGARD Date/By: M Qp�
Plan Review
Phone: 503.718.2439 Fax: 503.5 d:'1'ING DIVISION Date/By: Other Permit No.:
Inspection Line: 503.639.4175
T I GA RD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE of WORD _ ,= FEE*
SCHEDULE' "
®New construction 0 Demolition For special information use checklist.
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,, " CATEGQRY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwellin SFR(2)bath 437.78
g ❑Commercial/industrial
ElAccessory building 0 Multi-family SFR(3)bath ' 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
IOB'SITE INFORMATION AND LOCATION Site utilities:
Job site address: 0(4 2)1 U S V� ) Ci 0 i�(()Qu( _-F l l�, Catch basin or area drain 18.76
`� Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 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.: et` Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRII';1C,ION O):�'WORD . <,: Backwater valve 12.51
' Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
r;< tI 1'.E i ERT '' R f 'I' TA 1T 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 ] c(319 ,',2i4 T 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 piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signatur . TOTAL PERMIT FEE
Print name:Amanda Gavi Date: rA-
C., 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
■
T I c A R o Building Permit Review — Residential
Building Permit #: MST-2_02_0-00OOg
Site Address: /L7L ?) ) id ()0, ff.,ice
Project Name: f c ) Lot #: l
(Ne ' g=subdivision name;Addition or Altera' =last name of owner)
Planning Review
Pro�sal: &1& //) \?
Er Verify address/suite#active in Accela. 1LJ In River Te ce: ❑ No 2 Yes,River Terrace Review Addendum
Sit'lan Elements: Erosion Control
El copies of site plan on 8-1/2"x 11"or 11 x 17"paper tai-led trees with drip line and tree protection measures
I awn to scale(standard architect or engineer scale) C�otprint of new structure(including decks)and FFE
rth arrow VI lity locations&easements(required for new and additions)
Vaddress,project or subdivision name and lot number ; idewalk/driveway approach
plicant information(name and phone number) Pl J wells/septic of wells septic systems
Lo dimensions and building setback dimensions eet tree size,type and location
\Z 1 uare footage of buildings to be demolished Let names
►W *sting structures on site VComer elevations(2'contours if more than 4'diffe ntial)
/.Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EE1Yes ❑ o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?� , LJYes VJNo
Ot)(Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): '_'1
equired: ❑ Yes,applicant was notified Vid No Received: ❑ Yes ❑ No
Public Facilities4mprovement(PF1) Permit:
126Required: Yes,applicant was notified ❑ No Applied For: 1ta Yes ❑ No,stop intake
e:1nd Use Case#: � '/P c/S= ODOl.), �'Zoning: /l7
Vequired Setbacks: Front: /2 Rear: 5 Side: Street Sid
�_ e0 Garage: M.
ding Height: Max. Height: Actual Height: S-9"
Landscape Area: o.2 e. % Lot Coverage Max:
Entrance back no more than 8'from street-facing wall ❑ Parallel to street o et 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is be • widest street-facing wall s ❑ No,one of the following is met:
O Door extends no mor 5'from wall and s 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'o 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
10 isual Clearance ZUrban Forestry,.�/P�n
sbensitive Lands: 0 Yes V No Type:
❑ Condi ' me prior to issuance of b u ding permi 77
Not ' rm/T l-Q'z ,c'
Od Approved By Planning: — Date: ") %
Revisions (after Building Submittal only) Reviewer Date
Revision 1: D Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw RES 022819.docx
w
Building Permit Submittal
Original Submittal Date: 01-25 720/9
Site Plans: # LI
Building Plans: # 3
Building Permit#: UKEnter building permit#above.
Workflow Routing: ['Planning 2. Engineering Er Permit Coordinator C' 'Building
Workflow Sign-off: 2/-Sign-off for Planning(include notes from planning review)
Route Application Documents: Q" Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: p!-az-2020
Enflineering Review
,� s
L7 Slope at building pad: f`iGd
Conditions "Met"prior to issuance of building permit ,e74
Easements (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: El Yes Or��,/No
y/ LIDA Facility on lot: CI Yes Lt No
UCT Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
11Approved by Engineering: Date: / Z4'
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 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: LV' es CI N/A
Tigard Trans SDC: s CI N/A
7OK,- Parks SDC: Cy'Yes ❑ NLIDA CI Yes INN/A
to Issue Permit
Approved by Permit Coordinator: Date: /1/4/
I:\Building\Forms\BldgPerntitRvw_RES_022819.docx
,
City of Tigard
NI COMMUNITY DEVELOPMENT DEPARTMENT
:111
_ .
r l GA RD River Terrace Building Permit Review Addendum
0- k.$4"Ie.ofiY r ,#-+.o.,,w,T'.ta "s->u. .,,, ,a;'V&.fi e:DO..1_....,..,A,41 ,, skielr;r4,attt446,ecs`+,N,t'h4Itale' ar.. 8t1:.4r. ,+a+ "t,§,;.", ,vwa,. ....s�1,v,,40,,Wii^a0
Building Permit #: M S1 f12IJ-0W0 g
Site Address: fr N; -S(t) 4 )/et' �'� ,c�� a
Project Name: Di . ti
Lot #: 9( .
(New g=subdivision name;Addition or Alteration=la• me of owner)
Planning Review of River Terrace Plan Disyt ct Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? ►L'I 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.
Porch min. 5 ft. deepBalcony w/ acc ss 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 inclu e, ws or entrance doors.
Percentage Shown: F- >I '1 OJT e,-- >10 O c)
3.E rances: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 wa 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 facades:
❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑full offset min. 16 inches fJ ❑ �76rmer min. 4 ft.wide
Roof eave min. 12 inch projection'`X�`" V oof offset min. of 2 ft.
❑ Roof shingles either tile or wood L�' ble,hip or gambrel roof design'�i'i—
❑ sof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wide to
Pri Accent siding min. 40%of street facadeindow trim min. 2 1/2"wide by 5/8"deep1T
❑ 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):
Zay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay 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:
Approved By Planning: — Date:
I:\Building\Forms\B1dgPenitRvw_RES_RT_121417.docx