Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
' " Request for Permit Action BAN 2020
CV fY OF TIGARD
I i(_,A i;l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-o9 . ik,G DIVISION
TO: CITY OF TIGARD
Building Division v D
13125 SW Hall Blvd.,Tigard,OR 97223 �, ,
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigar -or.gov
FROM: ❑ Owner Ile Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TO a 16Al2` g - ` LLC
Mailing Address: 11O3 , ) SV 510
V City/State/Zip: o—n,C1 L rL-R. 1 t 5 c'ktto60
Phone No.: Lo0-- tpa15 ' 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL/VOID PERMIT APPLICATION.
Li 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#: n1 g'[ ZD 11- C *Asq ,
Site Address or Parcel#: Ht't �y 2�4 $
t+� ails a C.`i3ST
�e•r�b+do
c-PProject Name: (,,USIDN-Ppg C,
Subdivision Name: - p��p � O�Q, Lot#: 1O'v 11
PStAei 5
EXPLANATION: 1{ ,0 u..-Lc1M 1 kt 141 n-evo '}SO Yti v14 I SO -
Signature: Date: 1 12.c t 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
1!
P& /`i! r5 /1lOT fsSft
Aerzri) !sS t�> — /fl&IA) , /i ,c)
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date f/ B
Refund Processed: Date^//j¢ By ,:•, Invoice Processed: Date 3 , 'Zc B33/44491
Permit Canceled: Date2/rj/2.0 By ,_:" '. cel Tag Added: Date By
I:\Building\Forms\RegPermitAction_720518.d oc
-441.-
: (11 lik13
Building Permit Application t --_ ,��
r
Residential REC 1 ; cD FOR OFFICE USE ONLY
City of Tigard Received t5� 1 M.IQ
g Date/By: 7 Permit No. l
ap ms� —
. a 13125 SW Hall Blvd.,Tigard,OR 97223 FP 7 %` I J Plan Review Si
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ?j Other Perm ,3 ,U
TIGARD Inspection Line: 503.639.4175 CI `, , Date ReadyBy: / Juris: H See Page 2 for
Internet: www.tigard-or.gov ! ' Notified/Method:7/� /`� S
BUJ! ) , a 4 .eke po 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.
® 1 and 2-family dwelling ElCommercial/industrial Valuation: $ �� I I V3
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: \ J`11
Job site address: i`1 )4 k Cl O\ J ( 0 ' k � y ui f) 52
j New dwelling area: tibli square feet �
City/State/ZIP:Tigard,OR 97224 V\ ` O Garage/carport area: (j n square feet 54Z
Suite/bldg./apt.no.: 5 Project name:Polygon at Roshak Ridge Covered porch area: "l `�' square feet O7
Cross street/directions to job site: Deck area: la square feet
Other cturr,�re kiq square feet
REQLf1F fl)ATA:COMMERCIAL-USE CHECKLIST
10 Subdivision:Polygon at Roshak Ridge Lot no.: tOC I 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
s equipment,materials,labor,overhead,and the profit for the
(I DESCRIPTION OF WORK work indicated on this application.
New SPA Valuation: $
f Existing building area: square feet
New building area: square feet
` ® PROPERTY OWNER 0 TENANT Number of stories:
14 Name:Polygon WLH LLC Type of construction:
t Address:703 Broadway Street Ste 510 Occupancy groups:
. City/State/ZIP:Vancouver,WA 98660
ii 0', Existing:
', Phone:(360)695-7700 Fax:(360)693-4442 '
14 '' New:
': BUILDING PERMIT FEES*
APPLICANT 000NTACT PERSON
Business name:Polygon WLH LLC
(Please refer 1v fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::(360)6934442
E-mail:permitsubmittals(iPpolygonhomes.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist.
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 lic.:207247
Total fee due upon application: $201.60
Authorized si • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Aman Gavin Date: 01( , / (r1I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildine\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(Il/02/COM/WEB)
..
Mechanical Permit Applica C FOR OFFICE USE ONLY
INg'Cityof Tigard Received Re tr 1C>�\Q'\��'
ReDate/By: Permit No.
'! 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 9 2019
t Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit:
Date/By:
Yl4.i.4I1I7 Inspection Line: 503.639.4175 CITY OF. FIGhRD DateReadyBy: Juris: H See Page 2 for
Internet: www.tigard-or.gov DIVISION Notified/Method: Supplemental Information
BUILDING . .. ,. ,..
TYPE OF FORK COMMERCIAL FEE*.SCHEDULE USE CHECKLIST,
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. _
Value:$
CATEGORY OF CONSTRUCTION ....
RESIDENTIAL EQUIPMENT/SYSTEMS PEES*
E 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
1 j Multi-family ❑Master builder ❑Other: Description
Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND.LOCATION
I�7i Air conditioning 1 46.75
Job site address: l ( (�� c�fls t -fizz_ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/7.TP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) _ 54.91
Heat pump 61.06
Suite/bldg./apt.no.: .3 Project name: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:Roshak Ridge Lot no.: Other: 23.32
0
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
//yy�� Flue vent for water heater or gas
1` V�ICJ �_Q\'w2P t fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENS Other. 23.32
- Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® 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:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 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:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
AA.. days after it has been accepted as complete.
Authorized signature: G(�� ��'�'�'a'n' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
EC : •
Electrical Permit Applicati t -� FOR OFFICE USE ONLY
City of Tigard JUL 2 2 2019 Received �^�
Date/B : Permit#:M a_, (3�J V 1
Iii 't 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.5 8°1 16 'OF 11 ri U Date/B : Related Permit#:
Inspection Line: 503.639.4175 ,r-1 d 1 ropy t�., Ready Date/By: Juris: 0 See Page 2 for
TIGARDs�,���n, g
c Internet: www.tigard-or.gov +``` ' Y �9iS�"��:. Notified/lvlethod:
Supplemental Information
TYPE OF WORK P)AN;REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑DemolitionEl Service or feeder 400 amps or more ID Building over three stories.
Other: where the available fault current 0 Marinas and boatyards.
- - CATEGORY OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family ❑Master builder Other: amps for all other installations. buildings.
❑Fire pump. ❑Installation of 150 KVA or
JOB SITE::INF. ' ORMATION AND-LOCATION.. 0 Emergency system. larger separately derived
��..,r((� 0 Addition of new motor load of system.
Job#: Job site address: (,tiA ab,„ CAA t TAG )2. 100HP or more. ❑ 'A,"E, 1.2 , '1_9",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 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 1 +
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 10I Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(iteh ner ,sm lt) 75.00 2
��eJYVI�U Y �T(l � � w t LN t. `— �Zu 1 Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT. Services or feeders installation,alteration,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or less 100.70 2
Address:703 Broadway St Suite 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
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 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, .er panel
El APPLICANT El CONTACT.PERSON
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Nichole Thorpe B.Fee for branch circuits without
Address:703 Broadway St Suite 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: :(360)693-4442 Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal circuit(s)or limited-energy
panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(I hr min) 90.00/hr
Email:solarpdx@me.com Industrial plant(1 hr min) 78.1 g/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48711S specifically listed('/z hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
f�� State surcharge(12%of permit fee):
Authorized signature: (/ � — TOTAL PERMIT FEE:
Print name: Kile Rood Date: 03/08/2019
/ ~" I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Plumbing Permit Application
Building Fixtures 1 ' FOR OFFICE USE ONLY
City of Tigard Received y �, �/ ��
. 'Ig 11 ry Date/By: I��I�� S .T Permit No.:1���r7 �.1t3�l3,
13125lig SW Hall Blvd.,Tigard,OR 9743. 1 7 2019 S
Plan Review
Phone: 503.718.2439 Fax: 5 i9.•$.1960 Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 !i �; �Si. Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction 0 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 CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building Z Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: fj l{lit LA Clow CDR S T 1-F.. 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.: Project name: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:Roshak Ridge Lot no.: I,01 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
4 a. CIV1 �` 't D 20 Clothes washer 25.02
1 `� Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Ca PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixhrre/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:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:Polygon WLH,LLC g
Primer 12.51
Contact name:Tonja Morris
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:Alliance Plumbing Water piping/DWV 56.29
Address: 146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Robert Dishman 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.
1:\Buildine/Permits\PLMU-PernitAoo.doc 10/01/09 440-4616Tr10/02/COM/WER1
City of Tigard
lin COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
® u.e,-. ... --
Building Permit #: 1MS-T1q_ ('�1
Site Address: 1722/ C %/d d-- ira_e_e_
Project Name: q1 , n 71 - " j , /d Lot #: /o Cr
ew di/. =subdivision name;Addition or Alteration= name of owner)
Planning Review ������JJI///
Propsal: A.240 --qp7q—
Id Verify address/suite#active in Accela. rZi River Terrace: 0 No IL/J Yes,River Terrace Review Addendum
Sit 'Plan Elements: EE •sion Control
4 '3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper � wined trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
orth arrow � 'ty locations&easements(required for new and additions)
Sip address,project or subdivision name and lot number Sid walk/driveway approach
U S•plicant information(name and phone number) ill ;) .lion of wells/septic systems
n •t dimensions and building setback dimensions 11 eet tree size,type and location
IV .,uare footage of buildings to be demolished IF eet names
II ' sting structures on site J Corner elevations(2'contours if more than 4'diffe tial)
•t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? OQYes ❑I
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?1` Yes EI \lo
\Wean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified VJ No Received: ❑ Yes ❑ No
L10 Public Faciliti Improvement(PFI)Permit:
equired: �y s,applicant was notified ❑ No'Lloe Applie Fox: Yes El No, topintake
��
and Use Case#: ��, �?S`ter ( [B' Zoning — .� Pb
le uired Setbacks: Front: Rear: Side: c
q � _ Q Street Side: Garage: , .
uilding Height: Max. Height: Actual H ' ht: � -1, c.
AJ Landscape Area: 40 % Lot Coverage Max: e
Entrance et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minim ° of area of all street-facing facades
Garage El Garage door is behin t street-facing wall NIK❑ Yes ❑ No t e following is met:
❑ Door extends no more than wall and there is a covere extending beyond garage.
❑ Door extends no more than 5'from wall an sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less /o or less of fac 60%or less and includes 7 of following:
❑ Covered porch essed entrance ❑ Wall offset ❑ 1' ve ❑ Roof offset
❑ Fire s ❑ Lap Siding El Roof pitch ❑ Gable,hip,or gambrel ro ❑ Dormer
Accent siding / Window trim El Window recess ❑ Window projection
11? isual Clearance 11 Urban Forestry Can
111'0 ensitive Lands: ❑ Yes iTt No Type:
!4 Conditions met prior to issuance of building permit
N es:
Approved By Planning: --- ____ E Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
i:\Building\Forms\BldgPemutRvw_RES_022819.docx
t .. . _ .
Building Permit Submittal
Original Submittal Date: ' � k lq
Site Plans: # -a
Building Plans: # ?
Building Permit#: [(Enter building permit#above.
Workflow Routing: [i"Planning 2/Engineering 21 Permit Coordinator L"Building
Workflow Sign-off: [' Sign-off for Planning(include notes from planning review)
Route Application Documents: [Y 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: ^,1"` Date: 51 awl 1CA
Engineering Review C7
Slope at building pad: 0
z Conditions "Met"prior to issuance of building permit
2'.Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Zi No
Assess Water Quantity Fee in-lieu: ❑ Yes er No
LIDA Facility on lot: ❑ Yes .2"No
0.Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
a-Approved by Engineering: L Date: Z'/ / 11
Revisions (after Building Submittal only) Reviewer ate
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El 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:
ision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: Ld'Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: IQ Yes ❑ N/A
LIDA ❑ Yes 12" N/A
;:j.z7,,,-
to Issue Permit dirDate:
,r/Approved by Permit Coordinator: ) /'�
I:\Building\Forms\BldgPernutRvw_RES_0228I 9.docx
City of Tigard
4 COMMUNITY DEVELOPMENT DEPARTMENT
111
River Terrace Building Permit Review Addendum
Building Permit #: CMS- ' -u\Q- (°1J U1
Site Address: /424/ � �/J 06 rra Ge
Project Name: ffilgri)17 k fi Lot #: /Q( g=subdivision name;Addition or A tl eration ast name of owner)
Planning Review of River Terrace Plan Distr' t Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft.of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 f. deep ft. de min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
CI
e.
2. Eyes othe street: a minimum off112%o1.each street facing facade must include windows or entrance doors.
Percentage Shown: _ P > , le , > R2 V/a
3. E trances: At least one entrance must meet both of the folio . g standards:
Max. 8 ft. setback from longer street-facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
vIf ,all the following apply: �sq.ft. min.
Ae street facing entry ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4. P tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
k► Covered porch min. 5 ft.wide x 5 ft. deep' ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ 7all offset min. 16 inches 0 pormer min. 4 ft.wide
Roof eave min. 12 inch projectiott41.---- of offset min. of 2 ft.'
❑ Roof shingles either tile or wood able,hip or gambrel roof design'F:4
❑ Roof pitch oriented south min. 500 sq. ft. Ri,porizontal lap siding min. 3-7 inches wide.F.-
Accent siding min. 40%of street facade YQ Window trim min.2 1/2"wide by 5/8" deep p-r--
❑ 3Uindow 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 accessl .. ❑ 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:
loser to front or side lot line,than longest street-facing wall. ❑ Yes 7No. If No (Check one):
May 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.
W the (Check one)
Z 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: c___*s_j_q
1:\Building\Forms\BldgPermiRvw_RES_RT_121417.docx