Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED
g
;IN
Request for Permit Action
JAN292020
•
;r fY OF TIGARD
l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-c; etoI G UNIS ON
TO: CITY OF TIGARD
Building Division D
13125 SW Hall Blvd.,Tigard,OR 97223 ,
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigar -or.gov
FROM: ❑ Owner [I�Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOr , aa) &Ma g ( , 1, L' , L.LC
Mailing Address: 1102) Skt. '5 Q
City/State/Zip: VO ez6 k r R... IA) ovitWo0
Phone No.: c.0 (pcg5 " 1-1 Ob
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
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#: 'T 20%R— 'SA' ', _
Site Address or Parcel#: V ,moo K238c CriAST
Project Name: (m of per,
o�i�o� oca, pyubc, 5
Subdivision Name: Lot#: �01- 11\
�,
EXPLANATION: Q-3 l M L�\k t 141 C1.€104) -riso.kve%\NX. ¶ so {-n
1-
Signature: Date: 1 l 2.R.\ 20
Print Name: pn 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
PE—A/a/ r S /1/OT /SSL&.S.--
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date / �j B
Refund Processed: DateA/j/� By >ly, Invoice Processed: Date 3///Z Byy
Permit Canceled: Date2 /2O By a, '. cel Tag Added: Date By
I:\Building\Forms\RegPermitAction_72051B.doc
a
Building Permit Applicatio "' , ,
Residential !J FOR OFFICE USE ONLY
Cityof Tigard Received /'� Permit No n
- • 131SW Hall Blvd.,Tigard,OR 9722 �� d { Date/By: t (A g_. —V XACi� ��
Plan Review `I"
Phone: 503.718.2439 Fax: 503.598.1960 ry Date/By: (1 Other Permi � u�
TIGARD Inspection Line: 503.639.4175 CI IY Or ; !�,,,-,r1D Date ReadyBy: y S Juris — l See Page 2 for
Internet: www.tigard-or.gov UIL. gItc1�^ 1.'t,I �i+f�IO Notified/Method: / / / Supplemental Information
TYPE OF WORK�6 J 4 v I V 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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION _
® 1-and 2-family dwellingValuation: $ ���' D(„(�
0 Commercial/industrial
1
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors t 9 3-7
Job site address: \1A1/3% b O��(�',uo -r-wra �, New dwelling area: l 4' square feet
City/State/ZIP:Tigard,OR 97224 ��// �/ Garage/carport area: 3 square feet(...64(0
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet `ls
Cross street/directions to job site: Deck area: j. square feet
Other-W*6 fre."' '& square feet
REQUIRED DATA:COMMERCIAL-USE-CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: % ( l Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
4 DESCRIPTION OF WORK work indicated on this application.
New SF Valuation: $
Existing building area: square feet
13
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
1)J Name:Polygon WLH LLC Type of construction:
1.
;' Address:703 Broadway Street Ste 510 Occupancy groups:
4 City/State/ZIP:Vancouver,WA 98660 Existing:
t' Phone:(360)695-7700 Fax:(360)693-4442
New:
+: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
. Business name:Polygon WLH LLC
(Pte�wrelertojeesehedule)
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@polygonhomes.com 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.
Permit Fee(includes plan review
City/State/ZIP:Vancouver WA 98660 and administrative fees): $180.00
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized sign This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda avin Date:
// ^v in *Fee methodology,set by Tri-County Buildings Industry
Service Board.
I:\Building\Permits P-RESPermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)
Mechanical Permit A. I h t 1, lit
'EIVEP
FOR OFFICE USE ONLY
City of Tigard Received Permit No.
'I 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Re Date/By: �' �� `�
N 19 2 019 Plan Review
111
Phone: 503.718.2439 Fax: 503.598.19Other Permit:
Date/By:
irA�(1} Inspection Line: 503.639.4175 �+a h Date Read B lads: -
Internet: www.tigard-or.gov CITY OF ryI B�/Ali y y' S See Page 2 for
t3UILIDING 9 lI1tJS'o Notified/Method: Supplemental Information
TYPE OF WORK fl ! �t COMMERCIAL-FEE* SCHEDULE'_— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklisi.
I j Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
j� Air conditioning j 46.75
Job site address: 14 Ge o c.b C.)F Ect Tti2R. Furnace 100,000 BTU(ducts/vents] 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: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.: B`i Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
11� Flue vent for water heater or gas
r Y `3T 2,0(9 —00203 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
®. PROPERTY OWNER ElTENANT 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 ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC $14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/LIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com
Barbecue
iNk . CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECEAANICAL 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
Qc�a bu days after it has been accepted as complete.
Authorized signature: "te �'Q' ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 04/08/2019
Electrical Permit ApP licatio Er FOR OFFICE USE ONl.v. City of Tigard Received
: Permit#: , `A- go,..y
. 't 13125 SW Hall Blvd.,Tigard,OR 97223 !U L
II 2r 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/ Related Permit#:
TIGARD Inspection Line: 503.639.4175 �v �t Read Date/By:: Saris:
CITY �� �tiq ,1 Y Y 0 SeePage2for
e Internet: www,tigard-or.gov , 1 IIl t; , , ,. Notified/Method: Supplemental Information
_
TYPE OF WORK PLAN-,REVIEW ,, `
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑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 0 Floating buildings.
E 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE.INFORMATION-AND'LOCATION`:: ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:t�� Qjt j C 1 N Tt. .-- IOOHP or more. ❑"A","E","i-z","1-3",
City/State/ZIP:Tigard,OR 97224 �--fW El Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suitelbldg./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 SCFfPDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: \\\ 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 I
DESCRIPTION OF WORK' Limited energy,residential
p (with above sq.ft.) 75.00 2
MA- s ` l 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 I 59.36 l
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 E. APPLICANT CI 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 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:Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:3415 NE 44th El See Page 2 2
panel,alteration,or extension.
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(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
•
Email:solarpdx@me.com
Inspections for which no fee is
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871/S specifically listed CAhr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 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: Kile Rood Date: 03/08/2019 days after it has been accepted as complete.
Plumbing Permit��A licatio
Building Fixtures ei r FOR OFFICE USE ONLY
City of Tigard J U L 1 7 2 01 9 Received permit No.
1114 '1 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ����1a S)T m��-yr\.J�I��- jj
Plan Review
= Phone: 503.718.2439 Fax: er.1114_9 FI ,i]GA D Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4 1 t; •-,1<t{i Ir Date Ready/By: kris: El See Page 2 for
Internet: www.ti and-or. o �(' • y y
g' g 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
❑ 1-and 2-family dwellin SFR(2)bath 437.78
g ❑Commercial/industrial _
0 Accessory building ®Multi-family SFR(3)bath 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:
'.1-t Golsb T Te- Catch basin or area drain 18.76
Job site address: �j`� 1
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.: t-=) 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.: ( (1 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
� �� ��DE�,__S,,CRIPTION OF WORK? Backwater valve 12.51
`J4:JAJ3J5 Z by ` 2 1 -Ob lO3 Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
►5 PROPERTY OWNER l 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510 Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
®APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC � Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: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
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Alliance Plumbing Water Pp r m DWV 56.29
Address: 146 W Historic Columbia River Fiwy 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.
t\Building\Permits\PLMU-PermitAoo.doc (0/01/09 440-4616T(IO/07/COM/WPM
City of Tigard
IIIp COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: 1\(\ ---c 1 \- p(j -c$
Site Address: / 25. -C)` ?0 ark
,C9--- /7
Project Name: _�/ 4 0 n )' /d ,i Lot #: // /
(New d jior.=subdivision name;Addition or Alteration= i name of owner)
Planning Review �J
Props al: kMo s pA—
IdVerify address/suite#active in Accela. In River Terra e: 0 No IIQ Yes,River Terrace Review Addendum
Sit9.Plan Elements: [Erasion Control
Rd3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper �4 ained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale)rth arrow
of new structure(including decks)and FFE
o ;/ootprint
l ity locations&easements(required for new and additions)
Si address,project or subdivision name and lot number Sid walk/driveway approach
VA.plicant information(name and phone number) \1 .tion of wells/septic systems
.t dimensions and building setback dimensions 11 . eet tree size,type and location
/l' ► uare footage of buildings to be demolished 11 •eet names
ill sting structures on site J Corner elevations(2'contours if more than 4'diffe tial)
IR .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? AQYes ❑
,�''impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes LLdNo
�Cllean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified VJ No Received: ❑ Yes ❑ No
114 Public FacilitiImprovement(PFI) Permit:
equired: Yes,applicant was notified ❑ No Applie For: Yes ❑ No, topintake
�� (Pb)
andUseCase#: Gl, /c-e ? [fd' Zoning: — 2"e uired Setbacks: Front: Rear: Side: Streetc
E4Q q � , l _ Q Side: Garage: P
uilding Height: Max. Height: N Actual Hei ht: rna S
JJ Landscape Area: c2 0 % Lot Coverage Max:
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 ❑ Garage door is behin t street-facing wall 0'f 1 ❑ 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 2" floor.
❑ Garage door width is ❑ 12'or less /o or less of ac 60%or less and includes 7 of following:
❑ Covered porch essed entrance ❑ Wall offset ❑ 1' ve ❑ Roof offset
❑ Fire s ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro ❑ Dormer
Accent siding r Window trim ❑ Window recess ❑ Window projection aieetll�`_
IVI1 isual Clearance it. Urban Forestry D an
k11�,ensitive Lands: ❑ Yes illy, No Type:
FA Conditions met prior to issuance of building permit
N es:
Approved By Planning: � _ Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
1:\Building\Fonns\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: \ ,\C
Site Plans: #
Building Plans: # S
Building Permit#: [Enter building permit#above.
Workflow Routing: [Planning [ /Engineering-Permit Coordinator EYBuilding
Workflow Sign-off: EY Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
D/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � � Date: s���1 1.cA
Engineering Review
,B'Slope at building pad: (o
er Conditions "Met"prior to issuance of building permit
Zr Easements (encroachments)per engineering conditions of approval and plat
,B"Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes -in-No
si Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes:
,12'Approved by Engineering: Gk. G Date: S.
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
El 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:
[/C Fees Entered: Wash Co Trans Dev Tax: r, Yes ❑ N/A
Tigard Trans SDC: Y•s ❑ N/A
Parks SDC: 2rd Yes ❑ J A
LIDA ❑ Yes N/A
OK to Issue Permit /��� /)1(
Approved by Permit Coordinator: Date: /
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
r
A7 R River Terrace Building Permit Review Addendum
Building Permit #: '(\(\ --x-yplCi.- yp .-
Site Address: 1q.2gj a /d np -
Project Name: Pe yr �k ems' ' ., Lot #:
(Ne gg=subdivision name;Addition or Alteration ast name of owner) /1/
Planning Review of River Terrace Plan DistrnCt Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? Igi 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 Balcony w/ access 2 Window Projection Vertical Wall Offset a
. 5 f. deep ft. de min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
CI
2. Eyes ot►the street: a minimum of I2%o .each street facing facade must include windows or entrance doors.
Percentage Shown: _ P.: > ,(2 ? e ` > h V
3. E trances:At least one entrance must meet both of the follo . g standards:
l4 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
If ,all the following apply: L�sq.ft. min.
e street facing entry l ft.max.roof above floor of porch
5 ft. depth min. %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:
1r. 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 ❑ pormer min. 4 ft.wide
Roof eave min. 12 inch projectionP1---- of offset min. of 2 ft." pp
❑ Roof shingles either tile or wood 4,able,hip or gambrel roof design° 4--
❑ Roof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide'F•4
Accent siding min. 40%of street facade Md Window trim min.2 1/2"wide by 5/8" deep r:41-
0 }Xvindow 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:
• loser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
01 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.
Wi h: (Check one)
Of 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\B1dgPermitRvw_RES_RT_121417.docx