Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEN IE
D
Request for Permit Action AN 2 9 2020
q JAN
fi_1 l 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigaterfik*TIGARD
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 Al ' '' -
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tlgard-or.gov
FROM: ❑ Owner Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOr ,Oa, •) s3 f 1/ -1 , (LC'
Mailing Address: 10 2 ` , S S 1 D
City/State/Zip: Vo..Yx,{`011orut. W P1 c (0(0O
Phone No.: 0- toc16 - 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
/Fr 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#: msrWW Cob) ' 1 , 1,.14143114.
Site Address or Parcel#: ,42.4,4 ratite' Ci0(,1b ODA-6-r "i+eie-
Project Name: , g Cs
Subdivision Name: - p Lot#: /0 2. /0C, 8LD + T
EXPLANATION: (# e5l!..-)3M 1 ,1 W r €t1J O K tv\k s SO } -
11
Signature: Date: 1 12R.1 2a
Print Name: pj1 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
TS t Jo 7 /S S tt Z
PO c T--2€1//E74_3 — /0G,g-, / //Ez.J CO/t-1 PG- 'r
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FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date A 2p By
Alek
Refund Processed: Date /1/ B j Invoice Processed: Date £f i. ? By —
Permit Canceled: Date3 /,` B t ': cel Tag Added: Date !' By
I:\Building\Forms\RegPermitAction_ 205 8.doc
V 0 1
Building Permit Application
_ 2/t/ ' c 1-0 T 10 5
Residential 11 v E D FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received f20�
Date/By: Permit No LVLV 'CO'6
11111 r 13125 SW Hall Blvd.,Tigard,OR 97223
- Plan Review n� CC'',,,,nn -�n
Phone: 503.718.2439 Fax: 503.598.1966IN OF I IUHRD DateBy: ?j 1 2/ Other Pern. M1I 2OLU- 1rj
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
i
TYPE OF WORKREQUIRED DATA:I-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
CATEGORY OF CONSTRUCTION work indicated on this application.
U160® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ` 12S
0 Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: $ I te D
Job site address: I A 11%. 5(/k) G�D � /�V� New dwelling area: I2_2=1 square feet '2_
City/State/ZIP:Tigard,OR 97224`-' l " , Garage/carport area: 1�� square feet 'Z
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet %S_
Cross street/directions to job site: Deck area: (ALL square feet
Others tr ecoimr cecf square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: I0S 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
DESCRIPTION OF WORK work indicated on this application.
New SFA Valuation: $
Existing building area: square feet
New building area: square feet
0 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:
Ei APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Pleaser refer ro 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)693-4442
E-mail:permitsubmittalsCpolygonhomes.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): $21.60
CCB lie.:207247
Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Gay' Date: 00- li *Fee methodology set by Tri-County Building Industry
CJ t Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(I 1/ 2/COM/WEB)
Mechanical Permit Applicatilt FOR OFFICE USE ONLY
Received
- City of Tigard Permit No.: l I ef2O tp
13125 SW Hall Blvd.,Tigard,OR 97223 q p PlanRe Date/By: I`4 v
Phone: 503.718.2439 Fax: 503.598.1960FEB 2 5 2019 Plan Review Other Permit:
Inspection Line: 503.639.4175 Date/By:
TIGARD CITY OF TIGARD Date Ready/By: Jug I ® See Page 2 for
Internet: www.tigard-or.gov Notified Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
�r Air conditioning 46.75
Job site address: \4 L\ 9n) (10 VI A `io l$ -t,Q,� ra i� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 "" ` '6 VV�� I v`vVv Y 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
Hddronic) 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.: I O(J� Other: 23.32
` Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 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
® PROPERTY OWNER 0 TENANT Other: 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 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
®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 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 signatur . .t * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Gavin- Date: __p_d-1JI
L
IECE
'Electrical Permit Application IVED FOR OFFICE USE ONLY
City ✓g of Tigard FEB 2 5 2019 Received MS,I.
III - Date/B : Permit#: i{p
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.19t{91TY OF TIGARD Date/B : Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Juris: 0 See Page2 for
TIGARD Internet: www.tigard-or.gov 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.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
® ❑ El building amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ���(� ❑Emergency system. larger separately derived
Job#: Job site address: Nioi Y l) Ei O lo,l(��� �f ► U L t ❑Addition of new motor load of system.
V 100HP or more. ❑system.
City/State/ZIP:Tigard,OR 97224 ElSix or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
(tc
New residential single-or multi-family dwelling unit.
Subdivision: Polygon at Roshak Ridge Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion I 33.92 1
DESCRIPTION OF WORK Limited energ
y,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
® PROPERTY OWNER 0 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 El 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
Address:703 BroadwaySt.Ste 510 branch
service or feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: TBD Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy El See Page 2 2
Address: panel,alteration,or extension. g
Each additional inspection over allowable in any of the above
City/State/ZIP:
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(A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,req d: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized sig ture: TOTAL PERMIT FEE:
/� This permit application expires if a permit is not obtained within 180
Print name: Amanda avin Date:. - 5/Cl/ days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4 0-4615T(I1 OM/WEB
'5:
Plumbing Permit Application
Building Fixtures ;DECEIVED FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received Penult 1pI-202M �42
r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Phone: 503.718.2439 Fax: 503.598.19IGIITY OF TIGARD Plan Review Date/By: Other Permit No.:
Inspection Line: 503.639.4175 BUILDING DIVISION
TIGARD Internet: www.tigard-or.gov Date Ready/By: Juris: ® See Page 2 for
o g Notified/Method: Supplemental Information
TYPE OF WORK 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)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory 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
JOB SITE INFORMATION AND,LOCATION Site utilities:
Job site address: f q j_t' />j (Iota,I f y '�^�,Q/„/ c& � ) Catch basin or area drain 18.76
�U V '�"" �� 1 v� 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.: 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.: IDS. Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
121 PROPERTY OWNER 1 ❑ 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)6934442 Ice maker 12.51
El APPLICANT 0 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 piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: / Subtotal
Phone:( ) Fax:( )
Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
Print name:Amanda Gavin Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
• City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
, ■
T l G A RD Building Permit Review — Residential
Building Permit #: ;Asr2ozD- OcZ 1 (o
Site Address: (A1,6111 0`0 q/I � y -7e7,.r ce
Project Name: Pdoi-oP , ,( ,k j 4o Lot #: 10.5
(New I; g=subdivision name;Addition or Alteration- t name of owner)
Planning Review
Pro osal: ✓l k) Q
V Verify address/suite#active in Accela. In River Terra e: ❑ No VKL7es,River Terrace Review Addendum
Sit Plan Elements: ld rosion Control
ICJ 3 ••pies of site plan on 8-1/2"x 11"or 11 x 17"paper i''p tained trees with drip line and tree protection measures
G 1 .wn to scale(standard architect or engineer scale) i F otprint of new structure(including decks)and FFE
r •rth arrow ''ty locations&easements(required for new and additions)
oS' address,project or subdivision name and lot number E Sidewalk/driveway approach
Lplicant information(name and phone number) II i•-,tion of wells/septic systems
ot dimensions and building setback dimensions Lid.' , ' e.siz
\ square footage of buildings to be demolished I S eet names
I. r:sting structures on site Corner elevations(2'contours if more than 4'diffe/ntial)
n •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? VJYes 0
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? J1 Yes No
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
\
Vequired: 0 Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Faciltitimprovement(PFI)Permit:
R uired: Yes,applicant was notified [::1 No Applied For: Yes ❑ o,stop intake
li and Use Case#: a D/.r= �� g: — ,2
quired Setbacks: Front: �.Q Rear: Side: Street Side: • Garage: /�, 5—
> ding Height: Max. Height: V� Actual H • ht: g
VLandscape Area: c---2 0 % Lot Coverage Max: () %
Entrance t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d giet or less
Windows ❑ Minim 2%of area of all street-facing facades
Garage ❑ Garage door is . d widest-street-facing wall0.1)( ❑ Yes o,one of the following is met:
❑ Door extends no m an 5'from wall and there is a red porch extending beyond garage.
❑ Door extends no more than m wall a re is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or les ° or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch cessed entrance offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire s - ❑ Lap Siding ❑ Roof pitch hi ,or gambrel roof ❑ Dormer
ccent siding I, Window trim ❑ Window recess ow projection ❑ Balcony
4 Visual Clearance . ' Urban Forestry ' '.ii
f.kkensitive Lands: 0 Yes F. No Type:
❑ ConditionsyRet prior to issuance of building permit
Not s: nti//362,Q I7U - - � /hi/ / cam6(
Approved By Planning: - 1 '. Date: "1,-.�
iZ y
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: 02-25-2019
Site Plans: # 3
Building Plans: #
Building Permit#: Et Enter building permit#above.
Workflow Routing: Er Planning C� Engineering E Permit Coordinator [ Building
Workflow Sign off: E Sign-off for Planning(include notes from planning review)
Route Application Documents: n Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
I. Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: ey_eG•2424
Engineering Review
Slope at building pad: 4, ./p
/A Conditions "Met"prior to issuance of building permit /f/q 9
('Easements (encroachments)per engineering conditions of approval and plat
('Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I"No
Assess Water Quantity Fee in-lieu: ❑ Yes [ ' No
LIDA Facility on lot: ❑ Yes L No
L{d'(anal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: l/7��c)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ 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:
SDC Fees Entered: Wash Co Trans Dev Tax: fir-Yes ❑ N/A
Tigard Trans SDC: ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes C;'f\l/A
1:::K to Issue Permit dia7Date:
APP Y roved b Permit Coordinator: 1 4-/20
I:\Building\Forms\BldgPemvtRvw_RES 022819.docx
r
City of Tigard
im
COMMUNITY DEVELOPMENT DEPARTMENT
ill III .
r c A R D River Terrace Building Permit Review Addendum
e. ►,,,4..4—.,....0,,cdu..4:,,.,,0'»0,,..q ..e.rtt n,.ev 4e .,..., n ..:, _. ,, . rvi ave ro.,'2".»wi}`s
Building Permit #: IA S 12O2O-OQJ 1,6
Site Address: '`'IZt 1 P') 9di(�r ,,,e
Project Name: f v/ , '0 ;a.71 f1AJ L 4Lot #: j a f
(New: g=subdivision name;Addition or Alteration r t name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? El Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade 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. de min. 2ft., 5 ft.wide min.2 ft.,Eft 'de Gabled dormer
❑ ❑ 0
2. Eyes on the street: a minimum of 12%of each street facing fa ade muq> qws or entrance doors.
Percentage Shown: F >A2% C, >P % ' , / c PL„,,^J 1 ,} I, 7 jL'
3. trances:At least one entrance must meet both of the folio ' g standards: �C IZ Z-l�
m/Max. 8 ft. setback from longest street- ing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ❑ Yes No
If yes,all the following apply: 0 25 sq.ft. min.
❑ One street facing entry ❑ 12 ft.max.roof above floor of porch
❑ 5 ft. depth min. 0 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:
0/Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
i,l Rall offset min. 16 inches'�i�� c oomer min.4 ft.wide
oof eave min. 12 inch projection oof offset min. of 2 ft.f' S
❑ Roof shingles either tile or wood 1► able,hip or gambrel roof design r T� L
❑ oof pitch oriented south min. 500 sq. ft. }forizontal lap siding min. 3-7 inches wide 'I S
VJ Accent siding min.40%of street facade'/ to Window trim min. 2 1/2"wide by 5/8"deep F `r
❑ 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 0 Attached garage is 35%or less of street façade
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 lld No. If No (Check one):
❑ 1)�ay 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.
With: (Check one)
12-foot-wide garage door ❑ 40%max. of street façade
El 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: , 14 ctzpi, Date: I Z-L-?1
I:\Building\Forms\BldgPermitRvw RES RT 121417.docx