Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
111 Nz Request for Permit Action 's r�°� �r�AING s�o�'
T t A R r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard or.gov
TO: CITY OF TIGARD V 0 I D
Building Division,/'2- KO'
13125 SW Hall Blvd.,Tigard,OR 97223 ,
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov
FROM: ❑ Owner T Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) TOLAja,a/3 161Aa W LEI LA-G
Mailing Address: 103 S. l SV 5'
City/State/Zip: \iQ C 5kArGR tN to(oO
Phone No.: io O' tpq 5
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
n INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: fr6T2()ZD —Ob0 ' AP, 0'
Site Address or Parcel#: .f4 0 FOLD ODA s1- ��i2Q—
Project Name: (Aa r-- pg1•pJYL. c- kflozst
Subdivision Name: T C) Ql Lot#: el7'/D! .B L'Da
EXPLANATION: e--4QSu;,cjM t 1 rIPAW '}SO Y%Y\X- 4 SO C 1-
Signature: Date: i
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
/oERP 1/ T3 NO 7 i SSCe E 7
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 3 , j By :f
Refund Processed: Date i1/49 By 4 ,.' Invoice Processed: Date S///�,,, By , '
Permit Canceled: Date 3�//�, By .,:, r.rcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_1205 doc
V . .
) 1
Building Permit Application ,.. ,
Residential RECEIVED FOR OFFICE USE ONLY
Received �-� '0
- City of Tigard 2 C q p Date/By:
OF Of 2020 Permit No.:q sT-202o i Z
q 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 5 LO�J Plan Review qw'�
Date/By: / Other Pe �M 7 q
• Phone: 503.718.2439 Fax: 503.598.1960l�t� /J/Jrr ��l1/ �Q�LL-»
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By —' Juris: Ei See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ \ c16-i O
D Accessory building El Multi-familyNumber of bedrooms: �j 1
❑Master builder ❑Other: Number of bathrooms:V3
JOB SITE INFORMATION AND LOCATION Total number of floors:3 11 j
Job site address: \L1 JIJ V J ( - V'c C o aS /� rj , New dwelling area: m L.� square feet Q)"
City/State/ZIP:Tigard,OR 97224 v �/ '�` V""�J Garage/carport area: $ 3l square feet Liii-R ja
('-..\ Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 115
Q
Cross street/directions to job site: Deck area: 3 square feet
V Other stair(a(pwir I'b square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: GI 1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
L.) DESCRIPTION OF WORK work indicated on this application.
V New SFA Valuation: $
Existing building area: square feet
,sQl New building area: square feet
® 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:
E APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer m 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:permitsubmittals(a 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.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
CCB lic.:207247
Phone:(360)695-7700 A Fax:(360)6934442
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized sign This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Aman,a f.avin Date: 2- /02i *Fee methodology set by Tri-County Building Industry
I Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 /COM/WEB)
Mechanical Permit Applicati(oirir. '� - ' ' FOR OFFICE USE ONLY
City of Tigard Received �� -
- `, g Date/By: Permit No. T
IIII • 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
Date Ready/By: kris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CH .CKLIST
Mechanical permit fees*are based on the value of the work
Z New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
IAl Air conditioning 1 46.75
(�
Job site address: -1�SLI S Y V el t V o ci-�V V ' V c Furnace 100,000 BTU(ducts/vents) 1 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 1 23.32
Other: 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: a Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
El PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
Address:703 Broadway St.Ste 510 equipment I 33.39
Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms, ,2
toilet compartments,utility rooms) J 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
El APPLICANT ` ❑ 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:permitsubmittais@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 signa • * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Gavin k/ Date: tf J a l01
I:'Building\Permits\MEC_PermitApp_040I 13.doc 440-4617T(I 1/02/COM/WEB)
Electrical Permit Application .,. -- /- V E D FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received cr�h'hJ�QQd/
Date/B
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
til
Phone: 503.718.2439 Fax: 503.598.19�TY OF TIGARD Date/B Permit#: V'I L✓</G: Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDateBy: Juris. H 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 0 Building over three stories.
0 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-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family 0 Master builder ❑Other: ampsirefor allother installations. butngs.
El pump. Installation❑ of 150 KVA or
JOB MIL INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: l,� � S W ril O /� � � ❑Addition of new motor load of system.
t V t / 100 or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 `U Six or more residential units. occupancy.
O Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 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. 1 Each I Total I '
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#:On 1 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 energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
El 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 I
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
El APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Polygon WLH LLC above service or feeder fee, 7 42 2
each branch circuit
Contact name:Amanda Gavin B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:703 Broadway St.Ste 510 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
Email: permitsubmittals@polygonhomes.com dwelling,service and/or feeder
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
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signatur TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amanda avin Date: gio-�. i�/j days after it has been accepted as complete.
/ I * Number of inspections allowed per permit.
L\Building\Permits\ELC_PermitApp_ELR_ERE.dor Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Application
Building Fixtures RE dVED FOR OFFICE USE ONLY
City of Tigard FEr 2 5 2019 Received
- J Date/By:
Permit No.:MtT 20�jjo'1
• 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review 1��x+ w
Phone: 503.718.2439 Fax: 503.59€ OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION 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 ❑Demolition For special information use checklist
Description Qty. 1 Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSIRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 1 500.32
❑Accessory 0 Multi-family 1
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: I tii 229-1- e I 6-to(Ot Goc ,Q/1/1 f'O ) Catch basin or area drain 18.76
" " W v V H 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.: 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.: £7 Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve i 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon WLH LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 12.51
is APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Amanda Gavin
Roof drain(commercial) 12.51
Address:703 Broadway St.Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
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 signature: TOTAL PERMIT FEE
Print name:Aman avin Date'- '2 (c This permit application expires if a permit is not obtained within 180 days
L- J after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry Service Board.
I'\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)
. City of Tigard
71 41
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Y tiN' ``➢ 5i A - u4!.tia3n - A are,€.xa.......ii,, iaggogdigaa4 rt �i4kl -ies: is�:�3csat.vf,i,....ys „n �0r :a-oi:+4tleaatda .
Building Permit #: M ST2020' 2q
Site Address: 113,51 SW Gall 6/461" TQrrx(e
Project Name: POLYGON AT ROSHAK RIDGE Lot #: 11
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro s osal: NEW ! 6 h PLAN SET#
1► Verify address/suite# active in Accela. . In River Terrace: 0 No ® Yes,River Terrace Review Addendum
Sit yPlan Elements: ion Control
3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper Lk.Ke ed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) Ufootprint of new structure(including decks)and FFE
orth arrow [}(pity locations&easements(required for new and additions)
[,.,V��ite t address,project or subdivision name and lot number Sidewalk/driveway approach
KL�I'Applicant information(name and phone number) P= ation of wells/septic systems
t dimensions and building setback dimensions `j.1 -et tree size,type and location
fEtivare footage of buildings to be demolished [L'S)reet names
+E EE lting structures on site tomer elevations(2'contours if more than 4'differential)
L.(1 of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? .Yes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 0Yk647No
. Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 11 NoReceived: ❑ Yes ❑ No �� ^T
® Public Facilities Improvement(PFI) Permit: 1,61 1
Required: . Yes,applicant was notified ❑ No Apppliee For: . Yes ❑ No,stop intake
®^�'and Use Case#: PDR2015-00002/ SUB2015-00004 [l Z ning: It-IL L�' equired Setbacks: Front: 1 V8 Rear: 0 Side: V/3 Street Side: Garage: 1 It.S
uilding Height: Max.Height: 47_ Actual Height: 33
A Landscape Area: 2A % Lot Coverage Max: �D
A., 'Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
'1 1J Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
c ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
043341 ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
t. ❑ Accent siding 05 Window trim ❑ Window recess ❑ Window projection ❑ Balcony
sual Clearance
cr. Urban Forestry,en
IC/Sensitive Lands: • Yes L' No Type:
® Co ' .ons met prior to issuance of building permit
No s: Conditions to be met prior to buildinvpermit issuance.Street Trees to acco ' g t WACO Roy Rogers Project.
Approved By Planning: --_____ Date:
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: 02-2 202.0
Site Plans: # J
Building Plans: # 3
Building Permit#: CWEnter building permit#above.
Workflow Routing: lir Planning ® Engineering Ca' Permit Coordinator I2'Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: DR' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
C-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: Of-47-2e20
En 'veering Review
i
Igi Slope at building pad: .gi,
C"Conditions "Met"prior to issuance of building permit N
Cl''Easements (encroachments)per engineering conditions of approval and plat
f-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Ia'No
Assess Water Quantity Fee in-lieu: ❑ Yes I'No
LIDA Facility on lot: ❑ Yes [ No
Cod' Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
(Approved by Engineering: Date: !/eye]
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Cl 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: /
❑ C Fees Entered: a Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ,p' Yes ❑ N/A
Parks SDC: V(Yes ❑ /A
LIDA ❑ Yes IJ N/A
K to Issue Permit
roved byPermit Coordinator: �� '° fate: / (4')-4-)
PP
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
,
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
WP.t#1:3s#3ftFM _ 7+5+*15Y+da7;s�d%d.Nt:.ti'#,..f7i0,dT111.0ft. bal3pia+e4�;, 4'.sgr3... aifaa+�'ti4F71 F m,,>,,. t_,i a±r._ ,L'._,;s' FJS`9L;^3?fe`f�:Sa u?dY£15xx:0,1;FffirF<i[;
Building Permit #: IAST2024reO0211
Site Address: ti 3S9 SW G411 Irma.
Project Name: Pel yie. 4ggkicRI Lot #: R 1-
(New dwelling=subdivision name;A dition or Alteration=last name of owner)
Planning Review of River Terrace Plan Disstt t Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? es El No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft�wide Gabled dorm
Sidi. N
Eyes on the street: a minii,um of 127o of each street facing facade must include windows or entrance doors.
Percentage Shown: /2 c/0
3. Entrances:At least one entrance must meet both of the follog standards:
ax. 8 ft. setback from longest street- facin wall '� 1 arallel to street,angle no more than 45° from street,
g or open onto porch
Entrance opens to a porch: VYes ❑ No � �
If yes,all the following apply: Ll�'25 sq.ft. min.
LVOne street facing entry E"12 t.max. roof above floor of porch
l ft. depth min. 0%min. porch roof coverage
4.D tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
it
overed porch min. 5 ft.wide x 5 ft. deep 14 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches �'].S ❑ Dormer min. 4 ft.wide
[ Roof eave min. 12 inch projec4ion K ❑I Ryof offset min. of 2 ft.
❑ Roof shingles either tile or wood J Fs.
,) LJ't able,hip or gambrel roof design j S R
El Ryof pitch oriented south min. 500 sq. ft. [ 4 orizontal lap siding min. 3-7 inchesjwitle F S k
FIWAccent siding min.40%of street facade F ❑ Window trim min. 2 1"wide by 5/8"deep j 0
❑ Window recess min. 3 inches for all street facing ❑ B�a window min. 5 ft.wide by 2 ft.deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access LN"1Attached garage is 35%or less of street facade t ,
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 lid No. If No (Check one):
❑yay 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.
Width: (Check one)
2/12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: r Date: l g
I:\Building\Forms\BldgPermitRvw_RFS_RT_121417.docx