Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 29 2020
111IN
1 `.;t CYO° TIGARD
Request for Permit Action
uwLwISION
1 16;A R l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov
TO: CITY OF TIGARD V I
Building Division //'2-0 .000
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov
FROM: ❑ Owner [ Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Tot/am) thmas w tA-1 , (-Lc
Mailing Address: 1 '1d� ' S . ) Sv._ ss i O
V City/State/Zip: QI U`,J R. lij f ' cYtt(,060
Phone No.: 0- (pq 5 " 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
71. CANCEL/VOID PERMIT APPLICATION.
n 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#: MST2bZ0 -bbONf , 4E , 7l, ?X
Site Address or Parcel#: /y 35O i4 if 0-• oat. CPI S1 -T il.2—
Project Name: r-4il g\i - ojUR,
Subdivision Name: -rp.1,403 k.do•-%12s Lot#: CO'/01 .B LZ0 3
EXPLANATION: (-4Q. I L M L�`tt 1 W e y4 s so 4-
,
Signature: Date: I I -Lot k 20
Print Name: j 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
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Au 7" /LEY/, •- /61L..4-„1 /2—2//-zAi CD/t-if� 7 2 2
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date // �j By ,!
Refund Processed: Date/1/19/f By _,din Invoice Processed: _ Date .2`//a,p, By ,
3 -
Permit Canceled: Date Ij/�j By ,„+;; , cel Tag Added: Date By
I:\Building\Forms\RegPermitAction_1205 doc
Building Permit Application V 111 •
Residential RECEIVED ''
FOR
OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received /, pT
DateBy: (/���7�102o Permit No.M s'r2D 20-ow 26
INr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Far: 503.598.190- (OF TIGARD Date/By: i 114
1 244 NV Other Perr*SWRZ920'00020
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: luris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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 0 Commercial/industrial Valuation: $ 1 (�'S3
❑Accessory building El Multi-familyNumber of bedrooms: 9,
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 ( ((/7 7
Job site address: 1 k'l 2 JO V 1/V (: , Q'cA C ''1�Qn/`�/'r New dwelling area: I��1 square feet0Z
City/State/ZIP:Tigard,OR 97224 `�V r Garage/carport area: Li Sip square feet5192
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area:'( square feet 97
Cross street/directions to job site: Deck area: igLi square feet
Other tur e `_, ,,/ UM square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: 01 D 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 SFPC. Valuation: $
Existing building area: square feet
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:
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC Mews"refer tnfeeschedule)
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.
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
A Total fee due upon application: $201.60
Authorized si1r This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Aman.a Gavin Date: de g I q *Fee methodology set by Tri-County Building Industry
t/ l Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/ 2/COMJWEB)
Mechanical Permit Applicatio FOR OFFICE USE ONLY ��//�� /�//��
�� , ReceivedLV�'D(JV 2‘
- City of Tigard Date/By: Permit No.: 0
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SI.IL, INFORMATION AND LOCATION Heating/cooling:
(-)0 Air conditioning 46.75
Job site address: 1 S (J 1 V (Jobe1p nt
Fumace 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: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 t 23.32
Subdivision:Polygon at Roshak Ridge Lot no.:p6 Other: 23.32
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
.; PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment , 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust I 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
ig] 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)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
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 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Ga ' Date ad n
I:\Building\Permits\MEC_PermitApp_040113.doc 0-4617T 1/02/COM/WEBI
' Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received
Date/By: Permit#: VST20W"00025
- • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196CITY OF TIGARD Date/By: Related Permit#
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Juris: H See Page 2 for
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.
❑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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family El Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND ^LOCATIONell
0 Emergency system. larger separately derived
Job#: Job site address: I9 JSO SI V IA,WV�-D( nag OAdd 100HP1oofore.motorloadof system.
or more. ❑"A","E","i-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 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 Qtv. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 61Cg Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1 500 sq.ft.or portion I 33.92 1
DESCRII' ION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
ID PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less 100.70 2
Address:703 Broadway St.Ste 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 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 I ❑ 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 service i 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
Address: Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(I 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)
ELEL IItICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: D_ate: 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: da Gavin Date: /�._ d'- m days after it has been accepted as complete.
!� * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.dor Rev 06/17/2015 440 615T(11/ /COM/WEB
Plumbing Permit Application Building Fixtures RECEIVE _ FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Rived T2X2-025
09
. DateeceBy: Permit No.r'S 1 0 (i(f
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION)ateReadyBy: luris: 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. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
El Accessory buildingSFR(3)bath 1 500.32
0 Multi-family 1
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: I L SO (VO 120 I/�, (/,Or� T„ �1P kU2 Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 V` � V V Drywell,leach line,or trench drain 18.76
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
D
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:Polygon at Roshak Ridge Lot no.:q' Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
El 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
El 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
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:TBD Water PP i mg WV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized s ature: TOTAL PERMIT FEE
Print name:Ama. a 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.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
f'. iK.....- - """`Bliox:,iflYkxsZatY:r,iC3x:� - `3}3J#w tP5fkd.. _ 3}isto,1:.
Building Permit #: M ST2020 60026-
Site Address: t9 BO Sw Got1 Caas1- Time
Project Name: POLYGON AT ROSHAK RIDGE Lot #: I
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
P,_royosal: NEW (6 i) e, PLAN SET# k-G
LY Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes,River Terrace Review Addendum
SityPlan Elements: OE�sion Control
Ig3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper Rke,ithried trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) afootprint of new structure(including decks)and FFE
orth arrow L,�(�Jtility locations&easements(required for new and additions)
L,_W,_,S�tte address,project or subdivision name and lot number U S<Iewalk/driveway approach
L�J,'rlpplicant information(name and phone number) rd' . ation of wells/septic systems
[ 1lot dimensions and building setback dimensions . -et tree size,type and location
142iware footage of buildings to be demolished g Street names
[ EE ting structures on site Corner elevations(2'contours if more than 4'differential)
L(Yi.ot 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? ❑\ s41No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): A ''jj��
Required: ❑ Yes,applicant was notified III NoReceived: ❑ Yes CI No
I �`"T
IIPublicFacilities Improvement(PFI)Permit: l r'J (4t
Required: . Yes,applicant was notified ❑ No Apppliee For: . Yes ❑ No,stop intake
®^�'and Use Case#: PDR2015-00002/ SUB2015-00004 LIy Z ning: g-12
L�' vv.)
equired Setbacks: Front: iVg Rear: 0 Side: 0/3 Street Side: Garage: I ItS
:uilding Height: Max. Height: S Actual Height: 33
A Landscape Area: 2,0 % Lot Coverage Max: �D
IA, 'Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
J Windows ❑ Minimum 12%of area of all street-facing facades
r Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
(t.- ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
O'""11 ❑ 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
❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony
---iy,isual Clearance Urban Forestry, P n
It/Sensitive Lands: Yes No Type:
® Conditions met prior to issuance of building permit
Not s: Conditions to be rnetprior to buildingrtuance..treet rees to be planted according to WACO Roy Rogers Project.
rPref Approved By Planning: Date: I I`Z0-1 g
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: 42-25-20/9
Site Plans: #
Building Plans: # -3
Building Permit#: E-Enter building permit#above.
Workflow Routing: III' Planning EF Engineering Er Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
52' Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: GY-07 202-0
Engineering Review
lgi Slope at building pad: Z,
I Conditions "Met"prior to issuance of building permit 1/142
QYEasements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes Zr No
Assess Water Quantity Fee in-lieu: ❑ Yes U'No
LIDA Facility on lot: El Yes C'No
Id Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
37Approved by Engineering: Date: 1��(?1�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: D 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:
lSevision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: Ves El N/A
Tigard Trans SDC: s ❑ N/A
Parks SDC: Yes ❑ NIA
LIDA CI Yes I,YN/A
�OK to Issue Permit
Approved ‘ p/-77
by Permit Coordinator: ��Date: l
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
INv COMMUNITY DEVELOPMENT DEPARTMENT
T l c A R D` River Terrace Building Permit Review Addendum
m, 4f _*max> Ate;', F.:,,,Z< .,_ F .Vrtr. #.4, 4,0:),444 ,,u..w s,,,O N,.s-ezt,• A t 3,,t*.Vted
Building Permit #: t ST-ZQ 20-- ,J2S
Site Address: 193SO SW G.dU. 1Qract
Project Name: Nell& F- Ktr4hi IL. Lot #: 'fg
(New dwelling=subdivision name;A dition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist t Design Standards (18.640.070.I.):st
Is the project subject to the plan district design standards? es ❑ 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., -wide
de Gabled dormer
❑ ElUlo
No.—
ip—yes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2L•1/ . 2 L3/
3. Entrances:At least one entrance must meet both of the folio g standards:
ax. 8 ft. setback from lon est street facie wall
"a Parallel to street,angle no more than 45° from street,
��g�� g or open onto porch
Entrance opens to a porch: 2'Yes ❑ No � �
If yes,all the following apply: 25 sq.ft. min.
PiOne street facing entry 2"12 t.max. roof above floor of porch
1D4 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:
overed porch min. 5 ft.wide x 5 ft. deep gCl Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches �I).S CI min. 4 ft.wide
Lld Roof eave min. 12 inch projection k CI Ryof offset min. of 2 ft.
❑ Roof shingles either tile or wood �J LJ'Gable,hip or gambrel roof design r S X
El Ryof pitch oriented south min. 500 sq. ft. -Iorizontal lap siding min. 3-7 inchesJwlfle F S K
rIWAccent siding min.40%of street facade t Cl Window trim min. 2 1/2"wide by 5/8"deep j 0
El Window recess min. 3 inches for all street facing ❑ B5 window min. 5 ft.wide by 2 ft.deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 2-"Attached garage is 35%or less of street facade S
J
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 Wit No. If No(Check one):
❑ lytay extend up to 5 ft.if there is a covered front porch and garage doe 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: SCDate: 11-Lo-I q
I:\Building\Foims\BidgPetmitRvw_RES_RT_121417.docx