Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
CY OF TIGARD_, Request for Permit Action 3U,LUNG t WISION
T;; A f;,i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov
' TO: CITY OF TIGARD I 0
Building Division/Zn
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner [ Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) rpoc,,jaak W l�I I LL
Mailing Address: Ida 3t. Skc S 1 D
City/State/Zip: \CZ.If1orLR.. IA) P - c\t(4.60
Phone No.: ! 00- (pc15 " 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
yr 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#: M-r�bz0 -b bO f ,
'43,e
Site Address or Parcel#: mi..340-44 0 GOLD COI s-r 71,4 2_
Project Name: Q '?
Subdivision Name: - p� L,�o , Lot#: a(7. /Q(
v f�EXPLANATION: �{ Q"S u bM �1 At 1 �W �aD r n%stOc ` S Q }-
Signature: Date: 1 12`'Z 2a
Print Name: p h Orr!S
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
"Ce-P 1,TS Nd T /_CSa E-z ,
,%J A /l ii /e)/4--, /
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 3 /j By ,!
Refund Processed: Date/✓/8- By _ , Invoice Processed: Date 2` � By de"-,3f//
Permit Canceled: Date /�j By cel Tag Added: Date / By
I:\Building\Forms\RegPermitAction_1205 doc
.
. V II I it
Building Permit Application
3 /t 2c1 .v►•r._
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Received ����7�Zr,�.ty Permit NoMgr24 L 60l o
rL _ FEB 2 5 2019 Date/By:�! d 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,V/
Phone: 503.718.2439 Fax: 503.598.1 Date/By: I AfrOther Perr> $/I2�' Z9—
u-1 Y OF TIGARDZ
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/B . Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Z 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: $ 161 19,93
❑Accessory building ❑Multi-family Number of bedrooms: a,
❑Master builder ❑Other: Number of bathrooms:
JOB SITE rt L ()���INFORMATION AND LOCATION /Total number of floors: � ki)- '
Job site address: 49,44 SW nno• K-r- f1 "�� New dwelling area: 1 square feet 2
City/State/ZIP:Tigard,OR 97224 U` "`"' r Garage/carport area: ,4 tcs square feet still,
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 6 1
Cross street/directions to job site: Deck area: (..aq square feet
Othe duke ate / (DI square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.:w l 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
DESCRIPTION OF WORK work indicated on this application.
New SFet Valuation: $
Existing building area: square feet
New building area: square feet
10 PROPERTY OWNER ❑ 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:
® APPLICANT D CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC Meuse rejerto 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@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a
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: $201.60
Authorized signatu This permit application expires if a permit is not obtained
\_ within 180 days after it has been accepted as complete.
Print name:Amanda Ga n Date: ( 7J *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\B -RESPermitApp.doc 02/24/2011 440-4 13T(11/ /COM/WEB)
it _ - . . ,. ,..
Mechanical Permit Application FOR OFFICE USE ONLY
City of TI and E E1 HECEIVED y ED Received
I - g Date/By: Permit No.:m,ST 2020 40026
I v 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 FEB 25 2019 Plan Review w
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris gl See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SI1k INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 11.1 17 Lil.} itA) Vu�✓�ni& ( h//C�c vm�z, Fumace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97224 v V(/� 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 I 23.32
Subdivision:Polygon at Roshak Ridge Lot no.:c Other: 23.32
i
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert ' 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
:i 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 I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms, /�.,
toilet compartments,utility rooms) _I 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
II 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: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 Sign e: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda G in Date0 1 /
I:\Building\Permits\MEC_PermitApp_040113.doc -4617T I1/03/COM/WEB)
' Electrical Permit Application FOR OFFICE USE ONLY
RECEIVE ,' Received MS24020-00or�
IN - City of Tigard Permit#: (�(0
41 DateBy:
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 5 2019 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: turis: la See Page 2 for
r, Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
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.
El Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
am0 Multi-family El Master builder 0 Other: nbustaings.
0Fire s for all other installations.pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: i u u S /� (� Q� ❑Addition of new motor load of system.
I� l V V Cl1 tk(�AF'L V V(�j I00HP or more. ❑
City/State/ZIP:Tigard,OR 97224 0 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 1 Qtv. I Each I Total 1
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#:0(i Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 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 0 See Page 2
El PROPERTY OWNER ❑ 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 ❑ 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
Address:703 Broadway St.Ste 510 branch circuit 56.18 2
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 ❑ 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
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(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signatur ,required: Subtotal:
Print name: Date: ❑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: Amand avin Date: lq 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 0-4615T(11 5/COM/WEB
= Plumbing Permit Application Building Fixtures RECEIVE _ FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 RDEew
eeiBvedy: Permit No.:
II�ISTZOZO' W2
n 13125 SW Hall Blvd.,Tigard,OR 97223
IN -
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO\PateReadyBy: Juris H See Page 2 for
Internet: www.tigard-or.gov Notified/Ivlethod. 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 dwelling ❑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: g22114 S/A ) C�o1/* c OO -I:ova/ 2 / Catch basin or area drain 18.76
"►i" V lhJv Y r 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.:q Fixture or item:
Tax map/parcel no.: _ 1 Backflow preventer I. 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
ED PROPERTY OWNER 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:(360)693-4442 Ice maker 12.51
rg APPLICANT Cl 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: $72.50
it-big-Lie.no.:
Plan review (25%of permit fee)
CCB Lic.:
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Amand Gavin Date: r1 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(IO/2/COM/WEB)
City of Tigard
INICOMMUNITY DEVELOPMENT DEPARTMENT
■
T l c u D Building Permit Review — Residential
4E' l aivag i' ,,a 3q.,.a Ai.,,,t�r.rkau itt,aA.ah ;p rt'x,.wawa.mkig o,:i_ +a sai�sfa '.-.':i .. - ' P- �arz�waans .+,,x ra i 63iltilisitm- -- aratii flit
Building Permit #: M ST2O2 O -OOO2(0
Site Address: 19 399 Sw Gall Coast T:2rrxc2
Project Name: POLYGON AT ROSHAK RIDGE Lot #: q I
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NEW f 801,\r e, PLAN SET# k.6$
❑ Verify address/suite# active in Accela. ® In River Terrace:ra/ El No II Yes,River Terrace Review Addendum
Sit k�E lan Elements: sion Control
3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper l�Re ed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
o
rth arrow [U)ility locations&easements(required for new and additions)
,_,,��tte address,project or subdivision name and lot number tdewalk/driveway approach
T�d`pplicant information(name and phone number) , ation of wells/septic systems
[Lot dimensions and building setback dimensions CO. et tree size,type and location
fElyluare footage of buildings to be demolished ['Street names
,�E •• ting structures on site DiComer elevations(2'contours if more than 4'differential)
IJrlot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? .Yes CI No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 047No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified II NoReceived: ❑ Yes Cl No �' �^^
® Public Facilities Improvement (PFI) Permit:
Required: . Yes,applicant was notified ❑ No Applie For: . Yes ❑ No,stop intake
[111101.and Use Case#: PDR2015-00002/ SUB2015-00004 LIY Z ning: g-12_
vib
e uired Setbacks: Front: 1 Rear: 0 Side: rrll
q � V�3 Street Side: mi. Garage: 1 ItS
uilding Height: Max. Height: S Actual Height: 33
TA Landscape Area: 2A % Lot Coverage Max: f�� 0,0
l�/�'' '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:
c ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
0444 ❑ 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:
El Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof El Dormer
" ❑ Accent siding CIWindow trim ❑ Window recess ❑ Window projection ❑ Balcony
isual Clearance ❑ Urban Forestry Pn
Sensitive Lands: Yes UM No Type:
® Conditions met prior to issuance of building permit
Not Conditions to be met prior to building ermit issu ce.S eet Tr s to be planted according to WACO Roy Rogers Proiect.
{I1 Approved By Planning: Date: / j 61
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: b2.25 2O 19
Site Plans: # 3
Building Plans: # '3
Building Permit#: E—Enter building permit#above.
Workflow Routing: [e-Planning 12- Engineering Er Permit Coordinator [T Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
CE'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 6/- 07-2420
r_.
Engineering Review
IV Slope at building pad: B
VConditions "Met"prior to issuance of building permit
[Easements (encroachments)per engineering conditions of approval and plat
['Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes Lt'No
LIDA Facility on lot: ❑ Yes No
Linal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
It Approved by Engineering: Date: L .
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
❑ 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:
VX.DC Fees Entered: Wash Co Trans Dev Tax: Eir Yes ❑ N/A
Tigard Trans SDC: I2'Yes ❑ N/A
Parks SDC: reYes ❑ /A
LIDA ❑ Yes N/A
Cr OK to Issue Permit ir17(-9
Approved by Permit Coordinator: A Date:
1:\Building\Forms\B1dgPemutRvw_RES_022819.docx
}
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: MS1zZD '0002-t9
Site Address: ( 391 SW G.- L1 l'Qrrxce
Project Name: ()Ayr. 4,1" lLkk R4 . Lot #: II
(New dwelling=subdivision name;A dition or Alteration=last name of owner)
Planning Review of River Terrace Plan DistIdct Design Standards (18.640.070.I.):
lies
Is the project subject to the plan district design standards? es 0 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.,6f/`�'''de Gabled dormer/
[a'/Fromm}- ❑ ElLfG ID
Si 4 byes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Op
Percentage Shown: 2I.1tJ '1/
3. Entrances:At least one entrance must meet both of the folio�g standards:
104 ax. 8 ft. setback from lon est street- facin wall "a 1 arallel to street,angle no more than 45° from street,
��gg or open onto porch
Entrance opens to a porch: VLJ`Yes ❑ No
If yes,all the following apply: L�I�,'225 sq.ft. min.
L'One street facing entry 12 t.max. roof above floor of porch
('ft. depth min. Ifi" 0°/o 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 g ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
Zall offset min. 16 inches S ❑ Dormer min. 4 ft.wide
oof cave min. 12 inch projeeion � k ❑ Ryof offset min. of 2 ft.
❑ Roof shingles either tile or wood Fs.
",) L,�J'`( able,hip or gambrel roof design r S t
R❑ of pitch oriented south min. 500 sq. ft. 4XHorizontal lap siding min. 3-7 inches'wide '?S k
Accent siding min. 40%of street facade k ❑ Window trim min. 2 1/2"wide by 5/8"deep i 0
❑ Window recess min. 3 inches for all street facing L Bywindow min. 5 ft.wide by 2 ft.deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access [ ttached garage is 35%or less of street façade p ,
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 lld No. If No (Check one):
❑)/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.
Width: (Check one)
2/12-foot-wide garage door ❑ 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes: )�
Approved By Planning: Siva Date: 11-70-1i
I:\Building\Forms\BldgPermitRvw_RES_RT_l 21417.docx