Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 9 2020
a Request for Permit Action
IN
AT Y OF CIGARD
3IJI WING fi=
1-;c_,A p.i 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov
TO: CITY OF TIGARD ki 0 1 D
Building Division .2//' 40`—
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner [ Applicant n Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Tocla/v.) 14ti g Vi/ l , LIS-
Mailing Address: 102 t. Sk 510
City/State/Zip: Va.Xt,e,(Sulrt-R, IN P - °lt U 00
Phone No.: a 0' VA 5 - 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
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#: T2 b 2) -6 0 0 . j A,tip
pie
Site Address or Parcel#: /hargo. /41340 GOLD luhST �Le-!Z
Project Name: r-Pp.)rpg\f•oi- c- kri Q,,
Subdivision Name: b. (- •d,%(2, Lot#: 97'/O! .B uD6 3
EXPLANATION: t{ e' lLIc M L k a idol t -€U) 40 Y'‘Y 4 SO CI--
, .
Signature: Date: 11 -Lot\ 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
P /2expi/ 3" "./0 T /SSte. EA
Aur ,//Ch3 — le%A—n/ 2e"7//i ) cDi`9/-C.E/"-2�2�
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date // j By
Refund Processed: Date/✓/e. By _; Invoice Processed: Date ///a,p, By , -
Permit Canceled: Date -1`7 By .i,; :rcel Tag Added: Date By
I:\Building\Forms\RegPennitAction_1205l doc
r
N
Building Permit Application " ��a J
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received
Date/By: e!>-07:G T2O`(J.. 27
,,f/hh� Permit NoMJ
11111 - " 13125 SW Hall Blvd.,Tigard,OR 97223 /�
Phone: 503.718.2439 Far: 503.598.00Y OF TIGARD Plan DateBRevy:i ew )..24200 Other perny$WRL'o2(NV,�yyyy��
25
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
®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.
Z 1-and 2-family dwelling ElCommercial/industrial Valuation: $ I Caq (Li
ElAccessory building ❑Multi-family Number of bedrooms: a,
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: Kit/
Job site address: I '- `b'-tU S/� UO I/,� ( D C4(--- --e V'v�L , New dwelling area: I I square feet � 2
City/State/ZIP:Tigard,OR 97224 °v 6V L L V L J 1. Garage/carport area: ( square feet c,L2
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet On
Cross street/directions to job site: Deck area: iLt square feet
Othe c e ` '" �� square feet
REQ D DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: i bo 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 SEA Valuation: $
Existing building area: square feet
New building area: square feet
Egi 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 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Pteasere
ferin 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)6934442
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
Total fee due upon application: $201.60
This permit application expires if a permit is not obtained Authorized siy ature: ,
within 180 days after it has been accepted as complete.
2 ��^ *Fee methodology set by Tri-County Building Industry
Print name:Amand. avin Date: U l `�11 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 613T(11/ 2/COM/WEB)
Mechanical Permit ApplicatBECEIVED FOR OFFICE USE ONLY'
City of Tigard FEB 2 Received
- Date/By: Permit No.:
114 • 13125 SW Hall Blvd.,Tigard,OR 97223 5 2019
Plan Review
Phone: 503.718.2439 Fax: 503.598.19KATY OF TIGARD Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris ld See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 0 Other: Description Qty. Ea. Total
JOB S11L INFORMATION AND LOCATION Heating/cooling:
2 Air conditioning 1 46.75
Job site address: 'Jul) V 'L v (-1 D t ���,.e v'tt Furnace 100,000 BTU(ducts/vents) ) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: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
Subdivision:Polygon at Roshak Ridge Lot no.: 10
Other: 23.32
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
El PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust ' 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) /2) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
183 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
S14.15 for first four;S4.03 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 lie.: 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 Tn-County Building Industry Service Board
Print name:Amanda in Date: / .. E/
I:\Building\Permits\MEC_PermitApp_040113.doc 440 617T(11/02/ M/WEB)
40.
"Electrical Permit Applicati°61ECEIVED FOR OFFICE USE ONLY
City of Tigard Received /S7207�/1,0027
li FEB 2 5 Date/By- Permit#:/v�G)�L�/Lv v(/VG
� 13125 SW Hall Blvd.,Tigard,OR 97223 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1Q 6 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Gil OF TIGARD ReadyDate/By: Juris:
TIGARD p o a ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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):
❑Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 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 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 4 3U 0 ¶tit)) G�0 ck(A)(f c- C ❑Addition of new motor load of system.
V" 100HP or more. ❑system.
City/State/ZIP:Tigard,OR 97224 Six or more residential units. occupancy.
0 Health-care facilities. ❑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 1 Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 100 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion , 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
...1 PROPERTY OWNER Renewable Energy 0 See Page 2
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 -
Address:703 Broadway branch St.Ste 510 service or feeder fee,first 56.18 2
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(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 signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amanda Gay' Date: 11 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\'ermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/5/COM/WEB
• Plumbing Permit Application
ECEIVED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard FEB 2 5 2019 Received NtSfW20 r t-27
. Date/By: Permit No.
n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.59��$A1f OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: VI 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 I 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
ElAccessory 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: \41240
Q1 0 C�Q kO )(AJ t 1 f-V1r A /`Q / Catch basin or area drain 18.76
w°° ` w 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.: 1 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.: 1 0 0 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 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 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
El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:Polygon WLH LLC g
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 1 mg WV 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. ..
State surcharge(12%of permit fee)
Authorized si TOTAL PERMIT FEE
�- This permit application expires if a permit is not obtained within 180 days
Print name:Amanda avin Date: l/ after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
I:tBuilding\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
,,
City of Tigard
41
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 n R D Building Permit Review — Residential
fc•, Vat,414 1.5,, 4L".1Sy�*'�aik ;101 k e,l'kif4 _. ,_.i f
_ r altalr i '^ ti444#6,..q lk::ti h,SYdl iVit.
Building Permit #: Ms7202o -C6O27
Site Address: N1340 Sw Gall Gal TQrrive
Project Name: POLYGON AT ROSHAK RIDGE Lot #: 100
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proyosal: NEW fdW\me, PLAN SET# K-61?
UP/Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes,River Terrace Review Addendum
SityPlan Elements: 4esion Control
3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper 12fKe ed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) PUfootprint of new structure(including decks)and FFE
orth arrow CP'Cltility locations&easements(required for new and additions)
e address,project or subdivision name and lot number Tr dewalk/driveway approach
Kplicant information(name and phone number) Location of wells/septic systems
V_,ot dimensions and building setback dimensions ()txeet tree size,type and location
fi4uare footage of buildings to be demolished 'l S/reet names
11 E�ting structures on site 2Corner elevations(2'contours if more than 4'differential)
l M 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? 0Y7No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Ill NoReceived: ❑ Yes ❑ No �' t "
® Public Facilities Improvement (PFI)Permit: 1.J tit
Required: . Yes,applicant was notified ❑ No Apppliee For: . Yes ❑ No,stop intake
®j.and Use Case#: PDR2015-00002 SUB2015-00004 LIY Z ning: g-12
(eik,
LIP"/Required Setbacks: Front: i Rear: 0 Side: V�3 Street Side: Garage: I /�'.5
E :uilding Height: Max. Height: S Actual Height: 33
A Landscape Area: 2A % Lot Coverage Max: b v
iit.' 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
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
L ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
(1"` 1 ❑ 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 El Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding M Window trim ❑ Window recess ❑ Window projection ❑ Balcony
sual ClClearance
Urban Forestry Pan
Sensitive Lands: • Yes L!I No Type:
® Con 'lions met prior to issuance of building permit
Not :Conditions to be met prior to buildin emit iss ce.Str t Tr s to be planted according to WACO Roy Rogers Proiect.
Approved By Planning: a/ Date: I(— 11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
i:\Building\Fonns\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: dZ-25"2"/9
Site Plans: # 3
Building Plans: # 3
Building Permit#: C✓]' Enter building permit#above.
Workflow Routing: 52' Planning [-Engineering 52'Permit Coordinator 1'Building
Workflow Sign-off: Er 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.
LE'Building: original permit application, site plans,building plans,engineer and
beam calculations and - st details,if applicable,etc.
Notes:
By Permit Technician: 1 "/ i # Date: Q/-07--2ozo
Engineering Review
I A' SS ope at building pad: 0 AA
IV Conditions "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 [ErNo
LIDA Facility on lot: ❑ Yes L5'N o
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
II- Approved by Engineering: Date: 0/10
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:
R9..ision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Lvl Yes ❑ N/A
Tigard Trans SDC: [V s ❑ N/A
Parks SDC: [eyes ❑ N A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: i r 72
/
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
,
City of Tigard
IN
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD River Terrace Building Permit Review Addendum
(;-• k ii.aw t,, ,,x J,,,,-i.,,,,,.5Ae+At 66 .;{ta2.40.lontt f+3{p.3#0,6,,,,.....,s.,4a€NRaa: d., ,..,,4.“,,ryMltF,A,,iini....i,4,,w,,.,,,,,,,,A p id •,,,_iY.,iiiti,,!ii t+N A a. ,m: ,,moik...
Building Permit #: OVI4020"Q0)
Site Address: 11 NO SW Ga1el l'grrnce
Project Name: P61ve. 4 Itktivk
Ri Lot #: l00
(New dwelling=subdivision name;A dition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis t Design Standards (18.640.070.1):
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.,6ft/wide Gabled dormer
!Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
2. .
Percentage Shown: 2L.1/,• ZL.3/://�^ —
3. Entrances:At least one entrance must meet both of the folio g standards:
ax. 8 ft. setback from lon est street- facie wall
"" rarallel to street,angle no more than 45° from street,
g g or open onto porch
Entrance opens to a porch: �S Yes ❑ No
If yes,all the following apply: L�I�,'225 sq.ft. min.
C One street facing entry LEK 1/2 ft.max. roof above floor of porch
Cs 'ft. depth min. F 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 g0 Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches �').S 0 Dormer min. 4 ft.wide
Lld Roof eave min. 12 inch projection ) 0 Ryof offset min. of 2 ft.
O Roof shingles either tile or wood �,) [ 'table,hip or gambrel roof design r S t
O Ryof pitch oriented south min. 500 sq. ft. L;'Horizontal lap siding min. 3-7 inchesJwlde F S k
Accent siding min. 40%of street facade t 0 Window trim min. 2 1/2"wide by 5/8"deep j J
O Window recess min. 3 inches for all street facing �❑ By window min. 5 ft.wide by 2 ft. deep
O Balcony min. 5 ft.wide x 3 ft. deep with inside access L�Attached garage is 35%or less of street facade 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. 0 Yes WI No. If No (Check one):
❑ I�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 0 40%max. of street facade
O 50%max. of street facade with 7 detailed design elements
Notes: Crt
)Lv .ii (
Approved By Planning: Date: I I—24 1 f1
1:\Building\Forms\BldgPe,mitRvw_RES_RT_121417.docx