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Permit RECEIVED City of Tigard . COMMUNITY DEVELOPMENT DEPARTMENT JAN S 9 2020 741 6i fy OF TIGARD Request for Permit Action ,LONGvIsIO = 1 lc.,n i?.l> 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD V 0 I D Building Division /'Z-c) 49;e— 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) T0ujtty1) t a 5 w , LA-C Mailing Address: 103 �, t. ) Sk- 510 City/State/Zip: V Q-X.C(51k,1f!R. t lk) iN' okt tote Phone No.: ' c O' (oq 5 " 1,O0 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): 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#: 13T OZO -6bO )c, , z$ M g " iL ifs Site Address or Parcel#: ••• 1 44 GOLD CZA ST itLP— Project Name: I•tat\yN- r- 0%\l•0.- c-- WiCte, Subdivision Name: pgktp.., Vsik-� Lot#: 97-/01 (--D63 EXPLANATION: ({ Q3 u.,)c)M L*At W 1 r -2u) gp L v\X- 4 SO 4- 1 Signature: Date: 1 12 c't\ 2a Print Name: oj1 rriS 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. fiC-72.-w1 t TS Aal T / S.—Ca E-A, AL/r /2-c)//c70 f0L.�-71/ 2&v/I=Z J Cor7/4.E-7 Z_ FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date 3 /� ,,,,yJ By ' Refund Processed: Date/✓/e- By :,, Invoice Processed: Date sg,/ / .„ By , 2/ "----- Permit Canceled: Date �2, By ,.�,. .rcel Tag Added: Date / By I:\Building\Forms\RegPermitAction_1205 doc Building Permit Application J -. . rr 2-e - Residential RECEIVED FOR OFFICE USE ONLY - City of Tigard Received 6� a^w_�O ,n p��O2� �p©a Date/By: 25 PermitNo.:lr'c)f T/V a 1hone SW Hal]Blvd.,Tigard,OR 972233111 FEB 2 5 2019 Plan Review `/ � Other Pe Q ��//��77���� /f�y�q Phone: 503.718.2439 Fax: 503.598.1960 DateBy: � �� � �iD�2(„(/L1J vim/ TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris laSee Page 2 for Internet: www.tieard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORD 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. El I-and 2-family dwelling 0 Commercial/industrial Valuation:al M5! V(/7 ❑Accessory building ❑Multi-family Number of bedrooms: ElMaster builder ❑Other: Number of bathrooms: JOB SITE_INFORMATION AND LOCATION Total number of floors: r 1 J 1 Job site address: I q 'l t �In / r�O I 0,-�c V�r, (Q ) New dwelling area: 15QJ(.� square feet U3`3 City/State/ZIP:Tigard,OR 97224�w v b V, v` Garage/carport area: <✓(33 square feet Vile Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: J ` square feet ‘ 15 Cross street/directions to job site: Deck area: (61��,,r,,, %� square feet hn ea. C�,V2) square feet QiUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: .0 I 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 SF>F 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: ID APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Plr+.cereje rtoJeescfiedrrle) 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)6934442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized si utn: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda G vin Date: 19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44 0-4613 T(1 1/02/COM/WEB) Eu x • Mechanical Permit Application.. \ FOR OFFICE USE ONLY City of Tigard E C E I VI E D ReceivedIll Date/By: ��LL--�� "0 Permit No.Ms/'J �r / Q 7 • 13125 SW Hall Blvd.,Tigard,OR 97223 - Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 5 2019 DateBy: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT ISYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling:2 Air conditioning 46.75 Job site address: (� 'l�14 /� ) O i//� ( J O�t-..��� t� Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 v W Van 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 23.32 Subdivision:Polygon at Roshak Ridge Lot no.: I,U' 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 Other: 23.32 ►<< PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:Polygon WLH LLC Range hood/other kitchen equipment I 33.39 Address:703 Broadway St.Ste 510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ) 23.32 Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH LLC S14.15 for first four;$4.03 for each additional Contact name:Amanda Gavin Furnace,etc. Address:703 Broadway St.Ste 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver WA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:TBD Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signa e: * Fee methodology set by Tri-County Building Industry Service Board Print name:Amanda Gavin Date: ?/Ciq I:\Building\Permits\MEC_PermitApp_040113.doc 440 6I7T(11/ OM/WEB) Electrical Permit Application"1E(,;E'VED FOR OFFICE USE ONLY City of Tigard �,� 5 2019 FEB 2 Eew w 13125 SW Hall Blvd. Tigard,OR 97223 • - TY OF TIGARD Phone: 503.718.2439 Fax: 503.598.19 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: turfs: Ea See Page 2 for TIGARD 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): 0 Service or feeder 400 amps or more ElBuilding over three stories. CI Demolition CI 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 El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOE SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: `�'j2 f,� qW('I O�jioI VV/I�f��uutt El Addition of new motor load of system. IOOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Polygon at Roshak Ridge ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge I Lot#: I U I Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less ' 168.54 4 Ea.add'l 500 sq.ft.or portion ) 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 2 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 .. APPIrICAN I ❑ CONTACT_PERSON circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH LLC above service or feeder fee, each branch circuit 7.42 2 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'1 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 Address: panel,alteration,or extension. ❑ See Page 2 2 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 Lie.: Electrical Lic.: Suprv.Lie.: specifically listed(%hr min) ELEC I RICAL PERMIT FEES ' Suprv.Electrician signature,required: Subtotal: Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized . TOTAL PERMIT FEE: sign r This permit application expires if a permit is not obtained within 180 Print name: Am da Gavin Date: it days after it has been accepted as complete. * Number of inspections allowed per permit. t:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 0-4615T( 1/05/COM/WEB Numbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY ,r g Cl Of Tigard Eew ,, �Iii 13125SWHallBlvd.,Tigard,oR 97223 FEB 25 2019 DPermitNo (� � - Phone: 503.718.2439 Fax: 503.598.196Q_ OF TIGARD DateBy: Other Permit No.. TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ID Accessory building SFR(3}bath 500.32 ID 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: 14 37'({ A )Et°(r' r 11 C y'''r,.e�/�I,�/Yf ('2 Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 U/` vV V 4 Y Y �� Drywell,leach line,or trench drain 18.76 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.: 101 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve ' 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El 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 E APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Polygon WLH LLC 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:Amanda Gay' Date:7 v 11 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. 1\Building\Permits\PLMU-PerndtApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard INCOMMUNITY DEVELOPMENT DEPARTMENT ■ TICARD Building Permit Review — Residential Building Permit #: f 4sTzo2"d o628 Site Address: 11311 w Gol1 (ao l- Terrace Project Name: POLYGON AT ROSHAK RIDGE Lot #: (01 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NEW f\thdiVilie, PLAN SET# 613 [ Verify address/suite #active in Accela. . In River Terrace: ❑ No ® Yes,River Terrace Review Addendum Sitlan Elements: i4dsion Control lld3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper RRe ed trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) Ofootprint of new structure(including decks)and FFE orth arrow CcKJty locations&easements (required for new and additions) 1�4� .e address,project or subdivision name and lot number E idewalk/driveway approach L��J,'`Applicant information(name and phone number) Location of wells/septic systems [i u1ot dimensions and building setback dimensions a -et tree size,type and location Uare footage of buildings to be demolished C Street names raring structures on site ®/Corner elevations(2'contours if more than 4'differential) LfdLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'Yes El No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Y]No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): A (14 V Required: ❑ Yes,applicant was notified . No Received: CI El No II �`'� IIPublic Facilities Improvement(PFI) Permit: l4/ Required: . Yes,applicant was notified ❑ No Apppliee For: . Yes ❑ No,stop intake ® and Use Case#: PDR2015-00002/ SUB2015-00004 W' Z ning: g'i2 V)�,", I ///� 3r" Garage: I �S �equtred Setbacks: Front: �� Rear: 0 Side: V� Street Side: Ga age ��' uilding Height: Max. Height: S Actual Height: 33 1 Landscape Area: Zo % Lot Coverage Max: p ' `—Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less tli1J 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: �(� ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. 0;34 ❑ 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 ❑ Dormer �, El Accent siding ❑ Window trim ❑ Window recess [3 Window projection ❑ Balcony isual Clearance ❑ Urban Forestry Pan Sensitive Lands: Yes I]? No Type: ® Cone.tions met prior to issuance of building permit Not; : Condi m rior to buil e i i u e. r Tr b to cedr A' R R ers Pr IT Approved By Planning: -�'--' A---' Date: 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: i 2'Z6 2O19 Site Plans: # `3 Building Plans: # 3 Building Permit#: 12-Enter building permit# above. Workflow Routing: Er Planning C' Engineering E"Permit Coordinator Er Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: IR Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 0' Building: original permit application, site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: Date: 4/' a7'-2€ 20 Engineering Review b [ ' lope at building pad: 24 IV Conditions "Met"prior to issuance of building permit 1/7.1, E 'casements (encroachments)per engineering conditions of approval and plat *Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes L(G No Assess Water Quantity Fee in-lieu: ❑ Yes LIVNo LIDA Facility on lot: ❑ Yes [ No i Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 'Approved by Engineering: Date: //417 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: R .sion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: WITes ❑ N/A Tigard Trans SDC: 4Yes ❑ N/A Parks SDC: ' Yes ❑ A Issue PermitLIDA El N/A OK to ---------- 4 Approved by Permit Coordinator: ( Date: / 5Y ...7 I:\Building\Forms\B1dgPermitRvw_RES_022819.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 'PI T I GAR D River Terrace Building Permit Review Addendum o Building Permit #: f g120 D-O0029 Site Address: 1'1111 SW G411 TQraft Project Name: ()13�yii,. 41- ggakk P Lot #: col (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.). Is the project subject to the plan district design standards? IntiYes ❑ 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 [a'/Fra,)- ❑ ❑ [r�Si0t �l�'Nu— Eyes on the street: a minim u of 12% f each street facing façade must include windows or entrance doors. 2. . Percentage Shown: _ h- 0 3. Entrances:At least one entrance must meet both of the follorig standards: CKax. 8 ft. setback from longest street- facing wall "" 1 arallel to street,angle no more than 45° from street, Ir �� or open onto porch Entrance opens to a porch: N_I Yes ❑ No If yes,all the following apply: I�L�,'225 sq.ft. min. [ One street facing entry L5'12 t.max. roof above floor of porch C'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 X ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches S ❑ Dormer min. 4 ft.wide IVA Roof eave min. 12 inch projec on c ) �❑ Ryof offset min. of 2 ft. ❑ Roof shingles either tile or wood ) J [�,.Gable,hip or gambrel roof design r S` R ❑ Ryof pitch oriented south min. 500 sq. ft. [ 4 orizontal lap siding min. 3-7 inchesJwiide ?S J k Accent siding min.40%of street façade 1Z ❑ Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Ba window 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 facade 3 , 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): ❑ lytay 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) 12/12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: --__ -- ¢A------' Date: /7Ce3 I.\Building\Forms\BldgPermitRvw_RES_RT_I21417.docx