Permit Support Document City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
INI 4
Request for Permit Action
1 I(i A It I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD fl
Building Division '
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: 0 Owner ® Applicant ❑ Contractor ❑ City Staff
Check(1)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Polygon Homes WLH LLC
Mailing Address: 703 Broadway St., Ste 510
City/State/Zip: Vancouver, WA 98660
Phone No.: 360-695-7700
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
✓ CANCEL/VOID PERMIT APPLICATION.
❑ 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#: MST2019-00314(StA3Z 2 Q\\ —O 0 2 3
Site Address or Parcel#: 16595 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 143
EXPLANATION: Plan renamed and updated
r
Signature: %g g1,� Date: 1/6/2021
Print Name: Tonja Morris
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date //Q 1./ By
Refund Processed: Date By Invoice Processed: Date �Q/z,( By //V
Permit Canceled: Date / (j`2/ By HI/ Parcel Tag Added: Date By
I:\Building\Forms\ReyPemutAction_20518.doc
Building Permit Application L --C-
\\Acr
Residential bf, i e":, .,.. FOR OFFICE USE ONLY
City of Tigard Date/By: 1- `kci• Permit No.w\c..„-\--Ar q.,rn�i ,
IN
• 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 6 2019 Plan Review Q `(J�V,�w�^�"�r�`
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: �i 3I � Other Permr � 1 _ 1vo'
TIGARD Inspection Line: 503.639.4175 (,,,i 1 Y. Or 3I1 M HL DateReadyBy: Juris: H See Page 2 for
Internet: www.tigard-or.gov 3LIII.DI .G DIVISION Notified/Method: Supplemental Information
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ a!�139,
® 1-and 2-family dwelling IDCommercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: t2(t S
Job site address: New dwelling area: 1(6 square feet 1tSt1
City/State/ZIP:Tigard,OR 97224 Garage/carport area: r b square feet q 9 2,Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area:11�- .4 square feet `
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: I 1 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 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 ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (I'lenseseferinJeescheduie}
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 SYS EM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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 reviewand administrative fees): $180.00
Phone:(360)695-7700 / Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized signa e: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda G in Date: n *Fee methodology set by Tri-County Building Industry
Service Board.
r I:\Building\Permits -RESPermitApp.doc 02/24/2011 440 613T(11/ 2/COM/WEB)
Mechanical Permit Applicati i FOR OFFICE USE ONLY
1 t ,u ,
City of Tigard Received
Date/By: Permit No.W -vv
. n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
III Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 6 2019 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov U1 1 y Or HOARD D Notified/Method: I Supplemental Information
3111—O!NG DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
C Air conditioning 46.75
Job site address: S7 S(A`� �������� Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97224 Y 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(- 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
® PROPERTY OWNER ElTENANT 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 1 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 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for rust 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 signalij: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda G 'n Date: a� L9i
1:\Building\PermitslMEC_ 'tApp_040113.doc 44 4617T(11/0 COM/WEB)
Electrical Permit Application, \ FOR OFFICE USE ttvl v
City g of Tigard 2019 Received121
FEBD 6Date/B :
ill IN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196Q L'D Date/B : Related Permit#:
1�� Y t.)t' 11(.2Ak
Inspection Line: 503.639.4175 /� ry �+ ( eady Date/By: J�s: 0 See Page 2 for
TIGAKD Internet: www.tigard-or.gov (3ti.111..I)!NG , 1\, .., ' otified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
W SOS
I ❑Addition 0H of new motor load of system.
Job#: Job site address: l Vr/IL A I , 1 ,,1�l
100HP or more. ❑"A" "E" "1-2" "1-3"
City/State/ZIP:Tigard,OR 97224 4 ❑Six or more residential units. occupancy.
ty g ' ❑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 Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: l 977 Includes attached garage.
1,000 sq.ft.or less a.- 168.54 4
Tax map/parcel#:
Ea.add'1500 sq.ft.or portion i 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
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon WLH LLC 200 amps or less 100.70 2
Address:703 Broadway St.Ste 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 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
Address:703 Broadway St.Ste 510 service or feeder fee,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
dwelliEmail:permitsubmittals@polygonhomes.com Reconnectne, onlysenle and/or feeder
67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: TBD Sign or outline lighting 67.84 2
Signa
Address: panel,l or 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(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)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requ' d: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized sign ture: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Amanda Gavi Dat 44 Ial days after it has been accepted as complete.
t * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PemutA LR_ERE.doc Rev06/17/2015 0-4615T 1l/05/COM/WEB
Plumbing Permit Application _
Building Fixtures EIVE FOR OFFICE USE ONLY
City of Tigard FEB2 6 Z019 Received PermitNo.MS \Q. t�
- • 13125 SW Hall Blvd.,Tigard,OR 97223 D DateBy: \\``,1
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
DateBy: Other Permit No.:
Inspection Line: 503.639.4175 tU`Y Or^ 1 I(A l e Read B Juris- ® See Page 2 for
Internet: www.tigard-or.gov l IN G D\.' otified/Method: Supplemental Information
. � , PP
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description Qty. Ea. I 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 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
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: '0�S 51/V J U RS Y I t� (OV� , ,- Catch basin or area drain 18.76
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.:11-7-- Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 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
B{ APPLICANT 0 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 dram(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.:
C - State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Amanda Gay' Date:2_ 1/ 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-PermitApp.doc 10/Ol/09 440-4616T(10/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T l D Building Permit Review — Residential
Building Permit #: MST?si 3(1-00 '
Site Address: 1iv5015 Svv < ,ti-sh1ne- Cats+ stree -
Project Name: PaIlion ROSh4 tZtclje Lot #: t 43
(New crwdling=subdivision name;Addition or Altreration=last name of owner)
Planning Review
Proposal: New c�
Verify address/suite#active in Accela. a In River Terrace: El No Z Yes, River Terrace Review Addendum
Site Plan Elements: 'Erosion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 144,Retained trees with drip line and tree protection measures
►': Prawn to scale(standard architect or engineer scale) %Footprint of new structure(including decks)and FFE
'IA orth arrow Nktftility locations&easements(required for new and additions)
P.1 ite address,project or subdivision name and lot number XSidewalk/driveway approach
Applicant information(name and phone number) ocation of wells/septic systems
$Lot dimensions and building setback dimensions treet tree size,type and location
Nquare footage of buildings to be demolished 14Street names
NAExisting structures on site orner elevations(2'contours if more than 4'differential)
1Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? uY1
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? �� s o
LIK Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
K Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified iSil No Applied For: ❑ Yes ❑ No,stop intake
1 Land Use Case #: (1)12-2 i 5-ocoo 2- 'I Zoning: 4', s (Po)
,Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: tJ ) Pr Garage: 2-0
Ig(Building Height: Max. Height: N / Pc Actual Height: t 28j
Landscape Area: 2-0 % "gLot Coverage Max: eo
Entrance Set ba no m e than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows 12°/ of area of all street-facing facades
Garage rag door i be . d widest street-facing wall ❑ Yes ❑ No,one of the following is met:
oor e end ii
. more than 5'from wall and there is a covered porch extending beyond garage.
El oor e ten. . ore than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
Garage doo widt, is • 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Cove d 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
X Visual Clearance P Urban Forestry Plan
X Sensitive Lands: ❑ Yes X No Type:
X Conditions met prior to issuance of building permit
Notes:.L:k Approved By Planning: C •
I Date:1I 2ti 119
Revisions (after Building Submittal ly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: k - 1 V2:
Site Plans: # `3
Building Plans: # 3
Building Permit#: Er-Enter building permit#above.
Workflow Routing: ["Planning R Engineering R Permit Coordinator Er-Building
Workflow Sign-off: Ems]'Sign-off for Planning(include notes from planning review)
Route Application Documents: [ ''Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
EY-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _..aDate: `4- \ql
Engn ineering Review
V Slope at building pad: 44
❑ Conditions"Met"prior to issuance of building permit/Vat--
❑ 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 l'No
LIDA Facility on lot: ❑ Yes 6/No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
VApproved by Engineering: �� Date: 7/�11�
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
A Conditions"Met"prior to issuance of building permit
.t8r,Approved,NOT Released: &lo ncri- icsug—etc-F el- eivd. Date:'1'&j J l9
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:
NE SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: R.Yes ❑ N/A
LIDA ❑ Yes X N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
` .
City of Tigard
,II .
H COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: k.c\c-cp'\Q - ( 14'
Site Address: 45-Ci SW SUIrtSh lam- C ,St" S
Project Name: ph �2.Id Lot #: 14?j
(New dwe ' =subdivision name;Addition or Alteration last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards?XYes ❑ 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 Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
0 ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 12°/0
3. Entrances:At least one entrance must meet both of the following standards:
12.14 Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ' a.Yes ❑ No
If yes,all the following apply: Vi 25 sq.ft. min.
l One street facing entry KT 12 ft.max.roof above floor of porch
lt 5 ft. depth min. -gr 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
ISir Covered porch min. 5 ft.wide x 5 ft. deep J Recessed entry area min. 5 ft.wide x 2 ft. deep
0 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
1g Roof eave min. 12 inch projection X.Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood .Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade
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.74,,Yeseffeo. If No (Check one):
❑ May 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)
El 12-foot-wide garage door ❑ 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: G/L Date: f2'
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx