Permit V
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT' f �! I` Re uest for Permit Action
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I I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
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) 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 (✓):
VI 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#: MST2019-004511`'JW22,0`C\- "32,\
Site Address or Parcel #: 14262 SW 165th Ave
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 170
EXPLANATION: Plan renamed and updated
•
Signature: 7 � g ,� Date: 1/6/2021
Print Name: Tonja Words
Refund Policy
I. 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 6 a By n',
Refund Processed: Date By Invoice Processed: Date (/20 2,( By eV
Permit Canceled: Date I/20,/2.( By 01 Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction 2051 .doc
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Building Permit Application L � �--
Residential t FOR OFFICE USE ONLY (�
Received I i/_ '/, MST2.OI9-00 15
City of Tigardi ;.* p 4 DateBy: L— l(J J Permit No.
II
- • 13125 SW Hall Blvd.,Tigard,OR 9722 ' Cg
Plan Review C i. /R q D 0034
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: � ZJ �6 /� Other Pe L o-V ,
TIGARD Inspection Line: 503.639.4175 q , Date Ready/By: Juris: EaSee Page 2 for
Internet: www.tigard-or.gov 't , ' Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
raEl1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ` i I 503
❑Accessory building El Multi-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:a'+ 4 4 ZCe
Job site address: `(MO/1/ 51,A) t(.Q c I V h Au-) New dwelling area: /22"'(�((n square feet�l
City/State/ZIP:Tigard,OR 97224 Garage/carport area:1 square feet '63'
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: 9 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.: op 0 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 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:
10 APPLICANT : 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC
(P[easerejertoJeesckedµleJ
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::(360)693-4442 Amount received:
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM 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 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: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Gay' Date: I q *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY( //��//��
City of Tigard Received PermitNo.:VSTZ0IT O0!45 I
III - " 13125 SW Hall Blvd.,Tigard,OR 97223 " Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 FEB 2 6 2019 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov f �t t i L syd Notified/Method: Supplemental Information
1..11 d 1 or i i4' i-v-i5,.
TYPE OF WQRIp l t " t '1U 4 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 SITE INFORMATION AND LOCATION Heating/cooling:
I �!V(vt`�/)_ O/`J ,� Air conditioning 46.75
Job site address: CU � Furnace 100,000 BTU(ducts/vents) 1 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
Other: 23.32
Subdivision:Polygon at Roshak Ridge Lot no.:\1 Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen1
equipment 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Gavin Furnace,etc.
Address:703 Broadway St.Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TBD Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
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 signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Gavin Date: a-� �—//�ji////I�t�
I:\Buildine\Permits\MEC PermitA 040113.doc 440 617T 01/0/C OM/ B)
i
Electrical Permit Applicatio> .. ( ,,A- a f L I�SF( 1L
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City of Tigard Date/BReceivea d
Permit#: ,St2 "°L F- 00 4✓1
- ■ 13125 SW Hall Bivd.,Tigard,OR 97223 {= 2 20�9 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
T 1 G AR D Inspection Line: 503.639.4175 ,.)i.Y 1 f.. i M( t�;-+&n_1 Ready Date/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/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):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑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: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
I H/ �` , 1 ` ,, ^ El of new motor load of system.
Job#: Job site address: (tf.'t o 9l I`-lh'►`,/-tV 100HP or more. ❑"A","E","1-z","t-3",
City/State/ZIP: Tigard,OR 97224 El Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: 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 Lot#: 1.10 Q Includes attached garage.
1,000 sq.ft.or less J 168.54 4
Tax map/parcel#:
Ea.add'1500 sq.ft.or portion /0- 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 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 El 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
seAddress:703 BroadwaySt.Ste 510 branch
or feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
dweEmail: ermitsubmittals of onhomes.com Reconnect
t onlyserve and/or feeder
P @P Yg Reconnect 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 El See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:
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('/z hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requir : Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
. State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature'
This permit application expires if a permit is not obtained within 180
Print name: Amanda av Date: j q days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev06/17/2015 44-4615T(11/05/COM/WEB
i
Plumbing Permit Application
Building Fixtures .., k,�` FOR OFFICE USE ONLY
Cl of Tigard _ n Received n�r'C
III . ® 131255 SW Hall Blvd.,Tigard,OR 972 � 20�9 DateBy: PermitNoMsT�o�q'W'T J
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 kit I y tr 1:1.,tA O DateB
Date/By:
Other Permit No.:
T I GARD Internet: www.tigard-or.gov , '1 ,-,1,' (."l 1 . Datei ReadyBy: Juris See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description Qty. I 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 ❑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: i q'Pl/ CM)V 1 Ill(5-tilk NV Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:Polygon at Roshak Ridge Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Polygon at Roshak Ridge 1 Lot no.: (/1 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 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 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
El APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Amanda Gavin
Roof drain(commercial) 12.51
Address:703 Broadway St.Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:TBD Water 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:C TOTAL PERMIT FEE
Print name:Amanda Gad Date:
h 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/O1/09 440-4616T(10/02/COM/WEB)
"City of Tigard
11 COMMUNITY DEVELOPMENT DEPARTMENT
T1 GARD Building Permit Review — Residential
Building Permit #: MST2b ig - b 0LI-51
Site Address: L4 6L ,c\Ai 165 `' 4\it
Project Name: alY e� al-- O k\c kit Lot #: I7-0
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
PrOosal: IOW iF J V1ak SCI tQ
LJ Verify
address/suite# active in Accela. r.5 In River Terrace: ❑ No LK Yes River Terrace Review Addendum
Sityl5lan Elements: LYE o sion Control
3/copies of site plan on 8-1/2"x 11"or 11 x 17"paper 6. . -tained trees with drip line and tree protection measures
1:41rvn to scale(standard architect or engineer scale) ^T/�otprint of new structure(including decks)and FFE
arrow
CZ
�CJ "ty locations&easements(required for new and additions)
i address,project or subdivision name and lot number ESidewalk/driveway approach
licant information(name and phone number) i# • ation of wells/septic systems
2tot dimensions and building setback dimensions 'PH%t -•t tree size,type and location
,2'.•.are footage of buildings to be demolished le eet names
L• xisting structures on site L"ICorner elevations(2'contours if more than 4'diff_ertial)
ilAat area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ {es ❑No
ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yp4' ]No
Ll/J Clean Water Services—Service Provider Lette of platted prior to 9/10/1995 : Ly
R quired: El Yes,applicant was notified L�l No Received: >
CI Yes ❑ No
[ /Public Facilities provement(PFI) Permit: - t�`� V'
[equired: CI was notified No Applied For: [ 'Yes CINo,stop intake
��and Use Case#: f p�101s O()i Y Z lSoning: K`vI,S ( PO)
equired Setbacks: Front: I"f g Rear: 1 S Side: Street Side: t4 Garage: ZO
Ltd' Building Height: Max. Height: '1/0 Actual Height: /Ps
Landscape Area: % Lot Coverage Max: °/a
t, /�� ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
1W 1 Windows CI 12')/0of area of all street-facing facades
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.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
ttt- ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent sidingWindow trim ❑ Window recess ❑ Window projection
p jecuo ❑ Balcony
Vyisual Clearance td Urban Forestry 96.1
VSSensitive Lands: CIL}Yes al No Type:
�6t
Condition met p or o issuance of bail g ermit
o s: Co4II-1 s V nci- jJr-Ur- '� ,4�Yi :sk_�- iLit'c€-
Eli Approved By Planning: Date: Z- _1 'i
�,� 1 L
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 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: OV2G1 y
Site Plans: #
Building Plans: # 3
Building Permit#: Et-Enter building permit#above.
Workflow Routing: El Planning El- Engineering [ Permit Coordinator Er Building
Workflow Sign-off: [E" 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.
[a-Building: original permit application, site plans,building plans, engineer and
beam calculations .nd trust details,if applicable,etc.
Notes:
By Permit Technician: CAI 'fif Date: /2 '14,"1
Engineering Review 4,
[ iope at building pad: '
LS c: nditions "Met"prior to issuance of building permit f//J
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ 10
Assess Water Quantity Fee in-lieu: ❑ Yes 12/No
LIDA Facility on lot: ❑ Yes 2rNo
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
R Approved by Engineering: 44 Date: j2 `17/267-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Cl Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SD(07vision Notice 3: Date Sent to Applicant:
C Fees Entered: Wash Co Trans Dev Tax: [" Yes ❑ N/A
Tigard Trans SDC: G�/j�s ❑ N/A
Parks SDC: //Yes ❑ N/A
LIDA ❑ Yes C7r T/A
LJ OK to Issue Permit
Approved by Permit Coordinator: f2WD ate:
t 2/ fl
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
. .
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: IV rzo("- oQ Lf 51
Site Address: M L c�„/ Mt A .
Project Name: Lot #: 170
(New dwelling=subdivision name;Addi'on 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? Yes ❑ 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
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: I .S
3. Entrances:En At least one entrance must meet both of the folio g standards:
1
IJ Max. 8 ft. setback from lon est street- facin wall arallel to street,angle no more than 45° from street,
gg or open onto porch
Entrance opens to a porch: Zes ❑ No
If yes,all the following apply: Sisq.ft. min.
e street facing entry 2'112 ft. max. roof above floor of porch
L4'5 tt. depth min. 0%min.porch roof coverage
4. D,etailed Design:All buildings shall include a min. of five of tke following elements on all street-facing facades:
rE'Covered porch min. 5 ft.wide x 5 ft. deep VRecessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
El Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design
❑ ) 6of pitch oriented south min. 500 sq. ft. --Iorizontal lap siding min. 3-7 inches wide
VAccent 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 ❑� Bayr� window min. 5 ft.wide by 2 ft. deep
CI Balcony min. 5 ft.wide x 3 ft. deep with inside access [ i tacked 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/loser� to front or side lot line,than longest street-facing wall. R Yes ElNo. If No (Check one):
L'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: Lorett.- Date: I
I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx