Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Req uest for Permit Action
T(c;,,It I) 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 V 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 (✓):
V 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#: MST2020-00088 (SU...Q..2152-0 — COO Y t
Site Address or Parcel #: 16695 Townsville St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 157
EXPLANATION: Plan renamed and updated
Signature: ? CL 7/1492/244- Date: 1/6/2021
Print Name: Tonja Morr
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 / 20 2/ By 7
Refund Processed: Date By Invoice Processed: Date I //�/ By (4T
Permit Canceled: Date /�Z//2) By Parcel Tag Added: Date By
I:\Building\Norms\RegPermitAction_1j2051 doc
Building Permit Applicatio I 4: 1 7 vci2t,
Residential HEGER/Eviiiimiiiimiiiiiii
FOR OFFICE USE ONLY
Cityof Tigard p n Received /� permit N S72O p-OCX��B
• - g n ' O Z tl Z O Date/By: 0—/1^2OGL/ yu/
• 13125 SW Hall Blvd.,Tigard,OR 972
Plan Review
Phone: 503.718.2439 Fax: 503.591,119 1Y OF TIGARD Date/By: 3 Z ?�ZO Other Pera/R2020- 5
TIGARD Inspection Line: 503.639.4175 F3UILDING " ' Date Ready/By: kris: El See Page 2 for
Internet: www.tigard-or.gov ���+��R't Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ �$3 j a'l
ElAccessory building ID Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 L( l 9(40
Job site address: ,kihq 5 5‘,0 `Ti "„e st New dwelling area: 33/Q square feet k�a��
City/State/ZIP:Tigard,OR 97224 Garage/carport area: Lin4, square feet 1257
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area:�\r square feet la
Cross street/directions to job site: Deck area: 24.0 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 1 51 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.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St.,Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax::( ) Amount received:
E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Polygon WLH,LLC 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.:204238
Total fee due upon application: $201.60
Authorized signature: kThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applic•. •'I.II_ FOR OFFICE USE ONLY'
1 ' ' (!O
EIVED
City of Tigard Received
Date/By:
III
Plan Review Permit No.:m 20 '� Qp
- " 13125 SW Hall Blvd.,Tigard,OR 97223:
Phone: 503.718.2439 Fax: 503.598.196G'- Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF'TIGARD Date Ready/By: E I See Page 2 for
t/ 'TIGARDJuris:
Internet: www.tigard-or.gov DIVISION Notified/Method: Supplemental Information
3U1 LONG
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 ❑Other: Description Qty. Ea. Total
JOB SILL INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: I G1e95 61k7-roWn.SWUP JT 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 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: I51 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
I 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
IA PROPERTY OWNER ❑:TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment 1 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms, s
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans , 23.32
tEl APPLICANT Cl CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH LLC
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris 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/Z1P: 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 signatur . * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tonja Morris Date: CI 0119
it
Electrical Permit Applcati ''-' •" FOR OFFICE USE ONLY
City of Tigard Received Permit#: M S�'ZDZ `�/�+a "j a
III - 0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5JIT )OF T GIRD Date/By: Related Permit#:
TIGARD Inspection Line: 503.639.4175 BUILDING D VISION ReadyDateBy: kris: H See Page 2for
N Internet: www.tigard-or.gov 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 ❑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.
E 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 ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND'LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: p� �� ❑Addition of new motor load of system.
(�t7 ,SW JQW p�v(g ... � J i" 100HP or more. ❑ 'A> E> 1.2„ 1.3„
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 157 Includes attached garage.1,000 sq ft or less l 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion C/O 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
10 PROPERTY OWNER ❑'TENANT, Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less J 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:Tonja Morris 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 _ 2
Business name:TBD Sign or outline lighting 67.84 2
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: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signatur • TOTAL PERMIT FEE:
t This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris Date: 1 `6 to days after it has been accepted as complete.
+ ` Number of inspections allowed per permit.
T xtu,;4i:n.,\nn.m:r.\Fr r n.....:,e,',.'Tn roc A..,ne.,nCn']nn,c nnn nci cmn>incirna.naico
Plumbing Permit Applicat lsCEI ED
Building Fixtures �1Ld� 1 W FOR OFFICE USE ONLY
City of Tigard Received Permit G 1 ZD2O"lM/
IIII - n 13125 SW Hall Blvd.,Tigard,OR 7� Date/By:
Phone: 503:718.2439 Fax: 5030g11g6(�F TIGARD Plan Review
Date/By: Other Permit No.:
Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By:TIGARD
Juris: H See Page 2 for
Internet: www.tigard-or.gov 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 0 Commercial/industrial SFR(2)bath I 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
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: '(,(a6/5 S'(,,J AASli<L i ' 'T 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.: 67 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer I 25.02
Dishwasher \ 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER l ❑ 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 2. 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker t 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof dram(commercial) 12.51
s; Address:703 Broadway St.Ste 510 Sink/basin/lavatory S 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 20 12.51
E-mail:permitsubmittais@polygonhomes.com Urinal 25.02
Water closet "j 25.02
CONTRACTOR
Water heater 1 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 signatur • TOTAL PERMIT FEE
Print name:Tonja Morris Date: U \L-1 tc:\ 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.
City of Tigard
!pi al, COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R n Building Permit Review — Residential
Building Permit #: MGT2020 000 88
Site Address: 0(12 q,5 ccJ 1 it 1S V l l l.& '5-1-.-. R ,
Project Name: 1q ESQ CJ Lot #: I S 7
Planning Review � U
Proposal: 1`01/4" C-)W
Verify address/suite# active in Accela. [.In River Terrace: ❑ No V Yes,River Terrace Review Addendum
Site Plan Elements: rosion Control
126 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IP,'etained trees with drip line and tree protection measures
.Drawn to scale(standard architect or engineer scale) ►! ootprint of new structure(including decks)and FFE
forth arrow 74 Utility locations&easements(required for new and additions)
ite address,project or subdivision name and lot number
5idewalk/driveway approach
pplicant information(name and phone number) a cation of wells/septic systems
Lot dimensions and building setback dimensions Street tree size,type and location
NtDiSquare footage of buildings to be demolished XStreet names
'/S 'sting structures on site Corner elevations(2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? C'1s o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? e No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified kTs No Received: ❑ Yes El No
Igf Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: El Yes,applicant was notified ,Ig No Received: ❑ Yes ❑ No
lE SDC DEFERg/f-L applied for: ❑ Yes ❑ No Received: El Yes ❑ No
1:8,Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 1 No Applied For: El Yes ❑ No,stop intake
Land Use Case#: P D 12.2-015" 0 0 2- IA Zoning: 12-1
:g.
Required Setbacks: Front: 12- Rear: I.D Side: 3 Street Side: IN/- Garage: 2.0
Building Height: Max. Height: Ni 1 Pr Actual Height: 21
Landscape Area: W % iii.Lot Coverage Max: e)O %
Entrance 11 Set back no mor than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II Minim 12% area of all street-facing facades
Garage II arage .oor is hind wides street-facing wall ❑ Yes ❑ No,one of the following is met:
U DI or ext ds no more an 5'from wall and there is a covered porch extending beyond garage.
■ D or exte ds no mor m an 5'from wall and there is a 12 sq ft.window above garage on 2°d floor.
■' Garag. .oor wi th is ❑ i o less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
El Covered orch ❑ ' -c-ssed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shin es ❑ILap ''ding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent s' ' g ❑ Windo trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance .Urban Forestry Plan
Sensitive Lands: 0 Yes X No Type:
o40 nditions met prior to issuance of building permit
`otes: MC 11V1C CIMdrIi I^C pYw io (,C
❑ Approved By Planning: Date: 3 I 51 '2o
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 03/2$/ 2C7
Site Plans: # c3
Building Plans: # 3
Building Permit#: [ -Enter building permit#above.
Workflow Routing: E Planning 5.-"Engineering C Permit Coordinator [-Building
Workflow Sign-off: [&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.
ER-Building: original permit application, site plans,building plans,engineer and
beam calculations d trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 63-!/20Zd
Engineering Review
V,Slope at building pad: 2®/06
Conditions "Met"prior to issuance of building permit bVl d•
0/Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0/No
Assess Water Quantity Fee in-lieu: ❑ Yes 0--No
LIDA Facility on lot: ❑ Yes �No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: �—
Approved by Engineering: Date: sj7ZZgz
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
XConditions"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:
Z SDC Exemption: ❑ Received ASC Does not apply
'SDC Fees Entered: Wash Co Trans Dev Tax: ,I Yes ❑ N/A
Tigard Trans SDC: 8- Yes ❑ N/A
Parks SDC: �-Yes ❑ N/A
LIDA ❑ Yes ,A;N/A
ElOK to Issue Permit
Approved by Permit Coordinator: Date: 3114 2-0
I:\Building\Forms\BldgPernutRvw_RES_122419.docx
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A R D River Terrace Building Permit Review Addendum
Building Permit #: MS12020 ~()OOn.
Site Address: M2C15 6\A) ` INNIC VOL& s-}-.
Project Name: P�`� 01,0 RQS Wk.. Lot #:
(New dwelling=sub ivision name;Addition or Alteratio last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
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.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
1 ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: \1 Olo
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall 0I5arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ' Yes 34 No
If yes, all the following apply: 25 sq.ft. min.
.R One street facing entry X 12 ft.max. roof above floor of porch
5 ft. depth min. ,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:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep
,Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
gRoof eave min. 12 inch projection sgrRoof 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 '/z"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. ❑ Yes ,No. 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)
❑ 12-foot-wide garage door %40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 4,001
Date: �j 5 ,E
I:\Building\Forms\BldgPermitRvw RES RT 12I417.docx