Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ti 0
III
Re quest for Permit Action
q
T I t;A R lD 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 ❑ 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 (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#: MST2020-00030 I Sw2.2.02.0 — O0CD2 Ej
Site Address or Parcel#: 16680 Sunshine Coast St
1
1 Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 152
EXPLANATION: Plan renamed and updated
Signature: ? -v t2.42 Date: 1/6/2021
Print Name: Tonja Mo is
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
ill
FOR OFFICE USE ONLY
1
Route to Sys Admin: Date By Route to Records: Date j(f il By
Refund Processed: Date By Invoice Processed: Date I/Zp/,2/ By i-/V
Permit Canceled: Date//J/1 i By Parcel Tag Added: Date % By
I:ABuilding\Forms\RegPermitActio 120 8.doc
Building Permit Application LOT
15
2
Residential FOR OFFICE USE ONLY
Cl of Tigard
RECEIVED Received �/y��
g Date/By: pi—�'2o20 Permit No.M( O� 00030
1111 II • 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 15 2019 Plan Review �✓ "'
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �3b/20- —d Other Perm' ��ZOZO'(�G�?2?
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris: Ed See Paget for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Elm
1-and 2-family dwelling 0 Comercial/industrial Valuation: $ 3251400
AccessorybuildingNumber of bedrooms: /
❑ 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:,Z-3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z-, -22
�1
Job site address: 1 t4k0V 5W Sun$R-1 hE C - -c SC New dwelling area: 2501 square feet f 39(o
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 315 square feet ' t O$
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: t gZ 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 0 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/ZIP1 Vancouver WA 98660
Amount received:
Phone:(360) 95-7700 Fax: :( )\
E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicationFOR OFFICE USE ONLY
City of Tigard ECEIVED Receiv
Date/Bed
Permit No.:AisrzO O
- '1 13125 SW Hall Blvd.,Tigard,OR 97223 y 77
Phone: 503.718.2439 Fax: 503.598.1960 0 C T 15 2019 Plan Review
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris Ea Sec Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHu,CKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSI EMS FEES*
Z 1-and 2-family dwelling ❑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:
c ��� ^ - Air conditioning 1 46.75
Job site address: t(JI,O� � 5 SY�,IY� 1j0cL� �{, 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 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: ('6 Z 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
® 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) 3 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;S4.03 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)6934442 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:Tonja Morris Date: Ad\l d Iq
Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit#: Il/f V2OZG'0v30
111 0 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 15 2019 Date/By:
Review
.
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD ReadyDateBy: Suns: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: J 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 ❑Building over three stones.
0 Demolition 0 Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY,OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: El Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: ((dp) �W 5�(nE c 0 Addition of new motor load of system.
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. ❑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#: 152, Includes attached garage.
1,000 sq ft or less I 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft or portion 1. 33.92 1
➢ESCRIPTION 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
® PROPERTY OWNER I D 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
1:0 APPLICANT I ID 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
serAddress:703 BroadwaySt.Ste 510 branch
or feederfee,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
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 � 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/lu
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%S 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 signature lik s - TOTAL PERMIT FEE:
��/' �� /��� This permit application expires if a permit is not obtained within 180
Print name: Tonj a Morris Date: 6 days after it has been accepted as complete.
' Number of inspections allowed per permit.
Lnuildins\PermiulELC PermitAnn'PLR FRP dnr.Any 06/17/201S 446-4615T/11/0{/C(IM/WFR
r
Plumbing Permit Application
Building Fixtures RECEIVE ' FOR OFFICE USE ONLY
City of Tigard Received Permit No.:M�z0 tueo
: n 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 15 2019 Date/By:
Phone: 503:718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateRead B Juris: Ei See Page 2 for
g g BUILDING DIVISION y r
Internet: www.ti and-oi. ov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description Qty. I Ea. Total
0 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 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: `iplpob SW Ssettute, 6AC cC Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 0
Footing drain(no.Linear ft.: ) Page 2
Suite/bldg./apt.no.: f 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 I Lot no.: Fixture or item:
Tax map/parcel no.:
Backflow preventer 1 31.27
Backwater valve 1 12.51
DESCRIPTION OF WORK
Clothes washer 1 25.02
Dishwasher [J 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ 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 , 12.51
121 APPLICANT ❑ 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 drain(commercial) 12.51
4, Address:703 Broadway St.Ste 510 Sink/basin/lavatory 3 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 Z... 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 3 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.: Plumbine Lic.no.:
" State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
Print name:Tonja Morris Date: `v A6-1`Q, This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
.... „ ,,. ,,,,-„„,, nnn ne141'nnimirnaertven
City of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
TICARn Building Permit Review — Residential
Building Permit #: M 3 r2020'(%t9 O
Site Address: /6(670d /.Q i(A J Ce
Project Name: P'C9/ 4 L 4s`Za Lot #: /
Planning Review �/(� 0
Pro! +sal: a,LeA) QF-)
x Verify address/suite# active in Accela. g In River Tar. e: ❑ No \Yes, River Terrace Review Addendum
Site lan Elements: 'RI k ;sion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper M N•tamed trees with drip line and tree protection measures
VD awn to scale(standard architect or engineer scale) rr FF otprint of new structure(including decks) and FFE
13 .rth arrow VU ty locations&easements(required for new and additions)
J S'i.e address,project or subdivision name and lot number (/ idewalk/driveway approach
Or plicant information(name and phone number) l!e t• ation of wells/septic systems
.t dimensions and building setback dimensions l3 Syeet tree size,type and location
!1' • are footage of buildings to be demolished h2 et names
I' • sting structures on site I� Corner elevations (2'contours if more than 4'differ al)
al)
14Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ❑=
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No
0 lean Water Services-Service Provider Lette of platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified L' No Received: ❑ Yes ❑ No
(Water Meter Fixture Unit Worksheet-Additi ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
144f.DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
0 Public Faci itiea4mprovement (PFI) Permit:
equired: 'Yes,applicant was notified ❑ No lied For: Yes ❑ No,stop intake
"[ and Use Case#: t° � '-Ca ',/ Zoning: te-l•2-
Ia quired Setbacks: Front: .,. .e----
Rear: /0 Side: - Street Side: ADM- Garage: �c C
weilding Height: Max. Height: f\ ,/ Actual Hei ht: .4n,S
Landscape Area: c C % 15 Lot Coverage Max:
Entrance f: _ -t back no more than 8'from street-facing wall ❑ Parallel to street or offset 4 , ; ees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is be ;•• widest street-facing wall 1*Yes ai No,one of the following is met:
❑ Door extends no mor- .•.n 5'from wall and there i . •vered porch extending beyond garage.
❑ Door extends no more than 5' . wa - i ere is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or - • I. . . less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch 'ecessed entrance ❑ •.• : set ❑ 1'Roof eave ❑ Roof offset
LI Fire s e.•: -s ❑ Lap Siding ❑ Roof pitch ❑ .: - hip,or gambrel roof ❑ Dormer
1111�,�y ccent siding Window trim ❑ Window recess ❑ It..-••w projection ❑ Balcony
� K isual Clearance Urban Forestry PP1n
04.ensitive Lands: ❑ Yes [ No Type:
N. C. ditions met prior to issuance of building permit
N. es:PA Approved By Planning: S ..._4WE_--- Date: //e/ >
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: /PA5//1'
Site Plans: # v�
Building Plans: #
Building Permit#: Er Enter building permit#above.
Workflow Routing: E Planning lk Engineering lEr Permit Coordinator 'Building
Workflow Sign-off: IP 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.
Ci'Building: original permit application, site plans,building plans,engineer and
beam calculations an st details,if applicable, etc.
Notes:
By Permit Technician: Date: Of'O9-,2026
Engineering Review
1
[ "Slope at building pad: C��
[-Conditions"Met"prior to issuance of building permit /9-
Er 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 tr-/,., No
LIDA Facility on lot: ❑ Yes le No
rQ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: s Date: p.,/,Revisions (after Building Submittal on Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ 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:
❑ SDC Exemption: ❑ Received El"Does not apply
VgiSC Fees Entered: Wash Co Trans Dev Tax: u'Yes ❑ N/A
Tigard Trans SDC: ®'Yes ❑ N/A
LJ
Parks SDC: es ❑ IA
LIDA es ® N/A
yrOK to Issue Permit
Approved by Permit Coordinator: 41/f/Date:
1 r3/7< '
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: M 5122P-OCO?jb
Site Address: l jde0('D $) 1//pd
Project Name: 19z�/ h / c ,�- , � Pay. Lot #: i c<
(New ` 'ng=subdivision name;Addition or Alteratioi ast name of owner)
Planning Review of River Terrace Plan Disrict Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards?V Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 fit. deep Gabled dormer
�Q/ ft. deep
El min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ ❑ ❑
2. Eyes on the street: a minimum of 12% each street facing facade must include windows or entrance doors.
Percentage Shown: is)v
3. trances:At least one entrance must meet both of the follo g standards:
NJ Max. 8 ft. setback from lon e t street- facingwall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
IfIes,all the following apply: 65 sq.ft. min.
ne street facing entry LJ 1 ft.max.roof above floor of porch
Or 5 ft. depth min. 30%min. porch roof coverage
4. tailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades:
vered porch min. 5 ft.wide x 5 ft. deep op Recessed entry area min. 5 ft.wide x 2 ft. deep
ll offset min. 16 inches Vbrmer min. 4 ft.wide
Roof cave min. 12 inch projection of offset min. of 2 ft.
❑ Roof shingles either tile or wood V$able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. Id 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. 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)
❑ )2-foot-wide garage door ❑ 40%max. of street facade
V 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: — Date: _446
I:\Building\Forms\BldgPermitRvw_RES_RT_1214I 7.docx