Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
v n ri
Request for Permit Action
i i(i,\R 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 ® 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#: MST2020-00039 (SULaR.2_:0ZC:— CO 0 32.
Site Address or Parcel #: 16692 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 153
EXPLANATION: Plan renamed and updated
Signature: %gib .u1.4.- Date: 1/6/2021
Print Name: Tonja Mol4is
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 /A7 By ir7
Refund Processed: Date f By Invoice Processed: Date //j�'/L/ By d/V
Permit Canceled: Date //7.0/2-/ By &V Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_1205 doc
Building
Permit Application LO I 5 pA 3
Residential RECEIVED FOR OFFICE USE ONLY
IdCity of Tigard Date/By: i.. a5 2DZD Permit
I IW�1" OZn- D3g
1h ne SW Hall Blvd.,Tigard,OR 97223 OCT 15 2019 Plan Review 2 �� ' A� G,rn..,^�`/� 5�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ty / A •therPermiW�Jf�W V
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ .g,7 a / 1
❑Accessory building El Multi-familyNumber of bedrooms: t
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: TT -. 2Lts$
Job site address: WADC(2 5V4 St lt\t„, „ ('�� ctsk, 5 New dwelling area: 2 D1 ) square feet t V3t)
City/State/ZIP:Tigard,OR 97224 "Y`J�w�� `-y'^_' Garage/carport area: 300 square feet Ct 4 Q.
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.: i 5 3 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 0 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
Amount received:
Phone:(360)695-7700 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: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application- FOR OFFICE USE ONLY
City of Tigard E C E I V E , Date/B
ed Permit No.ivtgT2o2o- ` 37
• ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 0 C T 1 5 2019 Date/By: Other Permit:
TI GARD Inspection Line: 503.639.4175 CITY OF TIGAR D Date Ready/By: 7uris: 10 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHLCKLIST;
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
- , Air conditioning 1 46.75
Job site address: u(,p uq Z SA) c SW1 p"0042., 5k, 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.: 1 Other: 23.32
CJ
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
Ea PROPERTY OWNER ❑ TENANT 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 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: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
Ranee
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 signatur . * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tonja Morris Date:
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Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit#:M 02 x7. %9
IN
- a 13125 SW Hall Blvd.,Tigard,OR 97223 O C T 1 5 2019 DPlan at Review C��
Phone: 503.718.2439 Fax: 503.598.196Q DateB : Related Permit#:
Inspection Line: 503.639.4175 UITY OF TIGARD Ready Date/By: luris: H See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11o109i SW \ %sue 1,tut Cp , C7`- 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
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qty. I Each 1 Total I
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: .t 5'?� Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel 4:
Ea.add'1500 sq.ft.or portion 5 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
El PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less 1 100.70 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
serAddress:703 BroadwaySt.Ste 510 branchce i feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:TBD Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr rain) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/lr
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 signatur2 TOTAL PERMIT FEE:
..I ����� This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris Date: OI days after it has been accepted as complete.
1 a Number of inspections allowed per permit.
T.in,;1,1;nn\Pnrmire\Fir Pn..n,r4nn Fie FRB An,.R..,(1A/17/7f115 AAftde,ST/11/f15/f^rRvf/u7FR
- Plumbing Permit Application
Building Fixtures RECEIVED Received
FOR OFFICE USE ONLY �q.��
City of Tigard permit No. 202°-(9Z�J j
III
- u 13125 SW Hall Blvd.,Tigard,OR 9722�3,r� Date/By:Phone: 503:718.2439 Fax: 503.598. QQT 1 5 2019 Plan Review
Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
101 III I)iner; IInitclnnt
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description Q . I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSI`RUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 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: t(-(og2 SiA) S1a ns o� Cooler a-• 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.: IS 3 Fixture or item:
Tax map/parcel no.: Backflow preventer k 31.27
DESCRIPTION OF WORK Backwater valve i 12.51
Clothes washer rj 25.02
Dishwasher k 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 t 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib Z 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker \ 12.51
rg 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 dram(commercial) 12.51
a. 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 2. 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 3 25.02
CONTRACTOR
Water heater t 37.52
Business name:TBD Water P�P r in WV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
Print name:Tonja Morris Date: T `z' ,c\ 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.
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_ City of Tigard
11 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
,r
Building Permit #: MST7_02 0 -OW ?
Site Address: / ID .,,S,)//ZZ.,c1/11/ acaf &-T
Project Name: P -
�✓ G pf p Lot #: J
Planning Review
Proposal: /W u -CAC.
L� Verify address/suite# active in Accela. LJ In River Terr ce: ❑ No /es,River Terrace Review Addendum
Sit Plan Elements: Erosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11 1:-tained trees with drip line and tree protection measures
Iprawn to scale(standard architect or engineer scale) .•otprint of new structure(including decks) and FFE
[ orth arrow A . "ty locations&easements(required for new and additions)
445 address,project or subdivision name and lot number kr. i.ewalk/driveway approach
t)frlicant information(name and phone number) Mil.cation of wells/septic systems
13dimensions and building setback dimensions �� reet tree size,type and location
111 ,., are footage of buildings to be demolished ( eet names
1',' 'sting structures on site Corner elevations(2'contours if more than 4'diffe ntial)
i1, •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Yes ❑l o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility showni0 Yes 1CJNo
k
L'a Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
�quired: ❑ Yes,applicant was notified
No Received: CI Yes ❑ No
ater Meter Fixture Unit Worksheet—Addi • ns,Remodels and ADUs
R .uired: ❑ Yes,applicant was notified C1d No Received: ❑ Yes ❑ No
Ili ,DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
i Public Facilitifi Improvement(PFI)Permit: 1
Xequired: I Yes,applicant was notified ❑ No A lied For: 1C] Yes ❑ No,stop intake
,and Use Case#: `c'I e)/�- o• ' • Zoning a
weq.uired Setbacks: Front: g Rear: Side: - Street Side; �(14' Garage: —2 0
ilding Height: Max. Height: U� Actual Hei ht: o2 ce
1d Landscape Area: I) % Ig Lot Coverage Max:6
Entrance back no more than 8'from street-facing wall ❑ Parallel to street or 45 degrees or less
Windows ❑ Minim °o of area of all street-facing facades
Garage ❑ Garage door is be 'dest street-facing wallt ❑ ❑ No,one of the following is met:
❑ Door extends no more 'from wall and the • a covered porch extending beyond garage.
❑ Door extends no more than 5'fro n there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or ❑ 50%o of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
❑ Fire s ' ❑ Lap Siding ❑ Roof pitch ❑ Gable, ' or gambrel roof ❑ Dormer
cent siding Window trim ❑ Window recess ❑ Win o jection ❑ Balcony
14 A isual Clearance Urban Forestry an
hil Obensitive Lands: El Yes bCJ No Type:
►� onditions met prior to issuance of building permit
N es:
iApproved By Planning: �— % Date: _4912_42_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
i:\BuildingWorms\BIdgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: //, /c ZQ/9
Site Plans: #
Building Plans: # ,3
Building Permit#: ® Enter building permit#above.
Workflow Routing: 5] Planning ® Engineering £1 Permit Coordinator .® Building
Workflow Sign-off: Cx] Sign-off for Planning(include notes from planning review)
Route Application Documents: W] Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
l Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: dO6/Za2s
Engineering Review
l Slope at building pad: 74 //,,
['Conditions "Met"prior to issuance of building permit /+
(,Easements (encroachments)per engineering conditions of approval and plat
pr Water Quality/Quantity Facility: �,/
Assess Water Quality Fee in-lieu: El Yes (l� No
Assess Water Quantity Fee in-lieu: ❑ Yes e No
LIDA Facility on lot: ❑ Yes No
r_/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: /' /V2m
i
Revisions (after Building Submittal only) 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: /
❑ Exemption: ❑ Received LQ Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ,Q�Yes ❑ N/A
Tigard Trans SDC: I� Ye ' ❑ N/A
Parks SDC: 2-"-Yes ❑ N/A
LIDA ID Yes ITT/A
�L7 OK to Issue Permit
`X 20
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
II
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: MST 2020-0003?
Site Address: / %(e 92 't ) --Clr/I,aih� do-S- s.
Project Name: Pe/cen �Wp� Lot #: ,/(New d subdivision name;Addition or Alteration=laxfyfame of owner)
Planning Review of River Terrace Plan Distet Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards?al Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade 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 deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ClCI ❑
2. Eyes on the street: a minimux}a of l„2%of each street facing facade must include windows or entrance doors.
Percentage Shown: /. /°/
6
3. trances:At least one entrance must meet both of the follo g standards:
7ALJ Max. 8 ft. setback from ion t street- facet wall Parallel to street,angle no more than 45° from street,
g or o en onto porch
Entrance opens to a porch: Yes ❑ No
Ifes,all the following apply: �5 sq.ft. min.
V5ne street facing entry ft. max. roof above floor of porch
ft. depth min. 30%min.porch roof coverage
tailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
tz
overed porch min. 5 ft.wide x 5 ft. deep p(
Recessed entry area min. 5 ft.wide x 2 ft. deep
ig all offset min. 16 inches ❑ p6rmer min. 4 ft.wide
Roof eave min. 12 inch projection : .of offset min. of 2 ft.
Cl Roof shingles either tile or wood I G able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. A Horizontal lap siding min. 3-7 inches wide
El Accent siding min. 40%of street facade El Window trim min. 2 1/2rr 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:
Ncyi loser to front or side lot line, than longest street-facing wall. CIYes 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 CI 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: — �r Date: 4/ 42
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx