Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT V 0 I r.-"
711
Request for Permit Action on
l i,,,\is i 1 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(i)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).
0 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: MST2020-00037 ( ic2...O2.O--- 000 *:
Site Address or Parcel #: 16714 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 155
EXPLANATION: Plan renamed and updated
Signature: /9 -a-71ic,2 Date: 1/6/2021
Print Name: Tonja Morfis
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 I 20 2/ By (
Refund Processed: Date By Invoice Processed: Date/2d f�/ By WV
Permit Canceled: Date 1 2-o/2.I By i/. Parcel Tag Added: Date I By
I:\Building\Forms\RegPermitActio _1205 doc '
5 5
Building Permit Application LO 1
Residential RECEIVE I FOR OFFICE USE ONLY
Received U n1 y /}Y�3.-7
. City of Tigard q/"46-20 j Permit No.: J �oLQ•Qt/l�J
O C T 1 5 2019 Date/By:
1 Phone:3125 SW Hall Blvd.,Tigard,OR 98.197223 Plan Review f Re �� ,Cr„g�y,� t yy,� el
503.718.2439 Fax: 503.598.1960 Date/By: Other Permi'fJW VLV-XO
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: li3 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling Elm Comercial/industrial Valuation: $ 31 9 1 �V
❑Accessory building 0 Multi-family Number of bedrooms: G
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 'j er
Job site address: tVlVk SW SU.1S\i.Ar.Q, c t 5k 5E New dwelling area: 29 i 1 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4j4 square feet tial
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.:k 55 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.
Valuation: $
Existing building area: square feet
New building area: square feet
0 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:
0 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 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: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
t within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
Mechanical Permit ApplicatioR EC IVE • FOR OFFICE USE ONLY
Received A A CT-20 tj0-00037
. City of Tigard OCTn Date/By: Permit No.: 'V1 U L�J (J�/�J
° 13125 SW Hall Blvd.,Tigard,OR 97223 I ��1J Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris 10 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Z 1-and 2-family dwelling D Commercial/industrial ❑Accessory building For special information use checidist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
n- -- '` Air conditioning S 46.75
Job site address: t�.o,(y 5w SUAS, (t..6 W�5-7- 5- 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.: l) Other: 23.32
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
2 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 t 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
Fuel piping:
Business name:Polygon WLH LLC
S14.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.Ste 510 Gas heat pump
WalUsuspended/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 signatur . * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tonja Morris Date: V '0119
1g
. A
1
Electrical Permit Applicatimc,, ik„i FOR OFFICE USE ONLY
City of Tigard OCT ¢ Received Permit#: Msr 2.o-00 0 7
- !! �' DazeBy:
• 13125 SW Hall Blvd.,Tigard,OR 972 3 Plan Review
Phone: 503.718.2439 Fax: 503.5 Date/By: Related Permit#:
iNOF TIGARD
Inspection Line: 503.639.4175 Ready Date/By: Suns: H See Page 2 for
TIGARD BUILDING DIVISION Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK 1 . PLAN REVIEW 3
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 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 ❑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 0 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:( ii f t e 0 Addition of new motor load of system.
Roll�"�' S� w+,�a' 100HP or more. ❑"A","E","1-2","1-3",
City/State/Z1P:Tigard,OR 97224 0 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
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 10 5 Includes attached garage.
1,000 sq ft.or less k 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion A. 33.92 I
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 I 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH LLC 200 amps or less t 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
El APPLICANT 1 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 branchce circuit
fee,first
branch circuit 56.18 2
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:permitsubm►ttals@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: ID Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
•
Authorized signatur 1 , fin ,
TOTAL PERMIT FEE:
40 This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris Date: Cq i�1 L 10 days after it has been accepted as complete.
1 * Number of inspections allowed per permit.
I\Building\Permits\II.,C_PermitAppELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit No.: JJ
1,43r 1GVV�LII//v000Q7
- 1 Date/By:
II n 13125 SW Hall Blvd.,Tigard,OR 972230 C T 5 2019 ply Review
Phone: 503:718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy: 7uris: ® See Page 2for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
El 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
El 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 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(off I' S {-{VE ( 1ST Si Catch basin c area dram 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.: 155 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer \ 25.02
Dishwasher 1 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 2 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 1 12.51
Eg 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
Address:703 Broadway St.Ste 510 Sink/basin lavatory �j 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
CONTRACTOR Water closet 25.02
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
CCB Lic.: e 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: ,I' AGA,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 Tri-County Building Industry Service Board.
a MI-4A1 AT/,VM/rYIAKRx/Gnl
City of Tigard
1 COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Residential
e
Building Permit #: M5T20Z,0-00037
Site Address: / 14 - 1/IWAJYL.Q �,Q,g+ 04.
Project Name: /p/ it ,� - 649,z, ,:, Lot #: /S` `
Planning Review % C
Proposal: //'..€A) Q2 R
(J Verify address/suite# active in Accela. LJ In River Terrace: ❑ No liZes,River Thrace Review Addendum
Sit Plan Elements: I►•J ro ion Control
•copies of site plan on 8-1/2"x 11"or 11 x 17"paper Ii tained trees with drip line and tree protection measures
p '
)rawn to scale(standard architect or engineer scale) ►_, 00tprint of new structure(including decks)and FFE
orth arrow VJity locations&easements (required for new and additions)
l J S e address,project or subdivision name and lot number LI S .ewalk/driveway approach
•
.plicant information(name and phone number) Ai .•cation of wells/septic systems
O Lot dimensions and building setback dimensions O S et tree size,type and location
INK .re footage of buildings to be demolished VS eet names
r1 O. sting structures on site I,a Corner elevations(2'contours if more than 4'diffezntial)
►A Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? VYes ❑D
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0\Yes No
1 10 Clean Water Services-Service Provider Lett/(lot(lot platted prior to 9/10/1995):
Required: CI Yes,applicant was notified VJ No Received: ❑ Yes ❑ No
Qater Meter Fixture Unit Worksheet-Addi i.ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified ►I No Received: ❑ Yes ❑ No
11E* .DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
VI Public Faciliripimprovement(PFI) Permit:
equired: 6 1 Yes,applicant was notified ❑ No �A plied For: ( Yes ❑ No,stop intake
g 4nd Use Case#: - O = ,9OQU 9 L�, Zonin : /2-,1.2.
'equired Setbacks: Front: �'� Rear: /f� Side: 3 Street Side: 0 Garage: -.c )
VJ P uilding Height: Max. Height: lfr Actual Hei ht: -
IVA Landscape Area: 20 % Lot Coverage Max:
Entrance t back no more than 8'from street-facing wall ❑ Parallel to stree o fset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades 1 v__
Garage CI Garage door is widest street-facing wall es ❑ No,one of the following is met:
❑ Door extends no mo n 5'from wall a ere is a covered porch extending beyond garage.
❑ Door extends no more than all and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ ' r ess ❑ r less of facade ❑ 60%or less and includes 7 of following:
❑ Covered por Recessed entrance ❑ fset ❑ 1'Roof eave ❑ Roof offset
❑ F. gles ❑ Lap Siding ❑ Roof pitch e hip,or gambrel roof ❑ Dormer
Accent siding Window trim ❑ Window recess ow projection ❑ Balcony
Visual Clearance Urban Forestryn
►O nsitive Lands: ❑ Yes El No Type:
✓ Conditions met prior to issuance of building permit
No s:
Approved By Planning: — Date: 2 Q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\B1dgPermitRvw RES 122419.docx
Building Permit Submittal
Original Submittal Date: /O//fr/g
Site Plans: # 3
Building Plans: # 3
Building Permit#: ® Enter building permit#above.
Workflow Routing: 1W Planning ,k7 Engineering C] Permit Coordinator 0" Building
Workflow Sign-off: in 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.
® Building: original permit application, site plans,building plans,engineer and
beam calculations and : •etails,if applicable,etc.
Notes:
By Permit Technician: ;Q:/?y/ Date: 6//t7ZOZo
Engineering Review
lt7Slope at building pad: F,
l,J_� Conditions "Met"prior to issuance of building permit /f1/
VEasements Easements (encroachments)per engineering conditions of approval and plat
V Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [_[ To
Assess Water Quantity Fee in-lieu: ❑ Yes GO/No
LIDA Facility on lot: ❑ Yes LEI'No
[ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
NNotes:I Approved by Engineering: Date:
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: /
❑ SDC Exemption: El Received La')oes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: CcYes ❑ N/A
Parks SDC: LJ Yes ❑ N/A
LIDA ❑ Yes 0/N/A
Gi OK to Issue Permit //�� Date: //
re/ ( ) 1
Approved by Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
,
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
r A R o River Terrace Building Permit Review Addendum
Building Permit #: MS12020-0c&37
Site Address: 71, / /1) ,g/l/, g ��o, — 2
Project Name: IV ,✓ , e�.e Lot #: / C
(New dy� =subdivision name;Addition or Alteration= name of owner)
Planning Review of River Terrace Plan Dist r'ct Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? l! 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,�cvide
❑ ❑ ❑ �'
f
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
T
Percentage Shown: Fie,0% , r-9-%
3. E, trances:At least one entrance must meet both of the follo ' g standards:
zt Max. 8 ft. setback from longest street- fa ing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ❑ Yes o
If yes,all the following apply: ❑ 25 sq.ft.min.
❑ One street facing entry ❑ 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 e following elements on all street-facing facades:
❑%overed porch min. 5 ft.wide x 5 ft. deep T cessed entry area min. 5 ft.wide x 2 ft. deep'
I gall offset min. 16 inchesf �/ rmer min. 4 ft.wide S
I RRoof eave min. 12 inch projection 04 eroof offset min. of 2 ft.
❑ Roof shingles either tile or wood LV Gable,hip or gambrel roof design' '
❑ : .of pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide
VA Accent siding min. 40%of street facade S VWindow trim min. 2 1/2"wide by 5/8" deepf'tC
❑ 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 façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: - 0 Date: J ,_
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx