Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENTIII I y'
Request for Permit Action
T r.;,\R n 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: n Owner ® Applicant ❑ Contractor ❑ City Staff
Check(V)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 (✓):
{I CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
n INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: MST2020-00036 liSt,02_ u) — 000 J \
Site Address or Parcel #: 16683 Townsville St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 158
EXPLANATION: Plan renamed and updated
Signature: /mil t4.44. Date: 1/6/2021
Print Name: Tonja Morris
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 / By
Refund Processed: Date By Invoice Processed: Date .2e/.2,1 By
Permit Canceled: Date 21' By Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_1.,0518.doc
Building Permit Application 158
LoTa
Residential RECEIVED FOR OFFICE USE ONLY
Received
City of Tigard OCT 15 2019 45/-/5 2D,2p PermitNo.:MST2�Z0-0V3 6
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
g Plan Review
Phone: 503.718.2439 Fax: 503.598.19IIICITY OF TIGARD Date/By: �� OtherPermiy��/�20� Jr9
TIGAKD Inspection Line: 503.639.4175 i UILDING DIVISION Date Ready/By: Juris: H See Page t for
Internet: www.tigard-or.gov 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ f5l 5L9
•
ElAccessory building :I Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: - 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 -7,yp.
Job site address: I(.(.o 3 SW iiitAlsvi Ile_ 5t„. New dwelling area: 36143 square feet 1a5(
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3(,5 square feet -L7 e
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: j rj/ square feet 2,t
Cross street/directions to job site: Deck area: 1 Bo square feet t
Other structure area: X' ' square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 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@potygonhomes.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
and administrative fees): $I80.00
Phone:(360)695-7700 Fax:(360)693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:204238
Total fee due upon application: $201.60
Authorized signature: kThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
Mechanical Permit ApplicatiiECEIVED FOR OFFICE USE ONLY
Cityof Tigard i 1— Received PermitNoMsriozo 1)-4636
II � ® 13125 SW Hall Blvd.,Tigard,OR 97223 O C T 15 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checidisL
❑Multi-family ❑Master builder ❑ Other: Description Qty. Ea Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning I 46.75
Job site address: /6,409 3 .w rwAins V I ite 5 c Furnace 100,000 BTU(ducts/vents) I 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.: /5 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
El 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 I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms, Li
toilet compartments,utility rooms) ` 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
El APPLICANT CI 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
• 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: k'6,01 l9
•
Electrical Permit ApplicatifECEIVED FOR OFFICE USE ONLY
City of Tigard ReceivedDate/By: permit#: Ng-202P^046
III - 'I13125 S W Hall Blvd.,Tigard,OR 9722c C T 15 2019 Pan Review
Phone: 503.718.2439 Fax: 503.5986 '
Date/By: Related Permit#:
�
TIGARD Inspection Line: 503.639.4175 Ready Date OF TIGARD runs: I 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ElBuilding over three stories.
❑Demolition ❑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 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
r 0 Addition of new motor load of system.
Job#: Job site address: l(oG 03 5w-Tcvns vi Dr- ❑"A","E","1-2","1-3
100HP or more.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. El Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: /51.5 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 I
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
® PROPERTY OWNER ❑ 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
El 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,
each branch circuit 7.42 2
Contact name:Tonja Morris B.Fee for branch circuits without
serAddress:703 BroadwaySt.Ste 510 branch
or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver WA 98660 Each add'1 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
dwelling,service and/or feeder
Email:permitsubmittais@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 _ 2
Business name:TBD Sign or outline lighting 67.84 2
Sign
Address: panel,alteration,or)n,or extension. 0 See Page 2 2
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(I hr min) 78.18/hr "
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lie.: Suprv.Lic.: specifically listed(%2 hr min)
ELECTRICAL PERMIT FEES '
Suprv.Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
•
711
State surcharge(12%of permit fee):
Authorized signatures.„ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris Date:ici t6 lc\ days after it has been accepted as complete.
* Number of inspections allowed per permit.
It\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Application
Building Fixtures HECEIVED FOR OFFICE USE ONLY
City of Tigard OCT 15 2019 Received 2 $7$ 2 D493'
_ Date/By: Permit No/r� G
„ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II Phone: 503.718.2439 Fax: 503.50131POF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: luris: 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. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath JK 437.78
SFR(3)bath 66 ` 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: /(400 3 510 tAnis/1L t 5 ST 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.: /58 Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valve I 12.51
DESCRIPTION OF WORK'
Clothes washer 1 25.02
Dishwasher I 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
10 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Name:Polygon WLH LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.Ste 510
Garbage disposal I 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib Z 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 1 12.51
El'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 drain(commercial) 12.51
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 'j.. 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 3 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: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
Print name:Tonja Morris Date: 1) Aol kc,‘ This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i m,,:1,1:.,..1ne.,.,:,,1nr 1,rt 1_5o.,.,:,n.,,,.1..,. 1 win mo 44n-4ei eT/1 O/071COM/WFBI
City of Tigard
,4 li` COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Residential
Building Permit #: /Vsr2oZo D0036
Site Address: / 7/L) 71,)7.c vI// ,94:
Project Name: Y n , t- Jii ee YJ
Lot #: /
Planning Review UU
Prposal: Ak,,fo -,
VJ Verify address/suite# active in Accela. V In River Terra e: ❑ No L' Yes,River Terrace Review Addendum
Site lan Elements: 'i Erosion Control
112'3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper PA aired trees with drip line and tree protection measures
M I awn to scale(standard architect or engineer scale) 7 F..tprint of new structure(including decks)and FFE
E .rth arrow 7 ,• 'ty locations&easements(required for new and additions)
7 jfe address,project or subdivision name and lot number !A Sidewalk/driveway approach
O. .plicant information(name and phone number) , J 0$cation of wells/septic systems
• it dimensions and building setback dimensions O reet tree size,type and location
111P••uare footage of buildings to be demolished 5tfeet names
Ml, sting structures on site VCorner elevations(2'contours if more than 4'differential)
Y Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? !�I es ❑►o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown.)\❑Yes IA No
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
. -quired: ❑ Yes,applicant was notified Br No Received: ❑ Yes El No
II: ater Meter Fixture Unit Worksheet—Addi i. ns,Remodels and ADUs
' quired: ❑ Yes,applicant was notified ml No Received: ❑ Yes El No
0 DC Exemptio for ADU applied for: ❑ Yes El No Received: ❑ Yes ❑ No
,!'a Public Facili • s Improvement(PFI) Permit:
LRequired: Yes,applicant was notified El NoA lied For: Yes El No,stop intake
,Reand Use Case#: �� 0i- IIQ Zoning: % �j, � /Z
uired Setbacks: Front: Rear: Side: Street Side: !� Garage:
q �� /�' g
ler uilding Height: Max. Height: �tl s Actual Hei ht: c12(e
VA Landscape Area: c2 0 % O Lot Coverage Max:
Entrance t back no more than 8'from street-facing wall ❑ Parallel to street or 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
13 Garage ❑ Garage door is be . widest street-facing wall ❑ ❑ No,one of the following is met:
El Door extends no more 5'from wall and th 's a covered porch extending beyond garage.
❑ Door extends no more than 5' r nd there is a 12 sq ft.window above garage on 2"floor.
❑ Garage door width is ❑ 12'o s ❑ 50 o ss of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wa t ❑ 1'Roof eave ❑ Roof offset
❑ Fire s ' es ❑ Lap Siding ❑ Roof pitch ❑ Ga , " ,or gambrel roof El Dormer
ccent siding Window trim ❑ Window recess ❑ Win projection ❑ Balcony
• ual Clearance ZJrban Forestry an
nsitive Lands: ❑ Yes V No Type:
Conditions met prior to issuance of building permit
No s: � ►
Approved By Planning: — /A,,/� Date:
Revisions (after Building Submittal only) Reviewex ate
..Revision 1: Approved CI Approved(!`�`^-�
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
I
Building Permit Submittal ,
Original Submittal Date: `6/X/9 . '
Site Plans: # .3
Building Plans: # .3
Building Permit#: [a'Enter building permit# above.
Workflow Routing: Er-Planning Q- Engineering [ Permit Coordinator Building
Workflow Sign-off: GA- Sign-off for Planning(include notes from planning review)
Route Application Documents: 2-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
a Building: original permit application, site plans,building plans,engineer and
beam calculations an. st details,if applicable,etc.
Notes:
By Permit Technician: i fir I Date: 0//5/2020
t .ukVaf".'' Jegafh Pf r wf,"4'MatIV.AVVE
En veering Review
d
gat Slope at building pad: •'/a,
VConditions "Met"prior to issuance of building permit ////7.64
[/YEasements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: El Yes I� No
Assess Water Quantity Fee in-lieu: ❑ Yes kNo
LIDA Facility on lot: ❑ Yes I'No
L( Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: ,
I Approved by Engineering: Date: �/l5 d, 2
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:
❑ JDC Exemption: ❑ Received Does not apply
10F1SDC Fees Entered: Wash Co Trans Dev Tax: [7Yes ❑ N/A
Tigard Trans SDC: FYes ❑ N/A
Parks SDC: e Yes ❑ N/A
VLIDA ❑ Yes ,f N/A
OK to Issue Permit
f ' I ) 5 17(2
Approved by Permit Coordinator: Date:
I:\Building\Fonns\B1dgPermitRvw_RES_122419.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
r 1 c A R i, River Terrace Building Permit Review Addendum
Building Permit #: MST2Io2o-OG23�
Site Address: /(p(�g3 7c/,0,i.g vi'/LF
-94--
Project Name: Po149„e n ,��-- 13 L r -,� Lot #: AScj _
(Neing=subdivision name;Addition or Alteration=laame of owner)
J lJJll
Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
❑ CI ❑ ❑
2. Eyes on the street: a minimum o 2%0 of each street facing facade must include windows or entrance doors.
Percentage Shown: / / /0
3. trances:At least one entrance must meet both of the foll ' g standards:
Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes CI
If es,all the following apply: i5 sq.ft. min.
ti ne street facing entry ft. max. roof above floor of porch
lI 5 ft. depth min. 30%min. porch roof coverage
4.Detailed Design:All buildings shall include a min. of five o e following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
gi all offset min. 16 inches CI D ormer min. 4 ft.wide
VI/WRoof cave min. 12 inch projection I oof offset min. of 2 ft.
El Roof shingles either tile or wood V Gable,hip or gambrel roof design
❑ : .of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
IE 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 El 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:
• loser to front or side lot line,than longest street-facing wall. Cl 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)
❑ r/ foot wide garage door ❑ 40%max. of street facade
�50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: - �A Date: 3/2-0
1.\Building\Forms\B1dgPe"nitRvw_RES_RT_I21417.docx