Permit Voided
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ Request for Permit Actionv 0t
T 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 V Applicant ❑ Contractor n 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):
O 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#: MST2019-00075 (SW Q 20\9• 00b(o9
Site Address or Parcel#: 16705 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 136
EXPLANATION: Plan renamed and updated
Signature: /ev-a- Date: 1/6/2021
Print Name: Tonja Mdfris
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 OI / 2/ By 7
Refund Processed: Date By Invoice Processed: Date 6 41/2 By /-4/
Permit Canceled: Date0///V/2/ Byytr Parcel Tag Added: Date By
I:A Building\Forms\RegPermitAction_120518.doc
Building Permit Application LI5S \ MDU
Residential RECEIVED FOR OFFICE USE ONE\
Received
- Cl of Tigard M _ Permit No.
Ili " 13125 SW Hall Blvd.,Tigard,OR 97223AR 0 7 2019 DateB : S �S� l�-
g Plan Review r cb
Phone: 503.718.2439 Fax: 503.59DateB : migicil Other Permit: al Mk_, io
wrrr OF TIGARD '
TIGARD Inspection Line: 503.639.4175 Date ReadyBy. Juris: LaSee 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 ❑Commercial/industrial Valuation: $ 3 S./ �0
til❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 92
JOB SITE INFORMATION AND LOCATION Total number of floor p
s' �g L�
Job site address: 1 Vl O(SV\.) S V V V t YlS-/ LUo1 t S, New dwelling area: S Ott square feet 13016
City/State/ZIP:Tigard,OR 97224 Garage/carport area:'ss square feet ` e).6
Suite/bldg./apt.no.: Project name:Polygon at 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:Polygon at Roshak Ridge Lot no.: 13 W 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.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
Et;PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon WLH LLC Type of construction:
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
EI APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC , ,,:.F ,;�,::.-("Note"refer to feeschedule)-
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax: :(360)693-4442 Amount received:
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYsiv1MMFEES*'
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc. 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 lie.:207247 Total fee due upon application: $201.60
Authorized signatu> This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda yin Date: 31 S r 1 *Fee methodology set by Tri-County Building Industry
1 l Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Mechanical Permit ApplicatfECEIVED
FOR OFFICE USE ONLY
City of Tigard Receive
Date/Byd Permit No. s7-Zp���p7g'"
- " 13125 SW Hall Blvd.,Tigard,OR 97223 APR 9 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
D Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK lllla S COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical pennit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
. l-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:
Air conditioning 46.75
Job site address: l( -1 05 5 LJ S tr\Sln'►yk e Cock. 3 Sk• 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: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:Roshak Ridge Lot no.: ,?, 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
® PROPERTY OWNER 0 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 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ 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:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address:18004 NE 72nd Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034 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:Tim Hay Date:04/08/2019
Electrical Permit ApplicatiolECELVE FOR OFFICE USE ONLY
City of Tigard APR 12 2019 Received Permit#' NI dI �(/I /CT21t V7
Date/By:
•• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2 • Phone: 503.718.2439 Fax: 503.598.1 b '\( OF T IGANP DateBy: Related Permit#:
Inspection Line: 503.639.4175 3 `'L®ING' DIVISION ReadyDate/By: ]uris: See Page 2 for
•llli,"�IIU Internet: www.tigard-or.gov V 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 Demolition El Other: 1-3 Serviceor feeder 400 amps or more El Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or El Floating buildings.
4 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address:,(,105 S )SttiNSlji Ne ts-r ST, 100HP or more. ❑"A","E,'l-2 ,'l-3^,
City/State/ZIP:Tigard,OR 97224 El Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Roshak Ridge El Hazardous locations. El Supply voltage for more than
❑Service or feeder 600 amps or more_ 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qh'. I Each f Total I '
New residential single-or multi-family dwelling unit.
Subdivision:Roshak Ridge Lot#: t34, 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 1
DESCRIPTION OF WORK Limited energ
y,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ 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,Ste510 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:( ) 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:Jolene Smith B.Fee for branch circuits without
Address:703 Broadway St,Ste.510 service or feeder fee,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: :(360)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:Portland Electric Sign or outline lighting 67.84 2
Address:1915E 5th St.,Ste D Signal circuit(s)or limited-energy ID See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)314-4945 Fax: ( ) Investigation(1 hr min) 90.00/br
Industrial plant(1 hr min) 78.18/br
Email:paul@portlandelectric.biz Gy a7
/a`�S Inspections for which no fee is
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: V9@2S"
specifically listed(IA hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ctt,, � Subtotal:
Print name: Alex Shalya Date: 04/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
•r Ji„.. t,k, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: MISHCHUK,SERG Y Date: 04/08/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
Plumbing Permit ApplicatioI EGENED
Building Fixtures LL'�� FOR OFFICE USE ONLY
Cityof Tigard APR 9 2019 Received
g Permit No.:MST1?'O 77"
'� 13125 SW Hall Blvd.,Tigard,OR 9722y� Date/By:
II
I Phone: 503.718.2439 Fax: 503.598.1W 1 I °r 1 IGAi � Plan Review
�+ OW
Other Permit No.:
TIGARD Inspection Line: 503.639.4175u�Lp1N� Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description Qty. 1 Ea. I 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
Al-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 1 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:
Lin 05 SW Su e S\N tile. IDQS4 S�• Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: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:Roshak Ridge 1 Lot no.: t 55lo Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 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 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 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 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
- Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50
CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date:04/08/2019 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:\Building\Permits\PLMU-PemritApp.doc 10/O1/09 440-4616T(l0/02/COM/WEB)
City of Tigard
I/
a COMMUNITY DEVELOPMENT DEPARTMENT
II
T 1 c A R D Building Permit Review — Residential
Building Permit #: q r a-a\0‘- Oe_kl-
Site Address: l(e 5--.
c 't/tMlm i u c2 + -
Project Name: f)i , n - &ILL ei Lot #: /3
(New`J��subdivision name;Addition or Alteratiot'P' ast name of owner)
Planning Review «l
P�ro�osal: IU-e ) `�s
Lid Verify address/suite# active in Accela. 1ICJ In River Terr. e: ❑ No 1Z Yes,River Terrace Review Addendum
Site Plan Elements: LI Er.sion Control
vr).copies of site plan on 8-1/2"x 11"or 11 x 17"paper It1`rtained trees with drip line and tree protection measures
ig prawn to scale(standard architect or engineer scale) ..otprint of new structure(including decks) and FFE
Pg>itrth arrow TA i 'ty locations&easements(required for new and additions)
V.S' address,project or subdivision name and lot number %Sidewalk/driveway approach
plicant information(name and phone number) Pi Ro cation of wells/septic systems
IT. ,• dimensions and building setback dimensions /.S reet tree size,type and location
1111 a are footage of buildings to be demolished W eet names
sting structures on site VCorner elevations(2'contours if more than 4'diffe tial)
Y Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Wes E
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0 C7Yes [ No
Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995):
equired: Yes,applicant was notified No Received: ❑ Yes /No
P El
Facilitie Improvement(PFI) Permit: Zes
Required: Yes,applicant was notified ❑ No Applied For: ❑ No,stop intake
and Use Case#: 'ue aj�Q�4 L►�J Zoning: /e— . _ �)
equired Setbacks: Front: Y, Rear: /0 Side: .. Street Side: Garage: —2 0
Building Height: Max. Height: 0 Actual Hei ht:
giA Landscape Area: .0 % \Lot Coverage Max:
P g
Entrance t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d.egreee or less
Windows ❑ Minimum ° of area of all street-facing facades �r
Garage E Garage door is behin street-facing wall ❑ Yes _�_.l��Qo,one of the following is met:
❑ Door extends no more than wall and there is er de porch extending beyond garage.
❑ Door extends no more than 5'from wall a is a 12 sq ft.window above garage on 2nd floor.
E Garage door width is ❑ 12'or le 50%or less of faca ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall offset ❑ 1' ve ❑ Roof offset
❑ Fire s . ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro ❑ Dormer
ccent siding Window trim ❑ Window recess ❑ Window projection
Visual Clearance Urban Forestry an
\S(
-SXensitive Lands: ❑ Yes No Type:
❑ Conditions et p•or to issuance of buil ' g permit
Notes: ' r^ ',`) (-.(' a
Approved By Planning: , Date: :3 ' -
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved - ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\B1dgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: ( ( (CI
Site Plans: #
Building Plans: #
Building Permit#: re Enter building permit#above.
3
Workflow Routing: Planning 2'Engineering [ "Permit Coordinator [ Building
Workflow Sign-off: ET/ Sign-off for Planning(include notes from planning review)
Route Application Documents: [ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: ZI la ('c
Engineering Review 461.
prSlope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
ej:irWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 1;3"No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 12—No
J:2'Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: 41' .'G 1" W1/441y0l1 I/4 fl 65y C
4.
Approved by Engineering: 44.14-- GJ- Date: 3 Z7/
t
ci
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Con 'tions "Met"prior to issuance of building permit ,�
Approved,NOT Released: /77 Date: 3/1 31' ?
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
ision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: r[ y s ❑ N/A
Tigard Trans SDC: E Yes ❑ N/A
Parks SDC: D4es ❑ WA
LIDA ❑ Yes IE'N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: Mc a-t vc _ 9O4`'A-j
Site Address: /(ems- gt() _\'iri.� , (? - . --
Project Name: e*,„ _ ,t i / /, / Lot #: __=subdivision name;Addition or Alteratio — ast name of owner)
Planning Review of River Terrace Plan Distyict 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.
Porch min. 5 t. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
k
S ❑ CICI ❑
2. Eyes on the street: a minimum of 12%of each street fading facade must include windows or entrance doors.
Percentage Shown: '..2� % •1 f 0
7trances:At least one entrance must meet both of the follo g standards:
ax. 8 ft. setback from longe t street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes CINo
If rs,all the following apply: LV1 5 sq.ft. min.
IlgiOne street facing entry ft.max.roof above floor of porch
ad 5 ft. depth min. 0 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of following elements on all street-facing facades:
4all
vered porch min. 5 ft.wide x 5 ft. deep f�C recessed entry area min. 5 ft.wide x 2 ft. deep f
offset min. 16 inches f !Ol Dormer min. 4 ft.wideoof eave min. 12 inch projection f �oof offset min. of 2 ft.?'
❑ Roof shingles either tile or wood ,able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. Id Horizontal lap siding min. 3-7 inches wide f "
❑ 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)
ID
foot wide garage door CI 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: `�.
�`�,��'� Date:
I:\Building\Forms\B1dgPennitRvw_RES_RT_121417.docx