Permit City of Tigard •• COMMUNITY DI?VELOPMEN'I' DEPAR'FMRN'l i
Nr , .,
s Request uest for Permit Action
T I i;,\IZ D 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 Vi 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 (✓):
O 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#: MST2020-00048 ISwR.2C2,C)—O d 0 38
Site Address or Parcel #: 16649 Townsville St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 160
EXPLANATION: Plan renamed and updated
•
Signature: ? ja- 624.41.- Date: 1/6/2021
Print Name: Tonja Moff'is
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. ]'lease allow 3-4 weeks for processing refund requests.
Route to Sys Admin: Date By Route to Records: Date / .ZO ?7 By
Refund Processed: Date By Invoice Processed: Date Ao JZ( By
Permit Canceled: Date / 208721 By tV Parcel Tag Added: Date / By
I:\Building\Forms\RegPermitAction_ 2051 doe
OBuilding Permit Application L 0 TO- I G
Residential RECEIVED FOR OFFICE USE ONLY
Received D 1 _29 -2z 20 M$I2 02 o-000 y a
. City of Tigard y Date/By: ,L(/.0 Permit No.: -
1111 ° 13125 SW Hall Blvd.,Tigard,OR 97223 0 T 1 5 2019 n� �^
g Plan Review Other Permit R,�{J /� /y�
Phone: 503.718.2439 Fax: 503.598.1�6P-Y OF TIGARD Date/By: ('J'7L .Z 20 W038
TIGARD Inspection Line: 503.639.4175 Date Ready/By: 7urs: 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 0 Other. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 91 /7514
® 1-and 2-family dwelling ElCommercial/industrial
4❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms: ryj
JOB SITE INFORMATION AND LOCATION Total number o�f4floors: 3 t 1 D
Job site address: ((0(D c5u) -- f6tA)n5v((ice S I • New dwe[linig a are 3(0t. square feet, .
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1464 square feet t 254
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: square feet —1'7- S
Cross street/directions to job site: Deck area: 1( (_ square feet 6
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: IV) 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
® 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 ❑ 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
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
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 lie.:204238
Total fee due upon application: $201.60
Authorized signature: A. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit AppIVEDRece FOR OFFICE USE ONLY �Ay�[JQ
City of Tigard Da eB� M�T�p2D—( 1
- Permit No.:
° 13125 SW Hall Blvd.,Tigard,OR� 3{3 C 'Z019 Plan Review
Phone: 503.718.2439 Fax: 503.5 6 J Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juns: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE(.IiECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
- Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND_ LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: tpl\.q sW li}X t/lUE Sr 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.: 11.00 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
Other: 23.32
® PROPERTY OWNER ❑ TENANT 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 9860 Single-duct exhaust(bathrooms, .
toilet compartments,utility rooms) ✓ 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
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)
Other:
Business name:TBD
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature. g ,"`.� �� 5 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tonja Morris � Date: 1;61, 0 l Iq
•
Electrical Permit Applicatl>FC E EVE D FOR OFFICE USE ONLY
City of Tigard OCT 1 2019 DateReceived �V1v�"`"^'^�/O l'
- Permit#:
IIIa 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5Q11T9' OOF TIGARD DateB Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: lens' B1 See Page 2 for
TIGARD Internet: www.tigard-or.gov 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):
❑Service or feeder 400 amps or more ❑Building 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 ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: I "(4 5wlj(t yks ' t ❑A 100HPHdd P o of new motor load of system.
"V" or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge ❑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
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 1(4 Includes attached garage.
1,000 sq.ft or less 1 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion (p 33.92 1
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 0 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
IZIA.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
sAddress:703 BroadwaySt.Ste 510 branch
or feederfee,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
dweEmail: ermitsubmittals of onhomes.com Reconnectln onlservy and/or feeder
p @p yg 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 ID See Page 2 2
Address: 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 Lie.: 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 signatur: 111,PalliN TOTAL PERMIT FEE:
✓' • �� This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris Date: ` a days after it has been accepted as complete.
1 * Number of inspections allowed per permit.
r.m,,ilrlin,AP,rmitc\FT.0 Permit Ann FT.R PRP rite Rev(IC/17m1 S 445-4C1 ST(11/scR:nM/WFR
r .
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard D(� Received T�n2d_ / (f,�
J j T 1 2O 9 Date/By:
Permit No.:M� LL--tVJGV ���M/! l
III - a 13125 SW Hall Blvd.,Tigard,OR 9 rL Plan Review
Phone: 503:718.2439 Fax: 503.d 68rry F TIGARD Date/By: Other PermitNo.:
TIGARD InspectioriLine: 503.639.4175 BUILDING DIVISION DateReadyBy: Juris: E] See Page 2for
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. 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
® 1-and 2-family dwelling ❑CommerciaUindustrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: k L;,u 4 q S W � rtsvi LL �-r 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.: I Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer I 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 1 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib 7-, 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 1 12.51
TEI 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
,s 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 k 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.:
f State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Tonja Morris Date: l , after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
City of Tigard
41
Ili COMMUNITY DEVELOPMENT DEPARTMENT
II
T 1 C;A R D Building Permit Review — Residential
Building Permit #: 8T2020- O004 B
Site Address: 1 i ( S l✓ lo,Alv lI t 4,
Project Name: POLYGON AT ROSHAK RIDGE Lot #: 160
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro osal: N'�u S q, V lad # SIR_DL
Lf Verify address/suite#active in Accela. . In River Terrace: ❑ No ® Yes,River Terrace Review Addendum
Sit lan Elements: ion Controlopies of site plan on 8-1/2"x 11"or 11 x 17"paper II ' •tained trees with drip line and tree protection measures
VI al wn to scale(standard architect or engineer scale) 19 .•otprint of new structure(including decks) and FFE
h arrow FA Utility locations&easements(required for new and additions)
LL9j address,project or subdivision name and lot number E idewalk/driveway approach
[l�i'r1 plicant information(name and phone number) !!•.cation of wells/septic systems
ot dimensions and building setback dimensions LC Set tree size,type and location
pvivare footage of buildings to be demolished ,p'Sr et names
I! :sting structures on site L7-omer elevations (2'contours if more than 4'diffferenn i l)
I!, •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L4kfes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑I ]No
® Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Li �!�„
Required: ❑ Yes,applicant was notified . No Received: ❑ Yes ❑ No „'�',
II _ 'f t 1
Public Facilities Improvement(PFI) Permit: 1 C1 u4C
quired: . Yes,applicant was notified ❑ No Applied For: . Yes ❑ No,stop intake
�l anand Use Case#: PDR2015-00002/SUB2015-00004 E Zoning: RH 2 + g--/ CPOJ
�equired Setbacks: Front: 12/8 Rear: 1 Side: J Street Side: l Garage: 10
uilding Height: Max. Height: Jo Actual Height: Z 1-
IV Landscape Area: % It Lot Coverage Max: P
nuance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
'V A) Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
St-L ❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
I i
Ck 4 ❑ Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2nd floor.
1 ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
444
', , ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
a J�"p`✓r�
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony
iisual Clearance Urban Forestryn
VE Sensitive Lands: ❑ Yes NJ No Type:
® Conditions met prior to issuance of building permit �,^'
Nos: Conditions to be met prior to b gtL ermi •ssuance J f ld '0 ,
ji 'S A +tit/��'
i.ii Approved By Planning: u t� Date: I-'13-ly L-r
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingForms\BldgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: o /5/2Q`9
Site Plans: # 3
Building Plans: # l3
Building Permit#: 4 Enter building permit#above.
Workflow Routing: VI Planning 's'4 Engineering Igi Permit Coordinator ,® Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: g] Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
K7 Building: original permit application, site plans,building plans,engineer and
beam calculations and st details,if applicable,etc.
Notes:
By Permit Technician: Date: O1/.29/020
Engineering Review
e gg
lope at building pad: as.
Conditions"Met"prior to issuance of building permit A/Z/9
VFW asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ®ZNo
Assess Water Quantity Fee in-lieu: ❑ Yes [ 'No
LIDA Facility on lot: ❑ Yes L' No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
lApproved by Engineering: Date: / Z9 ZO
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
❑ 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:
Revision Notice 3: Date Sent to Applicant:
4 C Fees Entered: Wash Co Trans Dev Tax: l2i s ❑ N/A
Tigard Trans SDC: L e ❑ N/A
Parks SDC: ❑I Nc
LIDA El LYN/A
OK to Issue Permit AT7Date:
'` 2, Iz0PP YA roved b Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
,
City of Tigard
11111r COMMUNITY DEVELOPMENT DEPARTMENT
1 ■
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #: M ST2020-600 -
Site Address: \6 i'l Sw lrwn V+Ikc S .
Project Name: Rio& oik 0lukk. fritil. Lot #: 160
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
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 . deep Gabled dormer
it
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2.1.6 /,
3. E trances:At least one entrance must meet both of the folio g standards:
Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No ��
I�ff/yyes,all the following apply: L_fG Z sq.ft.min.
[ L e street facing entry �'11 ft.max. roof above floor of porch
2 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:
❑ Covered porch min. 5 ft.wide x 5 ft. deep [ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ W)ll offset min. 16 inches ❑ Dormer min. 4 ft.wide
ly'Roof eave min. 12 inch projection 0, Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood L11'6able,hip or gambrel roof design
LI,,� �RRoof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide
11;1 ccent 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/loser loser to front or side lot line, than longest street-facing wall. Yes ❑ No. If No (Check one):
E 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 %max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 1,j_ C3,--k— Date: f-7.1-1I Ld
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx