Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 ■ Request for Permit ActionVOID
13125 SW Hall Blvd. • Tigard,Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Polygon Homes WLH LLC
Mailing Address: 703 Broadway St., Ste 510
City/State/Zip: Vancouver, WA 98660
Phone No.: 360-695-7700
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
{I 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#: MST2020-00042 I SWZZC?lO 000 3
Site Address or Parcel#: 16576 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 147
EXPLANATION: Plan renamed and updated
Signature: %B a. 6`24- 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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 / 2O 2-/ By W
Refund Processed: Date By Invoice Processed: Date /J .o/Z/ By WV
Permit Canceled: Date V 08/2.J By t Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction 2051lS.doc
\--\--A---
Building Permit Applicatio L v�
Residential RECEIVED EO FOR OFFICE USE ONLY
l�
City of Tigard MAR 0 6 2019 Received Date/By: !/ v/�� '5 L' .02a Permit No.:M 2020.0O2L/2,
I ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I /UV)
t ptherPenni���Q� U3�
Phone: 503.718.2439 Fax: 503.5e W DateBy: '
Inspection Line: 503.639.4175 �� i� ��� Date Ready/By: luris. 0 See Page 2 for
TIGARD o g (BUILDING DIVISION Notified Metho�: Supplemental Information
Internet: www.tigard-or. ov pp
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.
dwelling 0 Valuation: $ �3 ,\ Z—
® 1-and 2-familyCommercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: J
JOB SITE INFORMATION AND LOCATION Total number of floors: 2, 3((Q
Job site address: lip S'to J f V SV II 5K1/�/ Q� L �— New dwelling area: ,� 4 s uare feet I(eel,
City/State/ZIP:Tigard,OR 97224 v , Garage/carport area: j�' 149)(Psquare feet I2)
II
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.: 191 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.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
® 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:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
{pt<.�refer ro fee schedule)
Business name:Polygon WLH LLC
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
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::(360)693-4442
E-mail:permitsubmittalsCpolygonhomes.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 lic.:207247
Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
•�► within 180 days after it has been accepted as complete.
Print name:Amanda !avin ' Date: �)5//0/ *Fee methodology set by Tri-County Building Industry
( Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
Mechanical Permit App144taCEIVED FOR OFFICE USE ONLY
Received �Ti� �/n-
City of Tigard Date/By: Permit No.: �►�/LV
w 13125 SW Hall Blvd.,Tigard,OR 972234 AR 0 6 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 VI I 1 Or' t iUJuris: El Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov Or'
Notified/Method: Supplemental Information
3UILD1NG DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
® New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
lQsiIo Mk) Sv f V 'yn CO�\ t Air 100,00g ' 46.75
Job site address: I t' 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 I 23.32
Other: 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: N Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 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 I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 7) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH LLC
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Gavin 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.: r TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
I - days after it has been accepted as complete.
Authorized signatu 11101 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda 'avin Date: ��IS/C0/
' Electrical Permit ApplicattlECEIVED FOR OFFICE USE ONLY
Received MSr2 020 A 0n I-2_
1111 - City of lgard Date/By: Permit#: I LV L (�W
e 13125 SW Hall Blvd.,Tigard,OR 972/4AR 0 6 2019
$ Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.5. 60 Date/By:
Inspection Line: 503.639.4175 Y tit- I fGARD Ready Date/By: Juris: 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov 3UILDING DIVISION! Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service 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 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 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 ( ❑Emergency system. larger separately derived
S 1(p lI US V r l�h I , C W tJI ❑Addition of new motor load of system.
Job#: Job site address: Re looFti or more. ❑
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑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 I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#:11.1 Includes attached garage.
1,000 sq.ft.or less l 168.54 4
Tax map/parcel#:
Ea.add'1500 sq.ft.or portion 2 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 ❑ See Page 2
ID PROPERTY OWNER 0 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 0 CONTACT PERSON Branch circuits—new,alteration,or extension, .er 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:Amanda Gavin B.Fee for branch circuits without
Address:703 Broadway branch St.Ste 510 service or feeder fee,first 56.18 2
ranch 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: :(630)693-4442 Each manufactured or modular 67.84 2
dwelliEmail:permitsubmittals@polygonhomes.com Reconnectne, only
service and/or feeder
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 El See Page 2 2
Address: panel,alteration,or extension.
City/StatelZIP: 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(/2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized sig ature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ama a Gavin DateVS l ici days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COMJWEB
Plumbing Permit ApplicatAECEIVED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard MAR 0 6 2019 Received PermitNo.:1.iSU-020-00042-
1111 - e 13125 SW Hall Blvd.,Tigard,OR 972;3 Plan Review
Phone: 503.718.2439 Fax: 503(4311Y6&)t I i ri� a Other Permit No.:
Inspection Line: 503.639.4175 3UILD!NG DIVISION Date Ready/By: Jnris: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov y y g
a a Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 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(l)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32
❑Accessory building 0 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: N)5 Q S 0 St)W / 1/0 C,(a W 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.: 1 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.:Ni Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
El PROPERTY OWNER I 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 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:(360)693-4442 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:Amanda Gavin
Roof dram(commercial) 12.51
Address:703 Broadway St.Ste 510 Sink/basin/lavatory /Ii„t Al(S/21 r 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:TBD Water PIP 1 in WV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
( )Phone:( ) Fax: Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: I Plumbing Lic.no.:
- State surcharge(12%of permit fee)
Authorized signaturAllei
TOTAL PERMIT FEE
ismr.....--. 2---.))�I This permit application expires if a permit is not obtained within 180 days
Print name:Amanda fv,vin Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I\Building\Pennits\PLMU-PermitApp.doc 10/Ol/09 440-4616T(l0/02/COM/WEB)
.. City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
's I
T I G n R D Building Permit Review — Residential
Building Permit #: 148T-202U--000V_
Site Address: 1(5 V SJ,\.i C.,,\-- Sk,
Project Name: POLYGON AT ROSHAK RIDGE Lot #: 14 3-
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review P�roosal: Lf S J PL I-- tar,
[ Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes,River Terrace Review Addendum
Sit elan Elements: Eli.sion Control
33 copies of site plan on 8-1/2"x 11"or 11 x 17"paper L' ' ained trees with drip line and tree protection measures
[l 6 n to scale(standard architect or engineer scale) n ootprint of new structure(including decks)and FFE
orth arrow Ef i1ity locations&easements(required for new and additions)
^Sy e address,project or subdivision name and lot number idewalk/driveway approach
LlQ plicant information(name and phone number) ,ocation of wells/septic systems
[ tot dimensions and building setback dimensions L treet tree size,type and location
aryare footage of buildings to be demolished Ll_ et names
F.Vxisting structures on site Monier elevations(2'contours if more than 4'differential),��,re!
Cot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? KQYes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ No
® Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): L'A, .-,
Required: ❑ Yes,applicant was notified II No Received: ❑ Yes ❑ No 1144
1
IIPublicFacilities Improvement(PFI) Permit: lu .. JR
quired: . Yes,applicant was notified ❑ No Applieded For: . Yes ❑ No,stop intake
LTd'�'and Use Case#: PDR2015-00002/SUB2015-00004 [.i�'Zoning: R'9,. ! '
Z3uilding
equired Setbacks: Front: 12/8 Rear: Side:Side: 3 Street Garage: 2 0
Height: Max. Height: Actual Height: 2 i S
[ Landscape Area: ,{) 0/0S'Lot Coverage Max: go ./o
}, ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
'"- '') 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:
S-t f ❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
Ak1 j i ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
j�(Iv ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
A,,C40 ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
�fA ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony
sual Clearance Urban Forestry Pan
Sensitive Lands: ❑ Yes LP/No Type:
® C nditions met prior to issuance of building permit
N es: Conditions to be met prior to uilding p rmit issuan
Approved By Planning: ��, Date: i-13`lo lA)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: 63/i-6/2aZ
Site Plans: # `3"
Building Plans: # L.3
Building Permit#: Er Enter building permit#above.
Workflow Routing: [ii'Planning Engineering [ (Permit Coordinator Er Building
Workflow Sign-off: [I'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.
R-Building: original permit application, site plans,building plans,engineer and
beam calculations a st details,if applicable,etc.
Notes:
By Permit Technician: Date: Q05�1dzo
Engineering Review
yJ �d
L5"/Slope at building pad: , Z
T Conditions "Met"prior to issuance of building permit ,,,V/4
IJ' Easements (encroachments) per engineering conditions of approval and plat
ErWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes EkNo
Assess Water Quantity Fee in-lieu: ❑ Yes IkNo
LIDA Facility on lot: ❑ Yes IA"No
I Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: Date: //S/z'a
Revisions (after Building Submittal only) Reviewer Date
Revision 1: LI 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:
RR ision Notice 3: Date Sent to Applicant: /
L�l SDC Fees Entered: Wash Co Trans Dev Tax: Q es ❑ N/A
Tigard Trans SDC: s ❑ N/A
Parks SDC: Yes ❑zAT/A
LIDA ❑ Yes PE N/A
OK to Issue Permit
Approved by Permit Coordinator: WO/Date: G
I:\Building\Forms\BldgPermitRvw RES_022819.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T c A R n River Terrace Building Permit Review Addendum
Building Permit #: 1'ST2 2 - EZ
Site Address: ICN SLI Suid;,,t.
Project Name: �o� r �� ic, t. Lot #: IH I--
(New dwelling=subdivision name;Additron or Alteration=last name of owner)
Planning Review of River Terrace Plan Di_stl ct Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? [ Yes ❑ No
Articulation: a minimum of ;yr t has 30-60 ft. of frontage. An additional
G Li/r;�;r•, c•'z..Y , .,
element required for lots with over I . . s ee ontage s a se provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dorm
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
{Pr,4( ) ❑ ❑ ❑ Seca-4 a
J
2. Eyes on the street: a minimum of 12%of each,treet facing facade must include windows or entrance doors.
Percentage Shown: F , I S: OA/
3. Entrances:At least one entrance must meet both of the folloythg standards:
ax. 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 ��
If yes,all the following apply: E '25 sq.ft. min.
IL�Y"6ne street facing entry Ld y,ft. max. roof above floor of porch
Lid 5 ft. depth min. LL'30°/0 min.porch roof coverage
Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
MI Covered porch min. 5 ft.wide x 5 ft. deep F ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide S
❑ Roof eave min. 12 inch projection F g% ❑ Roof offset min.'of 2 ft.
❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design 1:1:yJ
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade F) ❑ 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 S
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks:
N�o loser to front or side lot line,than longest street-facing wall. I: Yes l_\d No. If No (Check one):
l '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 facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ,IrC Date: I I l u L4
I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx