Permit City of Tigard • COMMUNITY DEvELOPMENT DEPARTMENT
a Request for Permit ActionVO I
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 ® 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 (✓):
VI 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#: MST2019-00446 SW?,2 Q\CA — 00S\V1
Site Address or Parcel#: 16537 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 146
EXPLANATION: Plan renamed and updated
Signature: % Date: 1/6/2021
Print Name: Tonja Mor
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date I I .( By "7
Refund Processed: Date YZOT
By Invoice Processed: Date //2.(f/�/ By /fV
Permit Canceled: Date By `/iParcel Tag Added: Date By
I:\Building\Forms\RopermitAction_ 518.doc
Building Permit Application
LUT 1 U
Residential RECEIVE i FOR OFFICE USE ONLY
RECEIVE City of Tigard Received 1 Z (�'Z_ Permit No.: S'f2D 19'o044/_
- Date By: 1 T�P
1hone S50 Hall Blvd.,Tigard,OR 97223 MAR 0 6 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 1'w,_2-
201,t5 4 Other Permit'IN R ZD 6.Q 3 i 7
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
TIGARD
CITY OF i IGARO
Internet: www.tigard-or.gov BUILDING DIVISIONNotified/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.
Valuation:LE] El $ 9, 1 v�1-and 2-family dwelling Commercial/industrial a
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: j>
JOB SITE INFORMATION AND LOCATION Total number of floors: 9„,, 7,l.ES"c6
Job site address: 6951 U/ ) Si,t lit,w1/ LD(A 1 it, New dwelling area:MS square feet 11
City/State/ZIP:Tigard,OR 97224 ►' Garage/carport area:' ' V square feet 01 4 (2,Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet l
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.: (9(4, 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
® 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:
IR APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Neese refer ro feeschedute)
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 SYSTEM FEES*
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 lic.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Gavin Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44 0-46 13 T(1 1/02/COM/WEB)
Mechanical Permit Applicat' E+ V Holz OFFICE USE:()NIA
.w /i..' ! �� Received ,t„7h1��C�(�"["L4. City of Tigard Date/By: Permit No.: I KJt
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 MAR 06 2019 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 te Ready/By: Jam: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF 1 MARC)ttI Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
'n ,Al Air conditioning I 46.75
Job site address: [IX S S YV SI'VSVI,I(n Q like S'�5t' Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 V �V 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 1 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: l l(n Other: 23.32
�J 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
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment I 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) 23.32
Phone:(360)695-7700 Fax:(360)693-4442 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: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 lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signa * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda S ' Date: 1j IS l t9
Electrical Permit Applicatio4 EGEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit#:
IN . g 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 0 6 2019 Date/By: MS1�ZD lc1-cX -kilo
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960,{�. Date/B : Related Permit#:
Inspection Line: 503.639.4175 CITY OF i IGARD Ready Date/By: Juris: l I See Page 2 for
TIGARD Internet: www.tigard-or.gov 3UILDING 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 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑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: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: I(e Sli7 SN S V tiSk(V V J (oast ❑Addition of new motor load of system.
100HP 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. 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#: 4(p Includes attached garage.
1,000 sq.ft.or less Z, 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 1 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 ❑ 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
® 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:Amanda Gavin B.Fee for branch circuits without
service or feeder fee,first
Address:703 Broadway St.Ste 510 branch circuit 56.18 2
City/State/ZIP:Vancouver WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals@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
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/:hr min)
ELECTRICAL PERMIT FEES •
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signatu :
This permit application expires if a permit is not obtained within 180
Print name: Amanda vin Date: J Sl 0 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 440-46IJT(11/05/COMIWEB
'Plumbing Permit Application__
nBuilding Fixtures RECEIVED D FOR OFFICE USE ONLY
City g of Tigard MAR 0 6 2019 Received
: Date/By: Permit No.M97019�MW Lfj4,4
III NI 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.CITY OF HGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris ® 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. Ea. Total
❑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 ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-family
SFR(3)bath ' 500.32
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: t`r S31 S K) S u V�S Vt/ :V COO S-. Catch basin or area drain 18.76
t`+ ° t V �,(/ 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.: I 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.: 1 ill, Fixture or item:
Tax map/parcel no.: `l Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve l 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ( 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
0 APPLICANT Cl 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 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
Water closet 25.02
CONTRACTOR
Water heater 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 signature: TOTAL PERMIT FEE
Print name:Amanda - Date: g.,`5/ 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-PermitApp.doc 10/01/09 440-461 6T(1 0/02/COM/WEB)
l.
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A RD Building Permit Review — Residential
Building Permit #: M STZO n-00446
Site Address: 16 S3 3. SW 1)%h;r,t. 1,43-1- awl-
Project Name: POLYGON AT ROSHAK RIDGE Lot #: V-14
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro osal: NEW SFilo., PLAN SET# 3110 U
LV Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum
Sit lan Elements: 7.sion Control
�I.V3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper �1. '= ained trees with drip line and tree protection measures
[ L r. n to scale(standard architect or engineer scale) FFootprint of new structure(including decks) and FFE
1! .rth arrow I�Ir /tility locations&easements(required for new and additions)
IR a address,project or subdivision name and lot number dSidewalk/driveway approach
V plicant information(name and phone number) i�i cation of wells/septic systems
Itdtot dimensions and building setback dimensions et tree size,type and location
tafS3itare footage of buildings to be demolished
Re3r.ee6t names
ELJ'Existing structures on site [ Corner elevations(2'contours if more than 4'differential)
IR,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? IYes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑'g4❑No
® Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): 1)1
Required: ❑ Yes,applicant was notified . No Received: ❑ Yes ❑ No (
® Public Facilities Improvement(PFI)Permit: 144 vje
Required: . Yes,applicant was notified ❑ No Appli For: ,p . Yes l ❑ No,stop intake
IVand Use Case#: PDR2015-00002/ SUB2015-00004 L� Zoning: I�`�•s �J
Required Setbacks: Front: 12/8 Rear: Side: 3 Street Side: Garage: ZD
lil Building Height: Max.Height: Actual Height: 2-6
-Landscape Area: % t-Lot Coverage Max:
1 -�,� ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
�'J ) 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:
Ju ❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
0 ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2'd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
GA44) ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
t,��d,,"VVi�isual Clearance El Urban Forest,rr�y,,Plan
IL/Sensitive Lands: ❑ Yes Lld�No Type:
® Conditions met prior to issuance of building permit
No : Conditions to be met prior o buil • g permit it, uance
2/te By Planning: 9
Date: i Z-1—i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_022819.docx
a
Building Permit Submittal
Original Submittal Date: 3-6o-/9
Site Plans: # 3
Building Plans: # 3
Building Permit#: ® Enter building permit#above.
Workflow Routing: X Planning 2 Engineering Ni Permit Coordinator fE Building
Workflow Sign-off: Qj Sign-off for Planning(include notes from planning review)
Route Application Documents: .4 Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
.® Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /2.AZ41
Engineering Review
El-Slope at building pad: "22 7
Er-Conditions"Met"prior to issuance of building permit A///
ErFasements (encroachments) per engineering conditions of approval and plat
[ "Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,"No
Assess Water Quantity Fee in-lieu: ❑ Yes L� No
LIDA Facility on lot: ❑ Yes L No
• Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
ErA-pproved by Engineering: %- 1 Date: 12 47/2019
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:
Re 'sion Notice 3: Date Sent to Applicant:
i
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: [ Y ❑ N/A
Parks SDC: Yes
OK to Issue Permit ❑ /A
LIDA CI Yes VN/A
/ /' J'r
Approved by Permit Coordinator: PDate:
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
.
a
III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: MST2O(?-004 4
Site Address: 16S31- Sw SAN'rt CA' -1-1-e-l.'
Project Name: Pak ok_ at Kad t1. IZi Lot #: 196
(New duk1 ing=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis�ct Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? I i Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dorn7
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 façade must include windows or entrance doors.
Percentage Shown: 14,2-1
3._EE trances: At least one entrance must meet both of the follong standards:
LIB Max. 8 ft. setback from lone street- facingwall I Parallel to street, angle no more than 45° from street,
g or open onto porch
Entrance opens to a porch: Yes ❑ No
If yes, . the following apply: 25 sq.ft. min.
F • e street facing entry 111-2 max. roof above floor of porch
rig 5 ft. depth min. 0%min. porch roof coverage
4.IYetailed Design:All buildings shall include a min. of five of/the following elements on all street-facing facades:
E "$overed porch min. 5 ft.wide x 5 ft. deep NI Recessed entry area min. 5 ft.wide x 2 ft. deep
[All offset min. 16 inches ❑ Dormer min. 4 ft.wide
loof eave min. 12 inch projection �❑ of offset min. of 2 ft.
❑ Roof shingles either tilel�'or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide
[ Accent siding min. 40%of street facade El Window trim min. 2 1/2"wide by 5/8" deep
Cl 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 façade
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. 0 Yes I.�No. If No (Check one):
C� 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)
❑ 1?-foot-wide garage door ❑ 40%max. of street façade
50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: itotAnk. ( Date: 12-Z-11
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx