Permit City of Tigard • COMMUNITY DEVTELOPMuNT DI?PAR'1'MI?NT / %
Re1111 quest for Permit Action on
T(t_;A R 1) 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 n 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 (✓):
Z1 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#: MST2020-00040 lrjlAit2. .OZb - 00 n
Site Address or Parcel#: 16654 Sunshine Coast St
Project Name: Polygon at Roshak Ridge
Subdivision Name: Polygon at Roshak Ridge Lot#: 151
EXPLANATION: Plan renamed and updated
Signature: %d CL %ievact. Date: 1/6/2021
Print Name: Tonja Morlii's
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 / 2,0 / By 1
Refund Processed: Date By Invoice Processed: Date I20 2/ By f'v
Permit Canceled: Date I O/2/ By� Parcel Tag Added: Date By
T:ABuilding\Forms\RegPermitActio 1202.51 doc
i:6 151
Building Permit Application L., I
Residential RECEIVED FOR OFFICE USE ONLY
. Cl of Tigard ReceivedB ��j�M� _
g Date;By: Ov'��L020 Permit No.:N1�Tzo�� �O
13125 SW Hall Blvd.,Tigard,OR 97223 p CT 15 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: y/Veto t Other Permits(,(f92020�1049 33
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ElSee 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.
El1-and 2-family dwelling ElCommercial/industrial Valuation: $ gI qiLt
ElAccessory building El Multi-familyNumber of bedrooms: 6
❑Master builder ❑Other: Number of bathrooms: >
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 '33•73
Job site address: (( L 54 SW -Gm g etasT sr New dv r a: square feet t it,55
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 444 square feet t25L{
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: . > square feet
Cross street/directions to job site: Deck area: ), square feet
Other structure area: i%, square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 5( Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St.,Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitsubmmittals@polygonhomes.com
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)6934442 State surcharge(12%of permit fee): $21.60
CCB lic.:204238
Total fee due upon application: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Tonja Morris Date:04/17/2019 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
- Mechanical Permit Applicat'' FOR OFFICE USE ONLY
City of Tigard 'E C E I V E D Received Permit No.: M ST2D`W--bo
14 - ° 13125 SW Hall Blvd.,Tigard,OR 97223 y
Phone: 503.718.2439 Fax: 503.598.1960 OCT 1 eJ 2019 Date/By:an Review Other Permit:
Inspection Line: 503.639.4175 Date Read Juris: H See Page 2 for
TIGARD B Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHh,CKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 I 46.75
Job site address: 'u j1 sw SU..l !41 nE n xyti'SX Sr Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 �-�" Furnace 100,000+BTU(ducts/vents) 54.91 ,
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: '51 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
ElPROPERTY OWNER IDTENANT Other: 23.32
i Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
equipment t 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) LI 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
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TBD Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) _
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sianatur . * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tonja Morris Date: ‘,6\S 01
IC(
Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
illCity of Tigard Received Permit/4: MsrZ02o�00
-
- 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 15 2019 PlDanReview �+
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: luris ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. I Supplemental Information
TYPE OF WORK PLAN REVIEW )
E 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.
❑Demolition 0 Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 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.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑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:
t lol0 514 `S\.A SUj ttt n E COAST 100HP or more ❑"A" "E" "1-2» "1-3'>
City/State/ZIP:Tigard OR 97224 ❑Six or more residential units. occupancy.
Recreational vehicle parks.
❑Health-care facilities.
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
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: l34 Includes attached garage.1,000 sq.ft.or less I 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
E PROPERTY OWNER a 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 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
El APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Polygon WLH LLC above service or feeder fee, 7 42 2
each branch circuit
Contact name:Tonja Morris B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:703 Broadway St.Ste 510 branch circuit
City/State/ZIP:Vancouver WA 98660 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:TBD Sign or outline lighting 67.84 2
Siznal
Address: panel,alteration,00r extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(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):
�ma....
State surcharge(12%of permit fee):
�-I, - TOTAL PERMIT FEE:
Authorized signatura
•�/' This permit application expires if a permit is not obtained within 180
Print name: Tonja Morris 411111.1 Date:IG1L days after it has been accepted as complete.
"�'�� * Number of inspections allowed per permit.
I:1Building\Permits\ELC PermnAop ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Applicati
Building Fixtures RECEIVED
FOR OFFICE USE ONLY
City of Tigard OCT 15 2019 Received */Ct 7h� _CW /H
_ Date/By: PermitNo.:IVIv a v V(�(no
III n 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503:718.2439 Fax: 503.59 4�t'OF TIGARD Dan Review Other Permit No.:
Date/By:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: 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 1 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
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath i 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: t(4054 SW Suinsl+I nE 5' Cam-
C Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing dram(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.: t51 Fixture or item:
Tax map/parcel no.: Backflow preventer ' 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02
Dishwasher \ 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
t PROPERTY OWNER I ❑ 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 k 25.02
City/State/ZIP:Vancouver WA 98660 Hose bib 2 25.02
Phone:(360)695-7700 Fax:(360)693-4442 Ice maker t 12.51
® APPLICANT ❑ CbNTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris -
Roof dram(commercial) 12.51
,� Address:703 Broadway St.Ste 510 Sink/basin/lavatory 3 25.02
City/State/ZIP:Vancouver WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan Z. 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet S 25.02
CONTRACTOR
Water heater I 37.52
Business name:TBD Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signatur • TOTAL PERMIT FEE
Print name: -- L�
Tonja Morris Date: 61`:\ This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
T.\Rnlriino\Pannire\PT Tr01_Pnrmir Ann rinr. 1(1/01/09 440-4616T(10/02/C0M/WEB1
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
rICARD Building Permit Review — Residential
Building Permit #: MST2020 p001j0
Site Address: Ade cy 2/0 ,z'un-ih.e Cp s -- `c
Project Name: /I n fAsAak "A Lot #: /C/
Planning Review
Proposal: .4)-00
l VeVeri address/suite#active in Accela. LI In River Terrace: ❑ No L1a Yes,River Terrace Review Addendum
Sit Plan Elements: r+sion Control
gycopies of site plan on 8-1/2"x 11"or 11 x 17"paper ,�C►'�•tamed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) 1►. ootprint of new structure(including decks) and FFE
uipr
rth arrow YA ,tility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number hA,$idewalk/driveway approach
V plicant information(name and phone number) ,1�it/iocation of wells/septic systems
t dimensions and building setback dimensions AdS eet tree size,type and location
ware footage of buildings to be demolished VS, reet names
�d xisting structures on site Corner elevations(2'contours if more than 4'diff pential)
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? KJYes 0
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes IANo
can Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 44No Received: ❑ Yes ❑ No
eater Meter Fixture Unit Worksheet—Additi ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
1A.DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
X Public Facilitie,8'Improvement(PFI) Permit:
Required: Yes,applicant was notified ❑ No A lied For: Yes ❑ No,stop intake
l/and Use Case#: C(i'ds /S=066V Zoning: YC Aq
e uired Setbacks: Front: S Rear: / Side: -5 Street Side: t Garage: 'Q
q � f g
uilding Height: Max. Height: Actual Hei ht:
IE Landscape Area: .& % Lot Coverage Max: C) 0/0
Entrance t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d s or less
Windows ❑ Minimu °o of area of all street-facing facades
Garage ❑ Garage door is be •dest street-facing wall \'' L7 Yes o,one of the following is met:
❑ Door extends no more 'from wall and there is ered porch extending beyond garage.
❑ Door extends no more than 5'from ere is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or 1 50%or facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall offse 1'Roof eave ❑ Roof offset
❑ Fire es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, ambrel roof ❑ Dormer
Accent siding Window trim ❑ Window recess ❑ Window pr ' 'on ❑ Balcony
isual Clearance Urban Forestry y,lan
10 .ensitive Lands: ElYes No Type:
I Conditions met prior to issuance of building permit
N es:
IC Approved By Planning: /% Date: //Qlha 0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: /D/S,ZQJ9"
Site Plans: # (_3
Building Plans: # 3
Building Permit#: (? Enter building permit#above.
Workflow Routing: '3 Planning ® Engineering IC Permit Coordinator ® Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: e] Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
KI Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: d/-/5 2c22O
En ineering Review
E'zSlope at building pad: i
'Sr Conditions"Met"prior to issuance of building permit /n
2rEasements (encroachments) per engineering conditions of approval and plat
EVWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Ore
Assess Water Quantity Fee in-lieu: ❑ Yes 1/No LJ LIDA Facility on lot: ❑ Yes No
iFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
2/Approved by Engineering: Date: ///cf pO
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
❑ SDC Exemption: ❑ Received ‹„Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: [ Yes ❑ N/A
Parks SDC: Er Yes ❑ N/A
LIDA ❑ Yes p'N/A
OK to Issue Permit
Approved by Permit Coordinator: di�D //( /2t--)
ate:
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
City of Tigard
INa COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD River Terrace Building Permit Review Addendum
r4j rr tt,,,,
Building Permit #: kASTaZ0" 't0
Site Address: / .2/ Zxsi;:e eeasl S4 .
Project Name: f o/ ear L &�dk e Lot #: /S
(New c� s'g=subdivision name;Addition or Alteration st name of owner)
Planning Review of River Terrace Plan Disct Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? OD1 Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dormer
®/ ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum pf 2;4of each street facing facade must include windows or entrance doors.
Percentage Shown: / o
3. E trances:At least one entrance must meet both of the follo,ing standards:
qQ 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
If y ,all the following apply: l& sq.ft.min.
e street facing entry llid 1 ft.max.roof above floor of porch
"Ic5 ft. depth min. I'30%min. porch roof coverage
4.lope
Design:All buildings shall include a min. of five oft 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
❑ all offset min. 16 inches ❑ D rmer min. 4 ft.wide
V7 Roof eave min. 12 inch projection �" of offset min. of 2 ft.
❑ Roof shingles either tile or wood (d 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 ❑ 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)
❑ 12-foot-wide garage door { 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: `_7_, Date: 6
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
..
LEGEND:
14 OF TIGARD RECEIVED ss SANITARY SEWER Pacific
roved SD STORM DRAIN Community
Approved
Planning OCT 1 5 2019 —w WATER LINE Design
Date: Z� O • MANHOLE 12Tgard,OR564 SW 197223n e1
CITY OF TIGARD {f]503-941-9484
Initials: ,. BUILDING DIVISION IICATCH BASIN
r / I_____I DATE: 11/29/2018
f f i— _f / / L / STREET LIGHT I SS f in ss ! I--- REVISIONS
I -- ss / / Ss / I ss f STRAW WATTLE PERIMETER NO. DATE DESCRIPTION
,,., .^, o 00 o M c, o o v -f-- EROSION CONTROL
M
/ 309.1 { f 1 . M5i .� 0
,- �. ���`��a•�����,.1 DETACHED MIN. SETBACK SUMMARY
✓ r f / \ 1 1 305.5 PORCH SETBACK: 8'
1• — — BUILDING SETBACK: 12'
/j I— // — 21.5'// — / , /
/ SIDE SETBACK: 3'
/ 1t I I 29.0' I l / SIDE FACING STREET:
/ I 1
/ PUBLIC STREETS: 8'
,� ' L
/ 7/f 1 ALLEY/PRIVATE STREETS: 3'/
( j L 1 1 / 1 REAR SETBACK: 15'
L / / i 1 - -1 -i-- REAR SETBACK AT ALLEY/PRIVATE: 0'
0 / / R BUILDING: 5B / I }'; / REAR COVERED PATIO: 10'
E / 11/ f 151 / 1 /f-6 0' / GARAGE:
/ M / 4,700 SF / I/ 1 / PUBLIC STREETS: 20
N Os
/ ;I, / MAIN / 1 _ / ALLEY/PRIVATE STREET: 3 5
co ,150 4.0' 1- + • FFE: 308.7 / 4 1 152
1+ , I /
o I f / {
O / / I ........... / i/ 1 I /
z l rt y p I ; d/ /{ LOT COVERAGE:
/ co I GARAGE / 1 I 1 / /
/ i FFE: 307.4 1 / 4 POLYGON
1 LOT AREA: 4700 SF
f I AT ROSHAK
N / / M / 1
— -
- ' • __-�� — / — I BUILDING FOOTPRINT: 1,799 SF
cci - - - r {II I /r�` / PORCH 1 6.0
RIDGE
P.U.E. 7 �._.__
0 — — — 16_0'� o of I I J — 1 __ COVERED PORCH: 165 SF
— — — — — — — — : 3°4- '5 — — s ' CANTILEVER LIVING SPACE: 17 SF
i� �=. iamal\LL4YA
I�N ► /Ar air
o -ANNIMiAlli ---• ------ COVERED PATIO: 152 SF
0
/ SIDEWALK 3 .3 50.0' EMI YI�' ' LOT 151
92 Q /��� �� DECK AREA: 0 SF PLOT PLAN
o ►�'� ���� !I!� 4 ilk PLOT
TOTAL COVERAGE: 2,133 SF
o WATER ��R/' �� �► llirl Ai
cn METERIV
W \ A. ����� �� w 45.4 %
PLANT (1) STREET TREE:;
STORM
0 KATSURA TREE / ) LATERAL 1 IMPERVIOUS AREA: 2,620 SF
ci 10ERCIDIPHYLLUM JAPONICA/ :_.�M% SANITARY
SS I Al \ f ss —LATERAL - SS/
o
^�� SW SUNSHINE COAST STREET qa /
�_ / /l \I rt I 117 11 I ',I r� Ala � ' 1 ,
zT
c
P POLYGON NORTHWEST (360) 695-7700
a
PROJECT NO.: 395-010
Ua TYPE: CONSTRUCTION
% ��1 REVIEWED BY: CMH
LOT 151 (R-12, STANDARD) 0 SCALE
10LE o
CASEFILE(S): POLYGON AT ROSHAK RIDGE
-( PDR 2015-00002
a PDR 2016-00002-00006 16654 SW SUNSHINE COAST STREET 1 INCH=20 FEET
I