Permit Plumbing Permit ApplicRECEI `1 ED
Building Fixtures JUL w 6 2U2; FOR OFFICE USE ONI.I
Cityof Tigard OF TIGARD Received
g 7f 2(0/2/ _ Permit No.: 202 "CMS
• 13125 SW Hall Blvd.,Tigard,OR Date/By.
III
S � �DIVISION' Plan Review
Phone: 503 inn: 43. Fax: 50 I Date/By: 8 l/(�l'� qc� Other Permit No.:
Inspection Line: 503.639.4175
1 t G A R D Date Ready/By: p/ f J.1� ® See Page 2 for
Internet www.tt and-or. ov a f/d L g g Notified/Method: I.
� ( ^ Supplemental Information
TYPE OF `4i/ORK 9 L 0047'¢7am-- "FEE* SCHEDULE
❑■ New construction ❑Demolition For special information use checklist.
Description 1 Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)_
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
I-and 2-family dwelling SFR(2)bath 437.78
❑ g ❑Commercial/industrial
buildingSFR(3)bath 500.32
❑Accessory ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(tsao sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address:17070 SW Lemongrass Ln
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace NE No. 3 Bldg 5 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: Lot no.:21 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02
PERMIT# MST2021-00057 Drinking fountain 25.02
UNIT PLAN# G20-S Ejectors/sump 25.02
IS PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison
Floor drain/floor sink/hub 25.02
Address: 703 Broadway Street Suite 710 Garbage disposal 25.02
City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02
Phone:( 360)816-7788 Fax:( ) Ice maker 12.51
0 APPLICANT 1, ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: Alliance Plumbing, LLC Medical gas(value.$ ) Page 2
Primer 12.51
Contact name: Gavin Thomes Roof drain(commercial) 12.51
Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP: Troutdale,OR 97060 Solar units(potable water) 62.54
Phone:( 503) 577-6535 Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: gavin@allianceplumbing.net
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Alliance Plumbing,LLC Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale,OR 97060 Subtotal
Phone:( 503)492-3490 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB L.ic.:184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: V� �-' TOTAL PERMIT FEE `3 ,,5.1
Thispermitapplication expires if a permit is not obtained within 180 days
Print name:Gavin Thomes Date:6.14.2021 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I.ABuildingV Permits VPLMU-PermitApp.doe I 0/01/00 440-4616T(I 0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 SI.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25.000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped, Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
Jacuzzi/Whirlpool
Stall ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Eachas defined in OAR918-780-0040.
-Driveto
❑
Cuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities.
Dishwasher. Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink. -2"
-3" Isometric or Riser Diagram
-4„ ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink. -Lav/Bar non-food related
-Bradley
Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures
l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00057
T[GAR I: 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2021
Parcel: 2S106AC04900
Jurisdiction: Tigard
Site address: 17070 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST 3 Lot: 245
Project: River Terrace Northeast No.3, Lot 21
Project Description: New attached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 317 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 36 Bathrooms: 4 Second: 631 sf Garage: 246 sf Front: 10 Smoke
Dwelling Units: 1 Third: 982 sf Right: 3
Detectors: Yes
Total: 1930 sf Value: $249,733.72 Rear: 0
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bcktw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel TvDes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents; 0 Woodstoves: 0 Gas Outlets: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 st or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio i,Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1930
Owner: Contractor:
WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 2 Fire Rated Conditions
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $29,085.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i(oUy Vary De/WeSe owAppl,,ca ion
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
r (�
Mechanical Permit Applicati(�EC E IVE D FOR OFFICE USE ONLY
City of Tigard Received
MST Zta4 a06 7
Permit No.:
97223FEB 10 2021 y
13125 SW Hall Blvd.,Tigard,OR Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By:
71{r+sllIi Inspection Line: 503.639A175 CITY OF TIGARU Date Ready/By: Allis: Fi See Page 2 for
Internet; www.tigardor.gov BUILDING DIVISIONNoliBed/Method: Supplemental Information
. • TYPE OF WORK COMhfERCIAL FEE* scnvl)ULE 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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:5
CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling El Commercial/industrial ❑Accessory building For special information use checklist
I j Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
• Air conditioning I 46.75
Job site address: 17070 SW LEMONGRASS LN _ Furnace 100,000 BTU(ductshvenas) 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: River Terrace 1114315 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
Lot no.: 21 Other. 23.32
Subdivision: Roshak Ridge Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK ' Gas freplar.e/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/Fue/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 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT. 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC
514.15 for first four;54.03 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@[ Llbr[lorriso OEM❑ Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
( This permit application expires if a permit is not obtained within 180
�� t Jti days after it has been accepted as complete.
Authorized signature: . Fee methodology se,by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
di
• Plumbing Permit Application
` Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard FEB 10 20Z1 Received
Permit No.: /4ST202/-00O 7
II ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:
Phone: 503.718.2439 Fax: 503.598.196�OF TIGARD Date/By:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: kris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: _ Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction D Demolition For special information use checklist
Description Qty. I Ea. I 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
X1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building %-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: 17070 SW LEMONGRASS LN 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
Suitelbldg./apt.no.: ( Project name: River Terrace j.B/3-G 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: Lot no.: 21 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ( 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:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail: permitsubmittals@taylormorrison.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water P rP g in 'DWV 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50
CCB Lic.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: y�, TOTAL PERMIT FEE
LPrint name:Steve Fowler Date: 10/30/20 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.
7.\BuildinetPermia\PLMLI-PermitAon.doc I0/01/04 4404616T(10702/COMrwEB)
Plan # (� LC7 S ZD 3
Floors 3 Large 50
Bed rooms Z Small I a) L0 I
we 1-4
LAV
Tub 3 Basement
Vent S 1st Floor
Water Heater 2nd Floor �(SI
AC 1'' 3rd Floor gZ
School 6,Qp...Ju.<-4-0n R-3 Total I 2 i ()
Garage `
n
DEC 3\I Total 2 t 7 (P
N 4` � 1-n-e-AA-E- J C i n YL�,#for Elec
I l lvs-� b a 10
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° Ci o Ti and za , L 7/V. G a r ,bial
IN tyf g
COMMUNITY DEVELOPMENT DEPARTMENT
e Building Permit Review — Residential
TIGARD
A
Building Permit #: Ik4 STW 21—QOO 57
Site Address: p7b SW Lemongrass Lane
Project Name: River Terrace Northeast Np, 3 Lot #: <-01
Planning Review
Proposal: New rowhome
❑r Verify address/suite#active in Accela. ❑r In River Terrace: ❑ No ❑r Yes, River Terrace Review Addendum
Site Plan Elements: ° r ion Control
III copies of site plan on 8-1/2"x 11"or 11 x 17"paper tamed trees with drip line and tree protection measures
Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
CI orth arrow 'LJtility locations&easements (required for new and additions)
Mite address,project or subdivision name and lot number l'i., alk/driveway approach
0 pplicant information(name and phone number) ,Y•.cation of wells/septic systems
III it dimensions and building setback dimensions ,Street tree size,type and location
Il.quare footage of buildings to be demolished �itreet names
IIxisting structures on site _.omer elevations(2'contours if more than 4'differential
0 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ° es o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified 0 No06
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUsReceived: ❑Yes ❑ No
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes a No
HReceSDC Exemption for ADU applied for: ❑Yes El No
ived: ❑ Yes ❑° No
Public Facilities Improvement (PFI) Permit:
Required: El Yes,applicant was notified 0 No Applied For: ❑r Yes ❑ No,stop intake
0 Land Use Case #: PDR2016-00013, MMD2020-00030 Q Zoning: R-25
El Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3
ElBuilding Height: Max. Height: N/A Actual Height: 36
ElLandsca e Area: 20 %o El Lot Coverage Max: 80 °A°
Entrance back no more than 8'from street-facing wall Parallel to street set 45 degrees or less
Windows Minimum area of all street-facing facades
Garage Garage door is behind w' treet-facing wall es ❑ No,one of the following is met:
Door extends no more than 5 t all an re is a covered porch extending beyond garage.
_ Door extends no more than 5' fr a an s a 12 sq ft.window above garage on 2°d floor.
❑ Gara e door width is ' ess ❑ 50%or less of faca 60%or less and includes 7 of following:
Covered po Recessed entrance ❑ Wall offset 1' o e _ Roof offset
F. gles Lap Siding ❑Roof itch ❑ Gable,.140,or gambrel ro Dormer
Accent siding Window trim U Window recess U Window projection u�
`rIVisual Clearance CI UrbanForestry Plan
Sensitive Lands: 0 Yes ❑ No Type:
Conditions met prior to issuance of building permit
Notes:Outstanding conditions under PDR2016-00013; do not issue until re-plat recorded under MMD2020-00030
0 Approved By Planning: Date: 2/19/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgYermitRvw_RES_122419.docx
Building Permit Submittal •
Original Submittal Date: 1I2ly/2 e Z J
Site Plans: #
Building Plans: # ,"
Building Permit#: Enter building�ermit# above. nn EL-Building
^^
Workflow Routing: 0-Planning Engineering El-Permit Coordinator E-Building
Workflow Sign-off: EL-Sign-off for Planning (include notes from planning review)
Route Application Documents: L. Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
a'
Building:Building: original permit application,site plans,building plans,engineer and
beam calculations an. . ,st details,if applicable, etc.
Notes: , /
By Permit Technician: Ar11?,ln�� Date: QL/22/26Z1
Engineering Review
LI Slope at building pad: 2 it
W Conditions "Met"prior to issuance of building permit it-re
la-Water2 Easements (encroachments)per engineering conditions of approval and plat
Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: 0 Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
ffrApproved by Engineering: Date: Z e_s-- 2
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: 4' ti r��11, Pf( WDWO/V..- _ eitYkt(led Date:
Notes: aPAor,,,,f-6/ 47 .A-L,
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received ,Does not ao ly
2 SDC Fees Entered: Wash Co Trans Dev Tax: ,3�yYes N/A
Tigard Trans SDC: "L. Yes ❑ N/A
Parks SDC: ZYes ❑ N/A
LIDA ❑ Yes �N/A
,.OK to Issue Permit
Approved by Permit Coordinator: rivliAr\-
Date: .4 (io'i 1
I:\Building\Forms\BIdgPermitRvw_RES_122419.docx
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: 4 f2OZ(-000S-7
Site Address: )9i SW Lemongrass Lane
Project Name: River Terrace Northeast Lot #: /
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I):
Is the project subject to the plan district design standards? ElYes ❑No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. d❑eep min. 2ft., 5❑ft.wide min. 2 ft., .wi_de El
2. Eyes o t e street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >J2 7i
3. ntrances:At least one entrance must meet both of the folling standards:
Max. 8 ft. setback from long t street- facing wall Parallel to street, angle no more than 45° from street,
or ope onto porch
Entr nce opens to a porch: Yes ❑No
If s,all the following apply: �$ sq.ft. min.
dine street facing entry ft.max. roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
❑ .vered porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
7 all offset min. 16 inches
s ❑ ormer min. 4 ft.wide
Roof cave min. 12 inch projectio07of offset min. of 2 ft.
lJ Roof shingles either tile or wood I C: ble,hip or gambrel roof design
❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wider/
❑Accent siding min. 40% of street facade Igrindow 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% o - of street facade
- Garages and Carports:May face the front ore, c lyJt line on a corner 1• .
Setba N
No closer to fron : ide lot line, than longest street-fn. : "a . I Yes ❑No. If No (Check one):
❑May extend up to 5 ft.r . - - is a covered fro• sorch and garage does not extend beyond the front porch.
❑May extend up to 5 ft.where the ga . is part of a two-story building and there is a window at the second story
above the garage that faces the - -t with a . . -a of 12 sq.ft.
Width: (Check one)
❑12-foo - ••a e garage door ❑40% ma-. • street facade
I i/o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: 2/19/21
11 Dui lding\Forms\BldgPcrmitRvw_RES_RT_121417 docx
•
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
■
Tic arRD Building Permit Review — Residential
Building Permit #: M STW21-000 57
Site Address: /--7j SW Lemongrass Lane
Project Name: River Terrace Northeast /V0, 3 Lot #: 2l
Planning Review
Proposal: New rowhome
❑r Verify address/suite #active in Accela. El In River Terrace: ❑ No El Yes, River Terrace Review Addendum
Site Plan Elements: ° x ion Control
0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'twined trees with drip line and tree protection measures
D rawn to scale(standard architect or engineer scale) botprint of new structure(including decks)and FFE
0 orth arrow `LiJtility locations&easements(required for new and additions)
01.ite address,project or subdivision name and lot number °,i alk/driveway approach
el 1pplicant information(name and phone number) cation of wells/septic systems
0 .t dimensions and building setback dimensions •treet tree size,type and location
1lquare footage of buildings to be demolished street names
II xisting structures on site L",omer elevations (2'contours if more than 4'differential
01 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Idles ° o
❑ Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified El No Received: ❑Yes El No
\D Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes El No
HReceSDC Exemption for ADU applied for: ❑Yes 0No
ived: ❑ Yes El No
Public Facilities Improvement(PFI) Permit
Required: ❑Yes,applicant was notified 0 No Applied For: ❑Yes ❑No,stop intake
ElLand Use Case#: PDR2016-00013, MMD2020-00030 ❑. Zoning: R-25
Q Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3
0 Building Height: Max.Height N/A Actual Height: 36
❑° Landsca e Area: 20 % ❑° Lot Coverage Max: 80
Entrance back no more than 8'from street-facing wall Parallel to street set 45 degrees or less
Windows Minimum area of all street-facing facades
Garage Gara e door is behind i treet-facing wall es ❑ No,one of the following is met:
❑gDoor extends no more than 5 11 an re is a covered porch extending beyond garage.
uuDoor extends no more than 5' fr a an 's a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is ess ❑ 50%or less of faca 60%or less and includes 7 of following:
Covered po Recessed entrance ❑ Wall offset 1' o e — Roof offset
F. ngles Lap Siding ❑ Roo4pitch 0 Gable,hip,or gambrel ro Dormer
Accent siding Window trim Window recess U Window projection
`3 Visual Clearance El Urban Forestry Plan
�' Sensitive Lands: ❑ Yes L'1 No Type:
Conditions met prior to issuance of building permit
Notes:Outstanding conditions under PDDR2016y-00013; do not issue until re-plat recorded under MMD2020-00030
El Approved By Planning: cX' ,�.__ Date: 2/19/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
I:1Building\Forms\Bl dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: D2/0DZj
Site Plans:
Building Plans: #
Building Permit#: Enter boil ermit#above.
Workflow Routing: ❑�.I'P�lanning Engineering I�Permit Coordinator
Lt1- L? suilding
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
n�original plan review routing form.
I; tsuilding: original permit application,site plans,building plans,engineer and
beam calculations an st details,if applicable,etc.
Notes:
By Permit Technician: Date:
rI neering Review
)lope at building pad: Z t 2
L(1 Conditions "Met"prior to issuance of building permit �ir1it
afEasements (encroachments)per engineering conditions of approval and plat
o
L'_I Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: D Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: 0 Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
El/Approved by Engineering: Date: Z/GS�2/
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: iy� I VJv✓k_ �11�J Date:
Notes: �1 VO(dt,/Lt l6/j 2,44 —
Revisions (after Building Submittal only) �l
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: �
SDC Exemption: ❑ Received Er Doesnot a5 ly
SDC Fees Entered: Wash Co Trans Dev Tax: , Yes 1 N/A
Tigard Trans SDC: Er Yes 0 N/A
P
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1Building\Forms\BI dgPerm itRvw_RES_122419.docx
City of Tigard
II 74COMMUNITY DEVFT OPMENT DEPARTMENT
C
T l G A R o River Terrace Building Permit Review Addendum
tk
Building Permit #: MSTLVZf-00097
Site Address: SW Lemongrass Lane
Project Name: River Terrace Northeast Lot #: �l
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? D 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 midt. deep ft. d❑eep min. 2ft.,5❑ft.wide min. 2 ft., .wide Gabled dormer
cj%/
2. Eyes o t e street: a minimum of 12°/ of each street facing facade must include windows or entrance doors.
Percentage Shown: >/.2 ?a
3. ntrances:At least one entrance must meet both of the foil " g standards:
Max. 8 ft setback from long t street- facing wall Parallel to street,angle no more than 45° from street,
or ope onto porch
Entr ce opens to a porch: Yes ❑No
If s, all the following apply sq.ft. min.
'inc street facing entry ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
M❑ vered porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
Rall offset min. 16 inches ❑ orrner min. 4 ft.wide
oof save min. 12 inch projection's !CJ$.00f offset nun.of 2 ft.
❑❑Roof shingles either tile or wood �' ble,hip or gambrel roof design
❑Roof pitch oriented south nun. 500 sq. ft. �rizontal lap siding min. 3-7 inches wider/
CI Accent siding min. 40%of street facade Ig" indow trim min. 21/2"wide by 5/8"deep f
❑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%o - of street facade
- Garages and Carports: May face the front or, line on a corner 1.
Setbac • \CC `,�(`
No closer to fro : ide lot line,than longest street-fa. r 0. . 5 Yes ❑No. If No (Check one):
❑May extend up to 5 ft.t . - - is a covered fr.. .orch and garage does not extend beyond the front porch.
0 May extend up to 5 ft.where the .. . is part of a two-story building and there is a window at the second story
above the garage that faces the .- et with a . . -a of 12 sq.ft.
Width: (Check one)
❑12-foo - .":e garage door ❑40% ma . • street facade
i/o max. of street facade with 7 detailed desi•. elements _
Notes:
Approved By Planning: Date: 2/19/21
I:16uiIding\Form s\Bldgpe"nitRvw_RES_RT_121417.docx