Permit CITY OF TIGARD MASTER PERMIT
° = COMMUNITY DEVELOPMENT Permit#: MST2021-00229
T r 6 A R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2021
Parcel: 2S 107AA21400
Jurisdiction: Tigard
Site address: 16594 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 214
Project: Polygon at Roshak Ridge, Lot 214
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1211 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1715 sf Garage: 485 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2926 sf Value: $381,743.46 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types 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: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 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&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2926
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $43,597.87
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
049_nn1-nnln fhrniinh nAR QA9-nnl-nnon vnn matt nhfain a inn,of fhc n,IPC nr dinar}n11PCfinnC tn ni INC hu rallinn FnQ 9'29 1QA7 nr 1 Ann 119 9'111d
}EOUy Vc rt.'De'We e
Issued By: Permittee Signature: (0Y1/App rart%nrv_
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.
Building Permit Application ._0 ia
Residential RECEIVE 0 FOR OFFI(\E USE ONI.I
City of Tigard S Date/ByLReceived ��/� /2/ ''' Permit No:MSr202I-O0�
- 13125 SW Hall Blvd.,Ti Tigard OR 97223 JUNO 202 I ^ /���,� S,.Z
g Plan Review i CaW Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permi
TIC;ARD Inspection Line: 503.639.4175 CITY OF TiUARD a Ready/By: / 7 ® SeePage2for
Internet: www.tigard-or.gov BUILDING DIVISIO i.. fiedMethod:7+ ` �/� Supplemental Information
//"..,. .P??
TYPE OF WORK REQUIRED D, A: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.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3S I rl
El Accessory building 0 Multi-family Number of bedrooms: S
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 J L 1
Job site address: 16594 SW Townsville Stree _ New dwelling area: 2,926 square feet 11�5-
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 485 square feet l ,
Suite/bldg./apt.no.: Project namte:Polygon at Roshak Ridge Covered porch area: / square feet
Cross street/directions to job site: Deck area: 1: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge Lot no.: 214 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 residential construction-Total R3 Occupancy: 2,926 SF(SFU) Valuation: $
Elevation: 222300B -Projected Start: October 2021 Existing building area: square feet
Deferrals:N/A New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon Homes WLH LLC Type of construction:
Address:703 Broadway St., Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:( 360 946 8674 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON Ut9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
703 Broadway St., Ste 510 FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:(360) 695-7700 Fax::( )
E-mail: Permitsubmittals@taylormorrison.com/OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Polygon Homes 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:( 3601 695-7700 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: 0/42 L,(y l ne. ,fY 69LL/aziel, This permit application expires if a permit is not obtained
�� within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 06/07/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicatiotRECEIVE Leceiyed FOR OFFICE USE ONLY
City of Tigard Date/By: Permit No.: M ST2D2.(-Qo 22-G/
't 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 0 9 2021 Plan Review ".__
1 Phone: 503.718.2439 Fax: 503.598,1960 Other Permit:
r Date/By:
f I tiA It l� Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: '� turis` El See Page 2 for
Internet: www.tigard-or.gov 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
V;4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
a Demolition a Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY_OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
/: I-and 2-family dwelling a Commercial/industrial ❑Accessory building For special information use checklist.
I j Multi-family ❑Master builder a Other: _Description Qty. Ea, Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 16594 SW TOWNSVILLE ST Ai forting 46.75
Furnaacece 100 000 BTUducts/vents I 46.75111111111111
F
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat Bump
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system
Residential boiler(radiator or
hydrotvc) 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.: 214 Other. 23.32
—_-__ Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
New SFU type construction Flue vent for water heater or gas
fireplace 1111 23.32 all
Log tighter(gas) —®_
Wood/.ellet stove 33.39
Wood fireplace/insert __ 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER Other. 23.32
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 _ $14.15 for first four;54.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 _ Gas beat pump
Wallisuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater T _
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(ataylOrmOI'flSOfi.COM Barbecue
iNt CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Outer:
MECHANICAL PERMIT PEER*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR ____ Minimum permit fee($90.00) —
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( )
State surcharge(l2%of permit fee)
CCB lie.:209001 mm TOTAL PERMIT FEE
[^ ( This permit application expires if a permit is not obtained within ISO
J i a f1.0 days after it has been accepted as complete.
Authorized signature: (�Gli r !! ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
franiltinuA rtrm,,,ujsr Porrnitan.twill 11 An,-
,
Electrical Permit Application RECEIVE ..0,,,,_.t st:ONt Y
City of Tigard -. Received pattriiy Prrtnttk i..,ST2o21-CO 22
.-4 13125 SW Ball Blvd.,Tigard,OR 97223 1 U l t! 0 9 2 0 214 flan Review
S Phone. 503,718.2439 Fax. 503-5981960 l)aretrty- Related Permit>.
Inspection line: 503.639 4175 y tea runs.
T"1Cii1Rt� Y )� SccPngclfor
Internet: www.tigard-or.gov CITY OF T IGARD Notified/Method. Supplemental Information
TYPE of WO4,lILDING DIVISION- _
PLAN REVIEW
gil New construction ❑Addition/alteration/replacement Please check all Mat apply(submit l sets of plans whims checked)
❑Sea vice or feeder 400 amps or more l]Budding over three stories
0 Demolition ❑Other: where the;wadable fault current 0 Marinas and(xwtyurd'
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑bloating buildings
® I-and 2-family dwelling 0 Comerciallindustrial ❑Accessory building is to mound,or exceeds 14,000 0 eon,mucial_use agricultural m
amps for all other installations buildings
❑Multi-family ❑Master builder ❑Other: ❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AM) LOCATION ❑Emergency system larger separately desired
Job#: Job site address:16594 SW TOWNSVILLE ST ❑10011 Addition moref neiv m°`nrt°cdof system.
100t[P or more. ❑"A"."Y;""'I-Z"."I-3",
City/State/ZIP: Tigard,OR 97140 ❑Sax or more residential units occupancy
_ ❑Healthcare facilities. ❑Recreational vehicle parks.
Suite/bldg./apt#: l Project name: Polygon at Roshak Ridge ❑Hazardous locations 0 Supply voltage for mine than
0 Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job Site: FE!'. SCFIEI?FTI E
-
Description 1 94. 1 Each 1 'Ibtal l `
New residential single,or multi-family dwelling unit,
Subdivision:Polygon at Roshak Ridge Lot#: 214 includes attached garage.
1,000 sq ft or kis 168 54 4
Tax map/parcel#: •
�._
fa.add'1500 sr' f or portion 33 92 1 t
DESCRIPTION OF WORK Limited enemy,residential
New construction.Type SFU (with above sq.ft.) 75.00 2
x._ Limited eticigy,multi-family 75D0 2
residential(with above sq.ft.)
Renewable Energy 0 Sec Fags 2
{Si PPROPERTYOWNER 0 TENANT _Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLHLLC 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200 34 2
City/State/Z1P: Vancouver,WA 98660 _ 601 amps to 1,000 amps 301.04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
. . -. -- Temporary services or feeders installation,alteration,and/or
Ernad: OAlamiAbouhafs@taylornlorrison.com-PermitSubmittals@taylormorrison.com relocation
Owner installation:This installation is being made on property that I owil 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 t 2S 08 2
Owner signature: Date: 401 amps to 509 amps 168 54 2
❑ APPI.ICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
.. A Fee for branch circuits with
Business name: Polygon Homes W1.11 LLC above service or feeak,-r roe, 7 42
. each branch circuit
Contact name: Omar Alami Abouhafs B Fee for branch circuits without
service or feeder fee,first
Address: 703 Broadway St,Ste 710 56 18 2
branch circuit
City/State/ZIP: Vancouver,WA 98660 Each add':brunch circuit 7.42 2
Phone: 360 946 8674Miscellaneous(service or feeder not included)
( ) Fax::( ) Each manufactured or modular 67 84 2
Email:OAlamiAbouhafsrataylormorrison.com-PermitSubmittals(taylnrmorrison.com dwelling'service ands°r feeder
. _ Rc°onncct only 67&! 2
-- - -C.ONTRA(70R Pump or irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67 84 2
Address: 105 Dresden St Signal circuet(5)or limited-energy_ panel,alteration,or extension. 0 See Page 2 2
City/StatelZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional Inspection(i hr min) 645 25/in
Phone:(503 3)8 0563 Fax:( ) Investigation(I hr min) WOOF hr
Email: Davld(wallacewires.conl Industrial plant(l terrain) 7$.1$/br
Inspections for which no lee is
CCB Lie.:224868 Electrical Li-. C 1441 Su v_1.' .: 6363S specifically listed('h hr min) 90.001 ter
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: W e, , Subtotal
—.
Print name:TI-'.e tp r Date: /4 d d 0 Plan Review Required(25%of permit fee):
/J State surcharge(12%of permit fee)
Authorized signature a� _ TOTAL PERMIT FCC
Print name: /� This permit application expires if a permit is not obtained within tau
Date: 1 days after 11 has been accepted as complete.
• Number of inspections allowed per permit
1.43tulbnglt'rrmits'ILC_PrnnitApp_ELR PRE.dec Rev06,1112015 4.5-lt1iT(i1/05/C0h0tt.B
Plumbing Permit Application
Building Fixtures RECEIVE/ FOR OFFICE USE ONLY
Received
City of Tigard Date/By: Permit No. St�2(00 ug
' 13125 SW Hall Blvd.,Tigard,OR 97223,�U N Q 2 Z ----- ..__
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: l
Date/By;
TIGARD Inspection Line: 503.639.4175 //��
CITY OF t IGARD Date Ready/By: iris: El See Page 2 for
Internet: www.tigard-or.gov BUR DING fiVISIONi Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
,._ - Description Qty. -17-1 Total
0 Addition/alteration/replacement 0 Other: Ncw 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Al-and 2-family dwelling ❑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: 16594 SW TOWNSVILLE ST Catch basin or area drain 18.76
- -
City/State/ZIP;Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
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.: 214 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFU type construction
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 dtain'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 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon VsLII,LLC Medical gas(value:S ) 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@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping'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 Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO days
Print name:Steve Fowler Bate' 10/30/20 after it has been accepted as complete.
*Fee methodology set by Id-County Building Industry Service Board-
LiBmitdmeermitsTiAtI-Pmnit.App.dnc 10/0it09 440-4616T(10002(COMWEB)
4
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
ril ` Building Permit Review — Residential
TIG Attu'
. pa,! tiler;f oGit#tmit#:Fi;:#ar:ufl sztt7 nTARD 31$ ti oTod` . Ag4➢m ¥:'Eu3tt3, i1mHhkW-Ftalgi? t::tdilitl Ff*s#ik u"i;i i{733i2.T,P?+?,,€L.,11%,14s':`r0i,t+.t 143,ts;aA€#:Wi'T;d7ts'5LL,
Building Permit #: R T2O2l-00229
Site Address: I(.-ci 14 SJ rbietinClAcE ST.
Project Name: T ,-/GaC f AT- tf 1C- 1:21ave. Lot #: 2/y
Planning Review
Pro os al: AJ fiti,�.S 6
it Verify address/suite# active in Accela. ,[2vIn River Terrace:ra� ❑ No Wes,River Terrace Review Addendum
Sit lan Elements: L/f1J;r.sion Control
10( copies of site plan on 8-1/2"x 11"or 11 x 17"paper pi 'i: ' in-e trees with drip line and tree protection measures
Dr,' to scale(standard architect or engineer scale) F e•tp • t of new structure(including decks)and FFE
I• e rth arrow nu ty locations&easements(required for new and additions)
r4 S address,project or subdivision name and lot number Sidewalk/driveway approach
licant information(name and phone number) VA II a cation of wells/septic systems
E4st dimensions and building setback dimensions 4 reet tree size,type and location
011\ Hare footage of buildings to be demolished YJS eet names
sting structures on site DiCorner elevations (2'contours if more than 4'differential)
1 tot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Z‹s ❑N
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YesJNo
1C� .lean Water Services—Service Provider Letter of platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified L/1 No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—P Additions,Remodels and ADUs
a /equired: ❑ Yes,applicant was notified IQio No Received: ❑ Yes ❑ No
NIP C Exemption for ADU applied for: ❑ Yes O No Received: ❑ Yes ❑ No
IJublic Facilities Improvement (PFI) Permit
Required: ❑ Yes,applicant was notified��y�11Uy'.No�� AA plied For: ❑ Yes ❑ No,stop intake
Zri:and Use Case#: 'SVB201S CO CO') r JL1 Zoning: 11 !
Z iO Side: 3 i
Required Setbacks: Front: I Rear: NA Street Side: Garage: 20
❑ Building Height: Max.Height: IV/A Actual Height: 27"
Landscape Area: 1�2 % , Lot Coverage Max: 2a
trance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windo Minimum 12%of area of all street-facing facades
Garage ❑ Garage ehind widest street-facing wall ❑ Yes ❑ t e following is met:
❑ Door extends no m 5'from wall and there is a porch extending beyond garage.
❑ Door extends no more than 5' ro ere is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ 12' 50%or less e ❑ 60%or less and includes 7 of following:
❑ Covered o Recessed entrance ❑ Wall offset ave ❑ Roof offset
s • gles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambre to Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ala.ony
Visual Clearance ❑ Urban Forestry I2j n
❑I Sensitive Lands: ElYes IJ No Type:
Id Conditions met prior to issuance of buil ' permit
Not '•
Approved By Planning: Date: 69 /0 if
Revisions (after Building Submittal o ly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fors\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: // /2OZ/
Site Plans: # 3
Building Plans: # 3
Building Permit#: [V Enter building permit#above.
Workflow Routing: Er Planning Engineering [Permit Coordinator [-Building
Workflow Sign-off: -Sign-off for Planning(include notes from planning review)
Route Application Documents: [3,Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Lp1' Building: original permit application, site plans,building plans,engineer and
beam calculations and st details,if applicable, etc.
Notes:
By Permit Technician: Date: *A%z/
Engineering Review
[ "Slope at building pad: 11%
Conditions"Met"prior to issuance of building permit
I 'Easements (encroachments)per engineering conditions of approval and plat
LV Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes VNo
LIDA Facility on lot: ❑ Yes IZ'No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E Approved by Engineering: *4.01 44viuc+ Date: 41/7 /d,z/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
ermit Coordinator Review
Conditions "Met"prior to issuance of building permit
pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
)i, `DC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: 4 Yes ❑ N/A
i Parks SDC: 4/Yes
❑ /A
LIDA ❑ Yes Vir N/A
VI OK to Issue Permit
Approved by Permit Coordinator: Date: Ce/P-/Zi
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
•
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
illill 3 .
T 1 c R o River Terrace Building Permit Review Addendum
Building Permit #: HST20z.(-00.9)9
Site Address: /(�71 gki TbwN.clitL(c cr.
Project Name: t Y Lot #: 2I'-
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Districttr Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? V Yes El 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. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
—/ ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
�d' ElEl ❑ El
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: , 12 e •
3. E ances:At least one entrance must meet both of the folio g standards:
Max. 8 ft. setback from lon est street- facie wall rr Parallel to street,angle no more than 45° from street,
gg or open onto porch
Entrance opens to a porch: l7 Yes ❑ No
Ies,all the following apply: sq.ft.min.
2e street facing entry ft. max. roof above floor of porch
flt. depth min. 30%min.porch roof coverage
4. 9etailed Design:All buildings shall include a min. of five of tl�,¢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
covered
,all offset min. 16 inches El Dormer min. 4 ft.wide
Roof eave min. 12 inch projection El .00f offset min. of 2 ft.
❑ Roof shingles either tile or wood Fr Gable,hip or gambrel roof design
Eoof 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"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 façade
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.JQ Yes ❑ No. If No (Check one):
El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
El 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)
El 12-foot-wide garage door 40%max. of street façade
El 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: - — Date: (Oh 0/2(
1:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN ii
Transmittal Letter
}c A R 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: AtQ5aoy, NrmsI- onp DATE RECEIVED:
DEPT: BUILDING DIVISION U
RECEIVED
FROM: Grl,OYl /:/1'2 is /4/ ull-o S
, JUL 212021
COMPANY: (pie ' O/�j S&\._ CITY OF TIGA D
PHONE: 36 o ��b &96' 4BUILDING DIVIS Olxl D .
.
EMAIL: &"a Pa,'v, ' q l)ec/A4 4tftjgrzmAzyrausA p.,•-• ._
RE: 'f 6594 S Tc JJIsV(LLE ST c1ST 2a21 — 00205'
Site Address LL (Permit Number)
oft en 0.� 1 ck4d
(Pr c ame or subdivision name and lot numb
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations.nn Engineer's calculations.
Other(explain): 6.2 X ReVISC 54-lvc-41A0A CA(til o1- -1,S + 3 x S4toefS AS 4916 .
REMARKS: SfrLdUga) Cal CUt.&AW-LA Shed- 45 CJ S shieJ rit we...
revi s A $e uc1Jce Au,""(. ev► t 2?$ zavt/j
Please See Rw onseo in i.a " eoka >i rtat)
F012 OFFICE USE ONLY '
Routed to Permit Technic'.n: Dat • —1 I Initials:
Fees Due: ❑ Yes i ee Description: Amount Due:
.Qb $
$
Special
Instructions:
Reprint Permit(per PE): E Yes /0:1•Nee
No �� ❑ DonApplicant Notified: Date: 7 ( Initials:
1:\Building\Fonns\TransmittalLetter-Revisions_073120.doc