Permit!W -. ... . - -. _ - . .. .. .
CITY OF TIGARD MASTER PERMIT
`; I COMMUNITY DEVELOPMENT Permit#: MST2021-00226
T r ;A P.TT) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2021
t
Parcel: 2S107AA16200
Jurisdiction: Tigard
Site address: 16609 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 162
Project: Polygon at Roshak Ridge, Lot 162
Project Description: New detached dwelling with 128 sf deck
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1093 sf Basement: 862 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 4 Second: 1410 sf Garage: 400 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3365 sf Value: $434,489.10 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 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
1 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: 6 201-400 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 3365
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 2 Geo Tech Report Required
Prior To Pour
PHONE PHONE: 360-695-7700
FAX:
Total Fees: $45,412.12
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
0S9-nM-nnin thrni,nh CAP 0c9-nnl-nnon Vni,mnv nhinin n rnnv of}ha rnloe nr,iircrt nnnetinne to nl mu-.by rmllinn cn4 9'39 10R7 nr 1 Rnn'2Q9 9Z44
Issued By: HOU V D�wee Permittee Signature: 0YLApplicatto-ts.
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 -b 4112,
Residential RECEIVE FOR OFFI(1:I'SE ONL1
JUN p Receiveed n///J 2 22/ �� Ms 2/-fiL2224,
. City of Tigard :::::
(�(Q PermitNo.:13125 SW Hall Blvd.,Tigard,OR 97223 2�21lview ^�Phone: 503.718.2439 Fax: 503.598.1960 : 7 21 f'iPl Other Permits�W2Q2 f- d/1-fq
Inspection Line: 503.639.4175 CITY OF TIGARD Date ady/By: 1 la See Page 2 for
TIGARD
g g BUILDING DIVISIO PP
Internet: www.ti and-o[. ov N red Method Su lemental Information
TYPE OF WORK REQUIR D 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.// p
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ `�-134 f +$9,
❑Accessory building El Multi-familyNumber of bedrooms: 51
❑Master builder 0 Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors:3 WS-
Job site address: 16609 SW Townsville St New dwelling area: 3,365 square feet l�t
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet l bC1 3
Suite/bldg./apt.no.: Project namte:Polygon at Roshak Ridge Covered porch area: square feet fiS`„�
Cross street/directions to job site: Deck area: 12 square feet `�/
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 162 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: 3,365 SF(SFU) Valuation: $
Elevation: 222603BR-Projected Start: November 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 Vi9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer tofreschedute)
—....._.. ., 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*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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:( 360)695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: Ohtfait,.e q .cy 66W 14- 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: 06/08/2021 *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 Applicati FOR OFFICE USE ONLY
Cityor rs�ofal�� ECEIV'E Received
Dateal PermitNo.: H51 o2-(-0oL2G
13125 SW Hall Blvd.,Tigard,OR 97223 �IInd' �g fl9 y
Phone: 503.718.2439 Fax: 503.598.1960 J U I'l 0 9 2021 Plan Review
Dale/By: Other Permit:
tltiitia7 Inspection Line: 503.639.4175 Date Read/B : luris El See Page 2 for
Internet www.tigard-or.gov CITY OF i IGARD 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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
- Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
IN 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
jMolti-family ❑Master builder ❑Other: Description Qty. Ea. I Total—
JOB SITE LNFORMATION AND LOCATION Heating/conlian:
Air conditioning I 46.75
Job site address: 16609 SW TOWNSVILLE ST Furnace 100.000 BTU(ducistvents) 46.75
City/State/Z1P:Tigard,OR 97224 Furnace 100,000I BTU(ducts/vents) 54.91
Suite/bldg./apt.no. Project name: Polygon at Roshak Ridge Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system
23.32
Residential boiler(radiator or
jydronic) 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.: 162 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 23.32
Log lighter(gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other. 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 —
_.� Clothes dryer exhaust 33.39 _
City/State/ZIP:Vancouver,WA 98660
Single-duct exhaust(bathrooms,
toilet compartments,utilityrooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32 I
Fuel piping:
Business name:Polygon WLH,LLC S14.15 for first four;54.03 for each additional
Contact name:Toaja 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 I Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(ataylormorriSOD.COm 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($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1540 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
I.+ it days after it has been accepted as complete.
Authorized signature: ""Q �u Q' ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
r-lrniMine\pnrTlrt\AAT:r O -,.,Ann UM 11 Ar,.- ...n A.:IT'r..m,Mvwrm.ru.
Electrical Permit Application r•OR OFFICE:USE ONLY
City of Tigard R E C E 11! E Pemot 4 IL4 Si zv7-4-aa22(,
13125 SW Hall Blvd,,Tigard,OR 97223 PlattRcview
I Phone. JUN 2439 Fax 503.598 1960 U N 0 9 2021 it atcTly Related Permit 0:
Inspection Line: 503 639 4175 CITY/y 7{ p t Ready nnteIRy- Stair 1r�See Pagc 2 for
'1'l li i!E+.1) $ R CI I i OF I IGARD_. Supplemental Internet: www.0 and-or.goy Noti&cd/Mcthod. So iemegtal Information
1 R§oLDING OIViSION
iJy� TYPE OF «-o PLAN REVIEWR=
New construction ❑Addition/alteratioa/replacement Please check all that apply(submit j sets of pl ms wiitaxas checked).
0 Demolition ❑Other: ❑Same or feeds 410 amps m more ❑Building over three stones
whet.the...liable fault current ❑Marinas and boatyard.
CATEGORY OF CONSTRIUCTION exceeds 10,000 amps at 150 volts or ❑Floating bwldtagv
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ics re l:munii,or exceeds 14,000 ❑Commercial-use agrrcalmntl
amps for all other installations buildings
❑Multi-family * ❑Master builder ❑Other. 0 Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION At\'D LOCATION 0 Emergency system larger separately denied
ActdJob#: Job site address: 16609 SW TOWNSVILLE ST EllOQ1IP ter011Porcm new motor load ef sysicm.
morn.
City/State/ZIP: Tigard,OR 97140
❑Six IN more residential units orxtyran,y
^-- -. CI Health-carefacilities. El Recreational%elude parks_
Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑Hazardous locations ❑Supply vohage for mute than
0 Service or feeder 600 amps or more 600 volts uommal
Cross street/directions to job site: FEE SCHEDULE
Uric Moron I Qty. I Each I 'total 1 * .
— _ New residential single or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 162 includes attached garage.
1,000 sq It.or less 168 54 4
Tax map/parcel,r r: Fa"addl.500 sq P.or portion 33 92 1
DESCRIPTION OF%%OltK Limited enemy,r siddnual
New construction. Type 5FU (with above sq.ft) 7s oQ 2.
....... Limited energy,multi-family 75 00 2
residential(with above sq.ft.)
Renewable Energy ❑ Scc Page 2
® PROPERTY OWNER f 0 TENANT Services or feeder's installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 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,'l.IP: Vancouver,WA 98660 Got 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
Email: OAIamiAbouhafs@taylormorrison.com-Per mirSubmittals(2tay'lormorrison.eom relocation
Owner installation:This installation is being made on property that 1 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 a8 2
Owner signature: Date: 401 amps to 599 amps 168 54 2
Branch circuits--new,alteration,or extension,per panel 0 APPI.ICA I El CONTACT PERSON
t - - ---- A.Fee for branch circuits with
Business name: Polygon Homes Wi.H LLC above service or feerkr fee,
each branch circuit 7.42
Contact name: Omar Alami Abouhafs B Fee for hranch circuits without
Address: 703 Broadway St.,Ste 710 service or feeder fee,first branch R 2branch circuit
City/State/ZIP:Vancouver,WA 98660 Each arid'!branch circuit 7.42 2
Phone: 364 )946 8674 !Miscellaneous(service or feeder not included)
( Fax::( ) Each manufactured or modular 67 84 2
dwelling,service and/or feeder
Email:OAlamiAbouhafsrittaylormorrison.com-PcrmitSubmittals(rvtaylnrmorrison.com Reeonr,uet only 67 Ra 2
CONTRA(1 OR Pump or'ovation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67 84 2
Signal circuit(s)or landed-energy Address: 105 Dresden St _panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional mspccuon(1 hr min) 66 25/hr
Phone:(503 308 0563 Fax:( ) Investigation(l hr min) 90.00/hr
Email: David@wallacewires.com Industrial plant(I hr min) 78.181hr—
Inspections for which no tee is 40 00/hr
CC13 Lie.:224868 Electrical Li'• C 1441 Su v_1. 6363S specifically listed('h hr min)
ELECTRICAL, PERMIT FEES
Supra.Electrician signature,required: -
�r( - Subtotal
Print name: Date: t
tJ e,AwL.,
li/ /z f , ❑Plan Review Required of permit fee):
State surcharge(12%of penile fee)
Authorized signature TCYI'AL PERMIT FI p
This permit application expires if a permit is not obtained within 180
Print name: „ � -, Bate: f/6/7-[ v._ days after it has been accepted as complete.
�'�_�� . Number of uospecttuns allowed per permit.
1:lnuiingWermits'fIC_PermftApp_EL8 LRE.doe Rev06/17.2011 ,L1i//-ISISf(!IKS51COWWEB
Plumbing Permit ApplicatioRECEf VE.•
Building Fixtures FOR OFFICE USE ONLY
City of Tigard JUN 0 9 2021 Received
Permit No.: IA ST2.021-00 Z2-
n 13125 SW Hall Blvd.,Tigard,OR 972 OF Plan y:
TY IGAR Plan Review
a Phone: 503.718.2439 Fax: 503.59 Other Permit No.:
DING DIVISIONDate,'By:
TIGARD Inspection Line: 503.639.4175 Date ReadyiBy: ions: El See Page 2 for
Internet: www,tigard-or.gov NotificdRtlethod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I 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 ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building aa-Multi-family
Each additional bathtkitchen 25.02
❑Master builder 0 Other: -
Fire sprinkler(_-__,_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16609 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 drain(no.linear ft.: ) _ Page 2
Suitebldg./apt.no.: Project name:D..."-""IA11Wolygon 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:I Polygon at Roshak Ridge Lot no.: 162 _Fixture or item:
Tax map/parcel no.: Bacldlow 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 ❑ 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 WLFI,LLC Medical gas(value:5 ) 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:permitsubmittatsCpolygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37 52
Business name:G&B Plumbing&Sons Inc Water piping/DWV DV 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:• t x� TOTAL PERMIT FEE
Print name:Steve Fowler Date: O/3O/2O This permit application expires if a permit is not obtained within 1S0 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l.'.9uildw;`,Pcrmits\PLMU-PennitApp.dnc IWOlit* 440.4616T(10,02COM/WEB)
City of Tigard
® COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
TIGARD,'
Building Permit #: MIS 1202(-0022
Site Address: (Vp01 5 kJ Tb .if J$1/(t,L. T.
Project Name: `bt-Nf o i i47 1 k UG,f r1 Lot #: go
Planning Review
Proposal:op kick/�l/ /1iuzif
12 Verify address/suite# active in Accela. n River Terrace: ❑ No Yes,River Terrace Review Addendum
Site lan Elements: Erosion Control
• rcopies of site plan on 8-1/2"x 11"or 11 x 17"paper aA LllRetained trees with drip line and tree protection measures
Drawn to scale(standard architect or engineer scale) 4 tprint of new structure (including decks)and FFE
7 1_.. h arrow IQU .ty locations&easements (required for new and additions)
w,�rite address,project or subdivision name and lot number Sidewalk/driveway approach
0(fA ZaApplicant information(name and phone number) N 11 .cation of wells/septic systems
` ❑Lot dimensions and building setback dimensions VA Str et tree size,type and location
1" Square footage of buildings to be demolished tr names
L iE sting structures on site Corner elevations (2'contours if more than 4'differ nal)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? IJYes ❑Noo
Jimpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes�No
eI Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Cd No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additi ns,Remodels and ADUs
��/Required: CI Yes,applicant was notified No �� Received: ❑ Yes ❑ No
NICJ1A SDC Exemption for ADU applied for: ❑ Yes Of No Received: ❑ Yes ❑ No
—ublic Facilities Improvement (PFI) Permit:
quired: ❑ Yes,applicant was notified rr o Applied For: ❑ Yes ❑ No,stop intake
nd Use Case#: 50
[72d�� �� ❑ Zoning: a U 'f.
Required Setbacks: Front: •2'
ZQ Rear: /0I Side: 3' Street Side: N/A Garage: O
wilding Height: Max. Height: Actual Hei ht. a�
andscape Area: Ai/A % Lot Coverage Max: A
ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset s or less
Window Minimum 12%of area of all street-facing facades
Garage ❑ Garage ehind widest street-facing wall s ❑ No,one of the following is met:
❑ Door extends no than 5'from walla re is a covered porch extending beyond garage.
❑ Door extends no more than wall and there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is 'or less ❑ 5 o s of facade ❑ 60%or less and includes 7 of following:
❑ Co porch ❑ Recessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
Fire shingles E Lap Siding ❑ Roof pitch ❑ Gable,hip, rel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projec ❑ Balcony
❑ Visual Clearance ❑ Urban Forestry Plan
❑ Sensitive Lands: ❑ Yes Ia No Type:
❑ Conditions met prior to issuance of buil ' permit
Notes:
air Approved By Planning: Date: Gio 7i/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: &/ $/2e21
Site Plans: # .3
Building Plans: # 3
Building Permit#: [ -Enter building permit#above.
Workflow Routing: (LVPlanning ['Engineering 2 Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: REngineering: (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 tru tails,if applicable, etc.
Notes:
By Permit Technician: Date: 614'4'5/ 24
Engineering Review
Slope at building pad:
[ Conditions "Met"prior to issuance of building permit
2 asements (encroachments)per engineering conditions of approval and plat
LK Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Cif"No
Assess Water Quantity Fee in-lieu: ❑ Yes gr'No
LIDA Facility on lot: ❑ Yes No
[, Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E "-Approved by Engineering: 7 7`. Date: ph q/4 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
V' pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
DC Exemption: ❑ Received mapply
II SDC Fees Entered: Wash Co Trans Dev Tax: V Does not Yes ❑ N/A
Tigard Trans SDC: ❑ N/A
Parks SDC: 1Yes
Yes ❑ N/A
LIDA ❑ Yes VN/A
Vi
OK to Issue Permit
Approved by Permit Coordinator: ��" '" �� Date: 4/4,2.-/
1:\Building\Fonns\BldgPennitRvw_RES_122419.docx
City of Tigard
Iiiv COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: MS -2021 0022.(
Site Address: VO q Chi arvt ct C ft
Project Name: 'jDL./ ici---- 4:1:Yf 1Ak 2 I O E Lot #: /C-2
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ❑ 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 of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: f I Z
3. Entrances:At least one entrance must meet both of the folio g standards:
� Parallel to street,angle no more than 45° from street,
IQ Max. 8 ft. setback from longest street- facing wall
,( or open onto porch
Entrance opens to a porch:iLl Yes ❑ No
If yes,all the following apply: 45 sq.ft. min.
Z(One street facing entry I/ 2 ft. max.roof above floor of porch
1 5. ft. depth min. 30%min.porch roof coverage
24.petailed Design:All buildings shall include a min. of five of;he following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
"Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ Roof offset min.of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. 2 Horizontal lap siding min. 3-7 inches wide
ccent siding min. 40%of street façade ❑ 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. 1Yes ❑ 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 façade
1:210°/0 max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: - Date: b/f0A i
I I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx