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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00240 T C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/25/2021 (; Parcel: 2S 107AA 16000 Jurisdiction: Tigard Site address: 16649 SW TOWNSVILLE ST Subdivision: ROSHAK RIDGE Lot: 160 Project: Polygon at Roshak Ridge, Lot 160 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1211 sf Basement: 763 sf Left: 3 Parking Spaces: 0 Height: 26.5 Bathrooms: 4 Second: 1715 sf Garage: 485 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3689 sf Value: $478,271.64 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer 100 Tubs/Showers: 4 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: 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 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!500 sf: 7 201-400 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 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 3689 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 Geo Tech Report Required VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $46,716.05 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 oc9-nnl_nnln}hrniinh n8R QS9_nni-nnon Vnn mow nhr.in a rnnv of}ha rnlac nrrlirar}nnac/inne in ni IiJ( h‘i rollinn col 9'39 10R7 nr 1 Rnn'3'29 9444 Issued By: 1frruy Va w1)Atlej .. Permittee Signature: OYL74rr1ACrAtI4'n 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 Residential RECEIVl 0 FOR OFFICE I:SE ONLY City of Tigard Date/B d d�2f ) /4,5T102/7Jd2110 Permit No.: a 13125 SW Hall Blvd.,Ti gar ,OR 97223 JUN ��� g Plan Reviews= Other Permit�QZ2.—aO/4,' Phone: 503.718.2439 Fax: 503.598.1960 t Da[e/By: s Ile T I G A R L) Inspection Line: 503.639.4175 CITY OF I I�i 1l L7 Date Ready/By: (o� t /Jurist Fa See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION N ' ed/Method: ! / Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 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. ® I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1'/ �� ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors:3 Li 1 7 Job site address: 16649 SW TOWNSVILLE St New dwelling area: 3,689 square feet l Ti i s- City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 485 square feet D,.L Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet —7(4,3 Cross street/directions to job site: Deck area: 121 i square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 160 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Construction /Type: SFU/Elevation plan: 222803BR Valuation: $ Projected start: December 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 ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please rejerto fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs Address:703 Broadway St., Ste 510 FLS plan review fee(if applicable): City/State/ZIP:Vancouver, WA 98660 Total fees due upon application: Amount received: Phone:(360)946-8674 Fax: :( )360 693-4442 E-mail: permitsubmittals@taylormorrison.com-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 7 t/ice/2-3 Total fee due upon application: $201.60 Authorized signature: 0/41.C!/2.4E .rY 6e, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 06/22/2021 *Fee methodology set by Tri-County Building Industry Service Board. L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatifECEIVED FOR OFFICE USE ONLY City of Tigard Received f Date/By: Femur No: _ 'i 13125 SW Hall Blvd.,Tigard,OR 97223 J 3Q21 Pl¢a Review t Phone: 503.7182439 Fax: 503.59ft.1960 Other Permit: Inspection Line: 503.639.4175 Date/By: YItiAl;Ii CITY OF_f IGA D DateReadyYBy: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. 1 j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total _ JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: 16649 SW TOWNSVILLE ST Furnace 100,000 BTU(ducts/vents) _ 1 ( ) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06 r 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.: 160 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 -- DESCRIPTION OF WORK Gas fireplace/insert 33,39 New SFU 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/hner/flue/vent _ 23.32 Other. 23.32 . PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 — 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 I ___. Fuel piping: Business name:Polygon WLH,LLC _ 514.15 for first four;S4.03 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(taylOrmOrriSOfl.COM Barbecue iNt CONTRACTOR Clothes dryer(gas) Business name:Pro H n eatig&Cooling Other: MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal I City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00) I Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 A: a tt days after it has been accepted as complete. Authorized signature; (�C . Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 tm,,;i,in.nro,,,I, s4c Po,,ssnn 40111 ring AAn A.r'rr r i v NI,was rmKv, Electrical Permit ApplicatiO!! t ECELVED 1 t,i;f iv Fit is 1 LF ttyl v ,- City of Tigard Received Permit i)ateDv I3125 SW hall Blvd.,Tigard,OR 97223 ,tJ N 2 3 2021 1']aa Rtwicw Phone 503 71$2439 Fax. 503 Sy8.196d �^ kale.Bv Related Permit t. Inspection Line! 503 639 4175 CITY OF TIGARD Ready DaterRyi furir la see Page 2 for Internet: www.ligard-or,gov r,F WBO n fotificaNeihad. Supplemental Information TYPE OFIRxING nlvl LION PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans whitens checked) ( ❑Demolition ()[her: ❑Service or feeder 4f10 amps m more 0 Betiding over three stones t-- where the:wadable fault current 0 Marinas and b d:atyanc CATEGORY OF CONSTRCCTION exceeds 10,000 amps at 150 wits or 0 Floating buildings 1-and 2-family dwelling ElCommercial/industrial ❑Accessory,building l° r°ground,or exceeds 14.0u0 0 Commercial-use agricultural amps for all other installations buildings 0 Multi-family 0 Master builder ❑Other: ❑Fire pump 0 lnstallattoo of 150 KVA or JOB SITE 'INFORMATION AND lRWATION 0 Emergency system larger separately derived l 1001[P or more.#: lob site address:16649 SW TOWNSVILLE ST ❑Addihmi of ore. °t°r load°t system. City/State/ZIP: Tigard,OR 97140 0 Six or wore residential units occupancy —. - _._. ._.. ❑Health-care facilities. ❑Recreational whiskparks. Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge 0 tlaratdou Locations 0 Supply volt<•tac for more than ------ 0 Service or lender 600 amps or more 600'"tits nominal. Cross street/directions to job site: FFT SCHEDULE -- -- nracrptioa I Qty. i Each I 'rota( I • Ncw residential single•or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 160 includes attached garage. 1,000 sq ft.or less 168 54 4 Tax map/parcel#: Fa add'(500 sq.ft or portion 33 92 1 DESCRIPTION OF WORK Limited energy.-,residential (with above sq.R) 75 00 2 New construction.Type SFU _ Lmuted cue gy,multi-family 75 00 2 residential(with above sq.ft.) ❑ See PEnergy[2 PROPERTY OWNER I f 0 FF ;AM1'l Renewable Energage 2 y or feeder's installation,al/eration,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/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301 04 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volt 552.26 2 Temporary services or feeders installation,alteration,and/or Entail: OAlamiAbouhafs@taylormorrison.com-PermitSubmittals@taylormorrison.com 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 snips 125 08 2 Owner signature: Date: 401 amps to 599 amps 168 54 2 0 APPLICANT ____1._ 0 CONTACT PERSON Branch circuits new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes Wi.H LLC above service or fccrkr fee, "- each branch circuit 7 2 _ Contact name: Omar Alami Abouhafs B Fee for branch circuits without service or feeder fee,first Address: 703 Broadway St.,Ste 710 branch circuit 56 I a 2 City/State/LIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 — Miscellaneous(service or feeder not included) Phone:(360 )946 8674 Eax:: ( ) Each manufactured or modular 67 84 2 dwelling,service and/or feeder Entail:OAlamiAbouhafs@''taylormorrison.com-PcrmitSubmittals@taylormorrison.com Reconnect only 67 84 2 — CONTRACi'OR Pump or in ip,atiun circle 67 84 2 Business name: Wallace Fiectric Sign or outline lighting 67 84 2 ' Signal circutt(s)or limited-energy Address: 105 Dresden St panel,alteration,Of extension 0 See Page 2 2 r City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the aliove Additional inspection(1 hr min) Eh 25/hr IMPhone.(503 3)8 0563 Fax:( ) Investigation(1 hr mum) WAXY hr Email: llavidfutwallaccw'ires.cam Industrial plant(Ihrmm) 78IS/br Cell Lie.:224868 Inspections for which no tee is 90.00/hr FlectricalLi ' C1441 Su I: .• 6363S specifically listed('hhrmin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal Print name:'7))ee, ,,C Date: it ilL Jz t L❑Plan Review Required(25%of permit fee): i• 1 / State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT P'GG- "— This permit application expires If a permit is not obtained within 180 Print name: Date: �/ daps after it has been accepted as complete. `-t ' Number of tnspectieus allowed per permit l'iIl*a ttsg&'eruuts'1:LC PereitApp_II-R E.RF.ttce Rev 06,1712015 it O.1615'f(11105IC0),UWF$ . Plumbing Permit ApplicatiqaL 6't VECEI ED Building Fixtures 'AA++ FOR OFFICE USE ONLY City of Tigard ,J U N 2 3 2021 Received Permit No.: . ,I13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Phone: 503.718.2439 Fax: 503.598.00TY OF f1GA1RD Plan Review Da[efBy: Other Permit No. TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION pate ReadylBy: mrs: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORE FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 A Xt-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 ElAccessory building 41-Multi-family SFR(3)bath 500.32 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: 16649 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 Suite/bldg./apt.no.: Project name:agoisinitalilidgePolygon 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.: 160 Fixture or item: Tax map/parcel no.: Backflow prey enter 31.27 DESCRIPTION OF WORK Backwater valve 12.51 New SFU construction 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 Fixturclsewer 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 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,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@.polygonitomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water i in /DWV 56,29 i _ PP g - -_ i Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 `� M Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lie.:184372 Plumbing Lie.no.:pb634 State surcharge(12%of permit fee) Authorized signature: e 1 it,„,0""...:-" TOTAL PERMIT FEE I m Thu permit application expires if a permit is not obtained within 180 days Print name:Steve Fowler Date: 1 0/30/20 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 11hitdingkPermits\PLMU-PermitApp.doc I Ort)1,D4 440-4616T(t0,021COM+WEB) 1 1 City of Tigard 1.1 11I COMMUNITY DEVELOPMENT DEPARTMENT 111 11 ;D Building Permit Review — Residential Building Permit #: j.,4sT2021-©O Zl0 Site Address: 1KOgI SHI TOW tgc1/ItLe.. Sr• Project Name: 1.Y4oaN) Al— Vpj 1C,_`.i --(06C Lot #: i&D Planning Review Proposal: N ,,,,, house Verify address/suite#active in Accela. 2rin River Terrace: ❑ No Yes,River Terrace Review Addendum Suttee Plan Elements: DE Sion Control LQ3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper FJR ained trees with drip line and tree protection measures yitawn to scale(standard architect or engineer scale) otprint of new structure (including decks) and FFE Di orth arrow ity locations&easements (required for new and additions) E Site address,project or subdivision name and lot number Sidewalk/driveway approach pplicant information(name and phone number) NA II .cation of wells/septic systems 14 Lot dimensions and building setback dimensions FA Street tree size,type and location Square footage of buildings to be demolishedreet names sting structures on site YO(Corner elevations (2'contours if more than 4'diffe ntial) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ZYes ❑ o pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YesNo Clean Water Services —Service Provider Letter of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet—Addi f s,Remodels and ADUs Required: ❑ Yes,applicant was notified ill No Received: ❑ Yes E No Os t DC Exemption for ADU applied for: ❑ Yes ❑ No Received: El Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified IQ No Applied For: ❑ Yes ❑ No,stop intake and Use Case#: S U8'lO(—0b004-1 ning: ice' v2- ,!'J Required Setbacks: Front: 1 2 Rear: in/ Side: 3 ' Street Side: AlA Garage: 20' Z' ding Height: Max.Height: PA Actual Height: 240•S— 'LandscapeeAArea: � % �ot Coverage Max: Art 0/0 , Entrance ,� Set back no more than 8'from street-facing wall 2 Prarallel to street or offset 45 degrees or less ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage hind widest street-facing wall ❑ Yes ❑ No e following met: ❑ Door extends no mo 5'from wall and there is a coy orc extending beyond garage. ❑ Door extends no more than 5'from is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or les 0%or less o 60%or less and includes 7 of following: ❑ Covered porch ecessed entrance ❑ Wall offset ❑ 1'Roo ❑ Roof offset ❑ F. . g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof er Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony isual Clearance ❑ Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes ❑ No Type: ❑ Conditions met prior to issuance of building permit Note Approved By Planning: Date: /Z 3/c / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPenni tRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: X/23/2 Site Plans: # Building Plans: # 3 Building Permit#: CJVEnter building permit#above. Workflow Routing: ['Planning Li--Engineering C'Permit Coordinator [Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: El'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trus .-tails,if applicable,etc. Notes: By Permit Technician: 1 j//4J7/` Date: LV2 102/ Engineering Review • to/Slope at building pad: 2s7o EL? Conditions "Met"prior to issuance of building permit /v/, Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ❑ Yes Cl/No LIDA Facility on lot: ❑ Yes 12' No 14 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: t7X Approved by Engineering: Date: 7 1/,‘A/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review COY 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 7' Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 7 N/A C/J OK to Issue Permit Approved by Permit Coordinator: A Date: 1 NIZO2d1 1:\Building\Forms\BldgPermitRvw_RES_122419.docx City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Its-i-ZOZI 00 Z'/6 Site Address: I(pfOq cw `rbi t c/Lt.L Project Name: pbt...Yc-e ) AT— StI 1 .(D4.0 Lot #: ] b (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? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled 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: ? V�%o 3. Entrances:At least one entrance must meet both of the folio tandards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: s ❑ No If yes,all the following apply: ?-5 sq.ft. min. ne street facing entry ft. max. roof above floor of porch 'CJ 5 ft. depth min. LJ 30%min.porch roof coverage 4. petailed Design:All buildings shall include a min. of five offr following elements on all street-facing facades: ered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Ci offset min. 16 inches ❑ Dormer min. 4 ft.wide of eave min. 12 inch projection ❑3.oof offset min. of 2 ft. ❑ Roof shingles either tile or wood WI ble,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 façade ❑ Window trim min. 2 t/z"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 façade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 6 Date: (Q/2-3 h. 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 N . go , . Transmittal Letter I 1 c,;r It Cl 13125 SW Flail Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ,ls&, /962,75/1-Ponj DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVES FROM: 9' A(° i9Lovh 9f-s AUG 10 20��'?' 2021 COMPANY: ,Le_ )re po — CITY OF TIGAFlLi PHONE: CS 6U1 9K 3674 BUILDING DIVISION EMAIL: ta2t ;cY'�r.c t9� RE: 16649 9.0 Towv►St,illb CI-. mST(kat - 0011+0 (Site Address) (Permit Number) 94=crtk. 01- � s ,•(10e, 4t�6o (Proame or subdivision name and lot numbed 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. Engineer's calculations. Other(explain): REMARKS: FOR FF CE USE ONLY Routed to Permit Techni 'an: Date: ` �� 7.) Initials: kria Fees Due: ❑ Yes N Fee Descri tion: Amount Due: \....cts 1\-- '.------ 4.---- $ pfz---- $ Special Instructions: Reprint Permit(per PE): ❑ Yes Done Applicant Notified: Date: //// No ❑Initials-: I:\Building\Fonns\Transmittal Letter-Revisions_073 1 20.doc