Permit CITY OF TIGARD MASTER PERMIT
III
COMMUNITY DEVELOPMENT Permit#: MST2021-00253
Date Issued: 09/22/2021
T r t;A R i7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA22000
Jurisdiction: Tigard
Site address: 16704 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 220
Project: Polygon at Roshak Ridge,Lot 220
Project Description: New detached dwelling unit
BUILDING
Floor Areas Required Setbacks Required .
Stories: 2 Bedrooms: 5 First: 1238 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1718 sf Garage: 486 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2956 sf Value: $385,465.56 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
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckllw Prevntr: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=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/vott: 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 2956
Owner: Contractor:
POLYGON WLH LLC WLLIAM 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: $43,713.05
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate 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
Q59-rx11_rx1in thrnu inh r1AA ORI-r1r11-nngn Vn„mn.nhtain n rnnv nl thn r,,14..nr dirnel n„natinne in r11 INC hn rnllinn cn'n 9119 ILIA]nr i Ann LLI ILIA
Issued By: Ho--q Vo.. De-Wege- Permittee Signature: OW App-Litzutioin,
Call 503.639.4176 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 FOR OFFICE USE ONLY
Received
City of Tigard ,riCEIVE DateBy: (A ql \J Permit No.:M%1.2Oz1-pr)2S3
III I • 13125 SW Hall Blvd.,Tigard,OR „RECEIVED
Nee Review /�
Phone: 503.718.2439 Fax: 503.598.1960 n� Date/By: _{ y A 1 of Permit:SWQZOZ1-C�Ot,
TIGARD Inspection Line: 503.639.4175 lUN j `? 2021 Date Ready/By: j'Lais: ® See Paget for
Internet: www.tigard-or.gov N ' ethod: , I Supplemental Information
CITY OF TIGARD
TYPE OF WOR [)ri LDING t91( 4 REQUIRED DATA: -AND 2-FAMILY DWELLING
®New construction El DemolitionPermit 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.
Valuation: $ 3q5, yco5 s
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: 5
0 Master builder ❑Other: Number of bathrooms: 3 (�
JOB SITE INFORMATION AND LOCATION Total number of floors:2 e3( ,-[Z
Job site address: 16704 SW TOWNSVI LLE St New dwelling area: 2,956 square feet(7 I
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet r`.3g
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet OO``
Cross street/directions to job site: Deck area: "" square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge Lot no.: 220 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 Construction/Type: SFU/Elevation plan: 222300G valuation: $
Projected start: October 2021 Existing building area: square feet
Deferrals:N/A New building area: square feet
la PROPERTY OWNER ❑ 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 v9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer tojee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 510 Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:(360)946-8674 Fax::( )360 693-4442
E-mail:permitsubmittals@taylormorrison.com-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a
CONTRACTOR Commercial and residential prescriptive installation of
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:( )360 693-4442
State surcharge(12%of permit fee): $21.60
CCB lie.:207247 .cy�t ` Total fee due upon application: $201.60
Authorized signature: Q/' 44, A�I09 This permit application expires if a permit Is not obtained
Ir// 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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l l/02/COM/WEB)
Mechanical Permit Applicatio'RECEIVE FOR OFFICE LSE ONLY
LY
City of Tigard Da,„By: eo\-1°41 \-V) PermitNo,:ir1ST 2021-00z S
't 13125 SW Hall Blvd.,Tigard,OR 97223 )) ,] 5 Plan Review
— Phone: 503.718.2439 Fax: 503.598.1960 JUN 2 e) 2U21 tmdpy. Other Permit:
Inspection Line: 503.639.4175 ^ Date Ready/By: kris: rd See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARC Nolitied/MUlwd: Supplemental Information
BUILDING DIVISION
TYPE OF WORK CO.A'LMERCIAL 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:5
CATEGORY OF CONSTRUCTION RESIDEN1TAL EQUIPMENT]SYSTEMS FEES*
12 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
1 J Multi-family ❑Master builder ❑Other: Description Qty. Ea I Total
JOB SITE INFORMATION AND LOCATION Beating/cooling:
Air conditioning I 46.75
Job site address: 16704 SW TOWNSVILLE ST Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000t BTU(ducts/vents) 54.91
Suite/bldgJapt.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
hydronic) 23.32
Unit beaters(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.: 220 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 fireplace
vent for water heater or gas
fueplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fueplace/iasert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
ID PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation:
Name:Polygon WLII,LLC Range bood/other kitchen
Address:703 Broadway St.,Ste.510 eqm 33.39
Clothes dry 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/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Gas
Address:703 Broadway St.,Ste 510 heat pump
Wan/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Ranee_
E- ail:permitsubmlttals(gtaylormorrison.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(590.00)
Phone(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
SThis permit application expires if a permit is not obtained within ISO A: b days after It has been accepted as complete.
Authorized signature: Li GL - Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
rAlinileAnAPemitAiltni P.nnie Ann ACAt IA An. n.n.n+r'n nnrr,.mmo.
Electrical Permit Application FOR OFFICE 1'Sl I1.\t 1
City of Receited Pet""
_ R►EC�IVEL. t>.�BY c����►1 Li ms�~zoz�-ooZs 3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 r a ' Phone: 503.718.2439 Fax. 503.598.I960 Daeiq- Related Permit 0:
TiG\RD Inspection Line: 503.639.4175 JUN 2 5 2D21 Ready Datdny _ tuns: El See Paget for
Internet: www.ligard-or.gov Notified/Method. Supplemental tafoemation
TYPE OF WOR'TY Of TIGARD PLAN REVIEW -
®New construction ❑Additioniaiterat44114MstitilVIS I OIL Please cheek all that apply(submit 2 sets olpines whtrms checked)
❑Demolition ❑Other: ▪Service or feeder 400 amps a more ❑Building over three stone,
where the available fault currem ❑Marinas and tuwtyara.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps as lso volts or ❑Heating buildings
® 1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building less to mound,or exceeds 14,000 0Commercial agricultural
amps El Multi-family0 Master builderfor all ether installations buildings.
0 Other: ❑Fire pomp. ❑Imraoation of ISO KVA or
JOB SITE INFORMATION AND 1.fx`ATtOii ❑Emergency system. larger separately de<ived
Job#: Job site address:16704 SW TOWNSVILLE ST ❑100HPnof new motor kudofwean
OOt[P or more.
City/State/ZlP: Tigard,OR 97140 ❑Six or more residential snits mammary
❑Health-emc facilities ❑Recreational vehicle parks.
Suite/bldg apt.#: Project name: Polygon at Roshak Ridge UBazardote locatrmos 0 Supply voltage for more than
O Service or feeder 600 amps or more 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
-
Description I O1,. i Each J Total 1 •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 220 Includes attached garage.
1,000 sq.R or less 168..54 4
Tax map/parcel#: Fa.add'1500
sq.R or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 75.00 2
New construction.Type SFU (with above c sq.it.)
Limited energy.multi-family 75.00 2
residential(with above sq.ft.)
-Renewable Energy ❑ See Page 2
' ® PROPERTY OWNER ❑ TENANT Services or feeders iostallatiou,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or leas 100.70 2
.
Address: 703 Broadway St.,Ste 710 201 aao 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,e1o0 amps or volts 552.26 2
Temporary services or feeders thstalla/iou,alteration,and/or
Email: OA]amiAbotthafsi taylormorrison.cum-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 1-
intended for sale,lease,rent,or exchange according to ORS 447,449,670,and 701. 201 amps to 400 amps 125 08 2
Owner signature: Date: 401 amps to 599 amps 168 54 2
El APPLICANT 0 CONTACT PERSON null -ueW !Ltcratlon,or tltttisiou.per panel
A.Free for trench circuits with
Business name: Polygon Homes Wi.H LLC above service or feeder fee,
each branch ctrouit 7.42
Contact name: Omar Alami Aboubafs B.Fee for branch circuits wit out
service or feeder fee,first Address: 703 Broadway St,Ste 710 branch circuit 56.18
City/State/ZI'P:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone 360 946 8674 Miscellaneous(service or feeder not included)
( ) Fax::( ) Each manufactured or modular
dwelling,service and/or fade 67.84 2
Prrneil:OAianliAbouhafstg4aylotmot7ison.coin-Pelmi1Submittalsat aylarmorrison.cmn Reconnect only 6784 2
CONTRA(`IOR Pump or irrigation circle 67,84 2
B➢Siness name: Wallace Electric Signor outline lighting 67.84 2
Arhlresm 105 Dresden St Signal o rent(s)or tihn ted-euerpy 0 rice Page 2 2
pond,ahrnahon,or extension.
City/SrdttefLlP: Astoria OR 971 D3 Each additional inspection over allowable In any of the above
Additional inspection(I hr min) 66 25/hr
Phone:(503 308 0563 Pax:( ) iavesuganen(1 hr min) 90.00/hr
Email: David@ivallaccwires.com svallaccwires.com industrial plant(Ihrmin) 78.18/hr
—
inspections for which no tee is 90.00/h.
CCB Lie.:224868 Electrical Li . C1441 Su .I: .' 6363S specifically listed(rh hr min)
. .• ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal YV __
Print name: tp Date: /'t�G /�V 0 Plan Review Required(25%of gamut fee):
jrt/�'' / State surcharge(12%of permit fee):
Authorized signature ajo,k `� � ;� TOTAL PERMIT ESE:
This penult application expires IF permit to Dot obtained within 180
Punt name: 4. Date: L f 2,1. dews after It ban been accepted as complete.
' Number of Inspection allowed per permit.
L+l3uiY Yrama _slELC erwitAppaLR PIP doe 8sv 06'172015 4 04615f(11/05ACOWWID
Plumbing Permit Application
Building Fixtures RECEIVE U FOR OFFICE USE ONLY
Received
Ili
Cityof Ti and Z PamitNo.: 7) 1_a c3
a 131 SW Hall Blvd.,Tigard,OR 97223 ,JUN 2 3 2021 Dam R v Z1 ? MST Z
Phone: 503.7182439 Fax: 503.598.1960 Plan Review Date/By: Other Permit No..
TIGARD Inspection Line: 503,639.4175 L ITY OF TIGARD Date ReadyBy: laic: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORt UILRIIVG DIVISIOK FEE* SCHEDULE
®New construction ❑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
.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: 16704 SW TOWNSVILLE ST 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
Suite/bldg./apt.no.: I Project name:481solwalatilitialeePolygon 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.: I Page 2 .
Water service(no.linear ft.: ) Page 2
Subdivision: Polygon at Roshak Ridge I Lot no.: 220 Fixture or item:
Tax map/parcel no.: Backflow preventer 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 Fixturdsewercap 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:$ ) 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@polygoubomes.com UnUrinal 25.02
rt
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water P tPing/IWV 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: 572.50
CCB Lic.:184372 Plumbing Lie.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler _ Date: 1 0/30/20 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.
lanaidmg`•Pcmits1PLMU-PermitApp.doc IW01249 440-4616T(I01011COMWEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: AA -.C.2O7_i,-cm Z S 3
Site Address: /(,% / 5k) 'YUW IJS( i LI,t C-reCie---
Project Name: 1701-YC�1V CO'Mt— l d Lot #: 2 Z 0
Planning Review , `�
Pro sal: jl t I vw e
zr Verify address/suite #active in Accela. In River Terrace: ❑ No Yes,River Terrace Review Addendum
Sit an Elements: Erosion Control
pies of site plan on 8-1/2"x 11" or 11 x 17"paper tained trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) I�I� otprint of new structure (including decks)and FFE
grElra
arrowty locations&easements(required for new and additions)
e address,project or subdivision name and lot number Sidewalk/driveway approach
. .plicant information(name and phone number) Oft ,� cation of wells/septic systems
FA Lot dimensions and building setback dimensionset tree size,type and location
Ni' TSquar footage of buildings to be demolished feet names
E sting structures on site Corner elevations(2'contours if more than 4'differe tial)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Les ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes [o
PVC:Jean Water Services—Service Provider Letter of platted prior to 9/10/1995):
,yeequired: ❑ Yes,applicant was notified 1Q No Received: ❑ Yes ❑ No
I. Water Meter Fixture Unit Worksheet—Addition<Remodels and ADUs
Required: El Yes,applicant was notified Ai No Received: ❑ Yes ❑ No
b.'!I SIC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
r Public Facilities Improvement (PH)Permit:
wired: ❑ Yes,applicant was notified Zr"-No
�Applied For: ❑ Yes ❑ No,stop intake
.0 C
nd Use Case#: SU6�O .QOOOy oning: .W-7
Ld Required Setbacks: Front: '�/�S.L Rear: I b' Side: -r Street Side: Garage: So
Building Height: Max. Height: .�
Actual Height: 2 '
Landscape Area: 2� % Lot Coverage Max:
ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset' .-green or less
Win. • ❑ Minimum 12%of area of all street-facing facades
Garage ■ s-. ,:- door is behind widest street-facing wall ❑ Y ■ No,one of the following is met:
❑ Door - -..s no more than 5'from wall and ther- covered porch extending beyond garage.
❑ Door extends no : - than 5'from w. . . there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ 12'o ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch S 'ecessed entrance • Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire es ❑ Lap,Siding 0 Roof pitc- ■ Gable,hip,or gambrel roof ❑ Dormer
rj ccent siding ❑ Window trim ❑ Window recess L indow projection ❑ Balcony
❑ V -, learance El Urban Forestry Plan
• Sensitive Lands: ❑ Yes ❑ No Type:
❑ Conditions met prior to issuance of building permit
rpproved By Planning: Date: t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPetmitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: # 3
Building Permit#: L 'Enter building permit#above.
Workflow Routing. Z-Planning CY-Engineering ❑✓Permit Coordinator a"-Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
/original plan review routing form.
Q Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: vanes Date: (c \Z C1 I
_ __ -.._ __. _. ___.-_.
. ./ngineering Review
rL/I Slope at building pad:
tr Conditions "Met"prior to issuance of building permit /t."1/71L
asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,,�/No
Assess Water Quantity Fee in-lieu: ❑ Yes L��.. o
LIDA Facility on lot: ❑ Yes I No
(Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[.Approved by Engineering: Date: 7 G
Revisions (after Building Submittal onl Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
je Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
• SDC Exemption: ❑ Received Does not apply
( SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: gr Yes 0 N/A
Parks SDC: 0 Yes ❑ N/A
LIDA . 0 Yes T N/A
• OK to Issue Permit
Approved by Permit Coordinator: P — Date: 110 12p2
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
ti
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #: MST2ISLA -0 C) 2 S
Site Address: /0 Ot.1 Ski 7 V f U s7/262 '
Project Name: fcsty( 11 N^ ‘1351/173K 'trX,C Lot #: 22-c>
(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? es ❑ 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 Balcony w/ access 2 Window Projection Vertical Wall Offset a
. 5 f. deep Gabled do
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
yme
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 12 •i
3. Entrances:At least one entrance must meet both of the follog standards:
la lax. 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: Id Yes ❑ No
If y ,all the following apply: 0sq.ft.min.
P:Pne street facing entry ft.max. roof above floor of porch
01 5 ft. depth min. et/0 min.porch roof coverage
4. ailed Design:All buildings shall include a nun. of five of be following elements on all street-facing facades:
9Dvered porch min. 5 ft.wide x 5 ft. deep Z Recessed entry area min. 5 ft.wide x 2 ft deep
� ll offset min. 16 inches ❑ Dormer min. 4 ft.wide
IQ Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood .0 Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade 0 Window trim min. 2'/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft deep
O 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 0 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)
O 12-foot-wide garage door 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: tiZ ti
LIkildingTorms131dgPermitRvw_RES RT_1214 17.docx Ali
FOR OFFICE USE ONLY—SITE ADDRESS:
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Please complete this form when submitting information for plan review responses and revisions.
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ii 111 2 Transmittal Letter
T1 GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.eov
TO: All ,env, J\RrmsiROn3I DATE RECEIVED:
DEPT: BUDING DIVISION � RECEIVED
FROM: {11153)\ ,-ppM': A6 h� SEP 9 ZOZI
COMPANY: ou,,�( R ` 10117 ct�— CITY OF TIGARD
U BUILDING DIVISIONBy:
PHONE: (fin `Jyp(7 R6 i-f
EMAIL: 9"2: c'2. Cif�l//l�1}JJ0. ticOP(Th0(1'MS Ove . t.9•----
RE: 164 014 SW louuslsui(e, SF ;1ST .2.okt - GQB3
Site Address) / J / p(Permit Number)
• 0 _ ! d h?-e./2C3 clg2 oG o1 o
P c , t name or subdivision name and lot number)(J /
ATTACHED ARE THE FOLLOWING ITEMS:
1 Copies: I'Description: { Copies: I D cription -,''.: 1
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: ,PL3! set_ (86�c. s ce ,CU,f.e d gird fi czILfatL: 4
FO4.OFFICE USE ONLY~`
Routed to Permit Technicja :.. Date: 1 J I y 1 24 Initials:
Fees Due: ❑ Yes N - Fee Description: _ Amount Due:
° ' i ii...--,:-. -_-::___ = -EA "t tilht, $ ge..---
Special 1
Instructions: 1 z—
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: `77�y—f Date: (/7),2, ` Initials: % /
J
I:1Bui lding\Forms\TransmittalLetter-Rev isi ons_073120.d oc