Permit (2) City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Ph
Building Permit Review — Residential
TIGARD
Building Permit #: y>51-aba8 Ca j 5
Site Address: \(p1bil NNi 071ma 14T
Project Name: f2\YAlC 4f`(aCt, % (i (\ Lot#: 43
Plan ing Review ,�,��^�p,ry,, n
Pro osal: lJ �
Verify address/suite#ac 've in Accela. `O In River Terrace: El No CI Yes,River Terrace Review Addendum
Site Plan Elements: osion Control
., copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1�t etained trees with drip line and tree protection measures
it',Drawn to scale(standard architect or engineer scale) F tprint of new structure(including decks)and FFE
L I, orth arrow locations&easements (required for new and additions)
►''I,ite address,project or subdivision name and lot number l 1k/driveway approach
V+ pplicant information(name and phone number) L'J as n of wells/septic systems
Rif, .t dimensions and building setback dimensions IJ eet tree size,type and location
i��:.uare footage of buildings to be demolished eet ames
ti Corner elevations(2'contours if more than 4 dtffere al)
� xisting structures on site
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L4'Yes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes L't
1kL�Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
: quired: 0 Yes,applicant was notified ❑ No Received: ❑ Yes 0 No
A ater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
h�Required: 0 Yes,applicant was notified ❑ No Received: 0 Yes ❑ No
'tom- C SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
❑ Public Facilities Improvement (PFI)Permit:
Required: 0 Yes,applicant was notified ❑ No ��//��Applied For: Yes ❑ No,stop intake
e
Land Use Case#: ?p�ZD 1 i' woo-5 4 Zoning: ri
Required Setbacks: Front: I*1.` Rear: l Side: Street Side: < Garage: 7 u
wilding Height: Max.Height Actual Height:
Landsca Area: ' V� % Lot Coverage M
ntrance Set back no more than 8'from street-fa g wall P el to street or offset 45 degrees or less
Windows Minimum 12%of area of all street-facing facades
Garage Garage door is behind widest street-facing wall 911F Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is 0 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ;
❑ Covered porch 0 Recessed entry ce ❑ Wall offset ❑ 1'Roof cave ❑ Roof offset
i
❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding g Window trim ❑ Window recess ❑ Window projection ❑ Balcony L
4 Visual Clearance a. Urban Forestry Plan
❑ Sensitive Lands: ❑ Yes 91 No Type:
41 Conditions met prior to issuance of building permit
Notes: �n J
Approved By Planning: 'Y� Date: '�2�
evisions(after uilding Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved 2/3/ 717,
Revision 2: 0 Approved ❑ Not Approved
I:1Building\Fosms\BldgPenuitRvw RES_122419.docx