Permit (96) IN
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00097
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 2S106DB01500
Jurisdiction: Tigard
Site address: 13520 SW CALABASH TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 15
Project: River Terrrace Northwest, Lot 15
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1650 sf Value: $204,974.24 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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: 2 201-400 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: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1650
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eave at fireplace
STE 1
SCOTTSDALE,AZ 85258
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,774.64
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 52-0' '090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ///
Issued By: �•' / • e9A7 - 1-7.°/422,-./el-577 8/
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
i ,
Building Permit Application
L-0 T-- S--
Residential RECEIVED FOR OFFICE USE ONLY
Cityof Tigard Received �- �� �7 � iy
g 1. Permit N ✓.S> j/ ,-.af /
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review •�
Phone: 503.718.2439 Fax: 503.598.1960 SE14 P 1 2 016
Date/By: 3- )1 + - ) +1 Other Permi le X // `ve
TI G A R D Inspection Line: 503.639.4175 �y Date ReadyBy: Juris: El See Page 2 for
Internet: www.tigard-or.gov ���� � + �4+ 1 NotiSed/Method: Supplemental Information
BUILDING Oa\flSlo
'o ,��',..,g,✓v.et m"x "&' z "§ } S.g x'a,3 'v. ." & c " i K,7`g3 1"`.
New construction m � '' ,R„., ` wrzz " 11 Ei1�,A <A is
® ❑Demolition Permit fees*ate based on the value of the work performed.4
❑Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
UEVWx ,Va �Y$ fy� "��y ' ���] _ � fat j ���i work indicated on this application.
lrmv t`:K�r`k ,°`,v,
"L�`Y m. V Alf „:ige... k A . '',k,,w s g-
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: ti Cj 7(1.$ 2 `il
❑Accessory building 0 Multi-family Number of beTTdr :4-14.1t ...if
ooms: "1
❑Master builder 0 Other: aye} Number of bathrooms: 3
A Total number of floors:
Job site address: 13520 b CO,�c���w ilsh �Try'a New dwelling area: [ 5 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4(o square feet
Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: 20 square feet '0 17
Cross street/directions to job site: Deck area: square feet 633
Other structure area: square feet
> I ' ' J" - E' .
Subdivision:River Terrace Northwest Lot no.: 15- 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
*V4iiiMIRAWaliftWWt; £tr1k0JiZo'W'bRa a work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
gir4- ' glit$eRtgqf I r ❑.fiEl a1"e a x ` Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
. d :NA �
= o- dc ��� . = ,�-s �F. u ,
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 East 13cn Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax::( )
Amount received:
v
E-mail:Angela.Grajewski@polygonhomes.com , � �
_ - . , �1 � x'
�
C V " O :0a ; y Commercial and residential prescriptive installation of
. :.,� 4.1 ... - , .. 1. ' ft` 1`4 1 roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street 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 J Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized signature: / , This permit application expires if a permit is not obtained
a/e146jV (24'
within 180 days after it has been accepted as complete.
Print name:Angela Grajewski Date: g' �' '� *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Mechanical Permit Applicat" 1 VE D
FOR OFFICE l sF O\LI
City of Tigard Received Permit N 1009
= 13125 SW Hall Blvd.,Tigard OR 97223 Dan Review PI.,S/d /7 -xRev
Phone: 503.718.2439 Fax: 503.598.1960 SEP2016 Plan Date/By cherP ,it:
T G,�R D Inspection Line: 503.639.4175 CITY r Date Ready/By: ]oris: H See Page 2 for
Internet: www.tigard-or.gov OF j ' NotiSed/Method: Supplemental Information
IVIS ON
' Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit
❑Demolition ❑Other:
€ Value:$
❑ . ,. .��
1-and 2-family
❑Commercial/industrial 0 Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total
Heating/cooling:
x .,. s ���� a�� : Air conditioning 46.75
Job site address: /3c2,0 � 1 Clt, Stn TPJ TO�e, Furnace 100,000 BTU(ducts/vents) I
46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Northwest 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 I 23.32
Subdivision:River Terrace Northwest Lot no.:
/ Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
x r
33.39
Gas fireplace/insert
Flue vent for water heater or gas
new home construction fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment 1 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32
- eg Other. 23.32
Fuel piping:
Business name:William Lyon Homes,Inc.
$14.15 for first four,$4.03 for each additional
Contact name:Angela Grajewski Furnace,etc. I
Address:109 East 13th Street 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:Angela.Grajewski@polygonhomes.com Barbecue
• Clothes dryer(gas)
Business name:Andersen Mechanical,Inc.
Address:16285 SW 85th Ave Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12%of permit fee)
CCB lit.:168214 TOTAL PERMIT FEE
AOliep
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Grajewski
gDate:8/22/16
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/C014/WEB)
I
Electrical Permit A g___tiOI)l'�ECEIVFD FOR OFFICE USE ONLY
City ofatio ECReceivFermi[, /IS 7 �C)C0i 7
_ 13125 SW Rall Blvd,Tigard,OR 97223 SEP 1 Z 016 Plan Review
Phone: 503.7182439 Fax 503.598.1960 D gy. Related Permit ii:
Inspection Line: 503.639.4175 CITY O F ,'!GA R r Ready Date/By: Asir H See Page 2 for
TIGARD g BUR D Method: Supplemental Information
Internet www ttgazd or ov 1
®New construction ElAddition/alteration/replacement Please check au'that apply(submit 2 sets.7.
f plans wfitems checked):
0 Service or feeder 400 amps or more 0 Building over three stdries.
El Demolition ❑Othec where the available fault current 0 Marinas and boatyards.
t � 1 r kt Q 0 5 "*`' Wi t- exceeds 10,000 amps at 150 volts or ❑Floating buildings.
may_ _• �:,.�. - �_.- •was.--Fs.�. _s
®1-and 2-family dwelling 0 Commercial/indastrlal ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0
amps for all other installations. bm7dings.
❑Multi-family - 0 Master builder Other. ❑Fire pump. 13 Installation of ISO KVA or
,� - ,k`c __ _ ❑Emergency systema larger separately derived
_ h� _- 'i:t:k° O1t1Ul-ATI�1�� 11M�.O�L 1�1�T'��--`'�'��- -- -- -
: OIs b .t Imo:._.. _. -.�._ . -. :..: _
,.f �' "' - � ❑Addition of new motor toad of system_
Job#: Job site address:13S 10 3 t.) WA/hash T L1GL Io013P or more.
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities.
0 Recreational vehicle parks.
•
Suite/bldg./apt#: Project name:�t ��Yf/a �t�r r Yf(4/�r Haaaraeus locations. ❑Supply voltage for more than
/ ❑Service or Seeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: :-;i-4.&`Y` ' -M;;.1.-k " -i'r- A
Description I Qty. I Eseh I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: iy•.fo/r.Pr- . iV/Ar- (,JPfJt Lot#: L S Includes attached garage.
Tax map/parcel
�# 1,000 sq.ft or less 168.54 4
Ea add'l 500 ft or portion 3392 1
P-l---1.5-W+__ =��YECCKI*2u
, : $w ... ...� .-a = Limited energy,residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
.� � � . Renewable Energy ❑ See Page 2
� . '•Y = ,1 � : `�- '= Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: •. 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 16834 2
m x - c_rte Branch circuits-new,alteration,or extension,per panel
..' :D 4 y'_- �` I U��<t- . 501 --a' A.Fee for branch circuits with
I
Business name:William Lyon Homes,Inc. above service orfeeder fee, 742 2 E
each branch circuit
Contact name:Angela Grajewski B.Fee for branch circuits without
Address:109 East 13th Street service or feeder fee,fust 56.18 2 j
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • Fax::(360)693-4442 Each manufactured or modular 67.14 2
dwelling,service and/or feeder
Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2
` C a, g .Q _t.. . yM4W Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
Signal circuit(s)or limited-energy El See Page 2 2
Address:6101 NE St Johns Rd panel,alteration,or extension.
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(I brmin) 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br
Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/br
Inspections for which no fee is 90.00/br
CCB Lic.: C115S Electrical Lic.: 208174 Suprv.Lic:: 4496S specifically listed eh hr min)
Suprv.Electrician signature,required: .fit•4 . Aft . . . .- Subtotal:
Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee):
..— —,,, - State surcharge(12%of permit fee):
Authorized signature: i,L- TOTAL PERMIT FEE:
This permit application expires if a permitis not obtained within 180
Print name• Bill Daniels Date: 4/26/2016 days after it has been accepted as complete.
* Number of inspections allowed per permit
:+L-1BuildinglPenmih1ELC PentdtApp MR ERE.doc Rev 06/17/1015 445-4airr111/05/COM/Wan
4 4
Plumbing Permit Application
Building Fixtures RECEIVED
City ofTigard Received
13125 SW Hall Blvd.,Tigard,OR 97223S E P 1 2016 Date/BY:. Permit No.%`7Sr,7e/7"-00097
■
Phone: 503.718.2439 Pax: 503.59 . Q1,0PIS Reveew tither Permit No::
r ; ' 1 Inspection Line:.503.639 4175 u t Y OF 1 I GAR yigy. E gee Page 2 for
Internet: www.tigard-or.gov t IN('_; rn Islam idatifiedlbteshod: 4*.mental information
El New construction •Demolition For special infanxation use checklist
Description Qty. I Ea. I Total
0 Add ition/altetation/replacemeat 0 Other. New 1-2-family dwellings(ncludes 100 R.for each utility connection)
• te a t: .. ---: SFR(I)bath I 312.70
v '
t• 1-and 2-family dwelling ■Comm�ercialrtndnsirial SER(2)bath 437.78
SFR'(3)bath ` 500.32
❑Ary building' ❑Multi-family
Each aelditiema!bath/kitchen 25.02
❑Master builds 0 Other: Fire sprinkler( sq.R) I Page 2
E 1,1..., c r a t : • : Site utilities
Job site address: SvJ a 1 /sin-Terrace
Catch basin chorea drain l 18.76
City/State/ZIP:Tigard,OR 97224 Drywall,leach titre,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Northwest River Terrace 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 it.: ) Page 2
Water service(no.linear lt: ) Page 2
Subdivision:Northwest River Terrrace l Lot no.:n"-- Fixture or item:
Tax map/parcel no.: llackflow prove liter 31.27
Backwater valva 1, 12.51
clothes washer 2,5.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectorstsuntp 25.02
r-
• ' `"" , ,,,..-4.,,,4,,� N tank
12.$1
- � cj: s�� I ,
Name:ADVL Land Holdings,LLC sewer ergs. 2$.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/StatelZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)6944031 Fax:( ) Ice maker 12.51
-,1, , t :2 ' Interceptor/grease trap 25.02
Business name:William.Lyon Homes,Inc Medical gas(valueS ) Page 2
Primer 12.51
Contact name:Angela Grajewskf Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6234
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:Angela.Grajewsld@polygonhomes.com Urinal 25.02
25.02
Water heater 37.52.
Business name: G.4.4 t 1A+ . %., 4'5cs'1ii WaterpipingfDWV 56.29
Address: .0> 6 c9c, cif.o., Other 25.02
City/State/ZIP 5T,
f 4411 art.. 11 t31 � Subtotal
�3 IS 14L V -79. fr /"' Minimurnpermitfee: $7250
Phone: .- .• Fax ( .. ...
Plan review (25%of permit fee)
CCB Lie.: i ,,„25:1154,
�_ Plumbing Lie.no.:Pl - State surcharge(12%of permit fee)
Authorized signature: gy TOTAL PERMIT FEE
Print name Q-- A--1 b chis permit application septres if a permit is not obtained within lad days
T Vit... jv 0,13�'G.� Date:Gi alter fs hes beers accepted as eamplete.
*Fee methodology set by Tri-County Building Ind)ntey Service Board.
IBuiiIdinglPamits1PLMU-PtanitApp.doc 10/01109 440-46161110102/COMIWEB)
1
10.14
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
l cA z D Building Permit Review — Residential
Building Permit #: /S% /7 —r)ec 97
Site Address: 5-C7QC)
Project Name: ieiVer 77,02A),0tr7l'— Lot #: /S---
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: k1.j J
,Verify site address/suite#exists and active in permits tem.
pi River Terrace Neighborhood: 0 No 1d Yes,See River Terrace Review Addendum Attached
Si Plan Elements:
MI/Three(3)copies of site plan to;'' -sting structures on site
Vdi ite plan must be on 8-1/2"x 11"or 11 x 17"paper Ti Footprint of new structure(Including decks)with finished
Frawn to scale(standard architect or engineer scale) o•or elevations
iorth arrow W.Utility locations(required for new,may apply for additions)
te address,project or subdivision name and lot number �'i-� anon of wells/septic systems
pplicant information(name and phone number) ��';;�i sting trees to be retained with drip line,and tree
l t dimensions and building setback dimensions .rotection measures
lot area,building coverage area,percentage of coverage and I4 street tree size,type and location
'.. pervious area(applicable if R-7,R-12,R-25&R-40) T.Street names
Tr
Property corner elevations(2 foot contour lines if more than
4 foot differential)
1lean Water Services—Service Provider Le (lot platted prior to 9/10/1995):
equired: CIYes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilipes Improvement(PFI) Permit:
equired: J Yes,applicant was notified ❑ No Applied For: j es ❑ No,stop intake
/Required:
Use Case#: PQOi, _ f—^
Zoning. ).,
Ilii/Zoning:
equired Setbacks: Front 8 Rear 3 Side .3 Street Side N..) Garage
'WIZ/Landscape Requirement: cQU %
Landscape
Coverage Maximum: go
ri Building Height: Maximum Height I Actual Height ada / e /1
In v` isual Clearance
71 Easements
r-nsitive Lands: ❑ Yes No Type
!I Urban Forestry Plan
■ Conditions "Met"prior to issuancepfuil•'.g permit
Notes: Gild/hen' C' -Sib/( —"i ' p j 1)Or— a24/,L /.Sgliail 6(____
.c;-itlitApproved By Planning: =— Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_091216.docx
Alf
Building Permit Submittal
Original Submittal Date: `"///�
Site Plans: # 3
Building Plans: # 3
Building Permit#: g--Enter building permit#above.
Workflow Routing: El-Planning 42 Engineering D1rmit Coordinator Eg---Tnilding
Workflow Sign-off: El.-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.
Lam'tsuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �' ' i' '" - Date: ,,/��7
Engineering Review ./
Cope at building pad: _,A
onditions "Met"prior to issuance of building permit — �•� Jf
❑ Easements (encroachments)per engineering conditions of approval and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ,i 22_ Date: 3 -/4 �7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
❑ 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:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: r..."- es ❑ N/A
Tigard Trans SDC:
..T.'"Yes ❑ N/A
Parks SDC: rYes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 61
I:\Building\Forms\BldgPermitRvw_RES 091216.docx
IPlit
City of Tigard
14
COMMUNITY DEVELOPMENT DEPARTMENT
IGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: M, C;20 SW) as/2-hVi J .iraC�.
Project Name: ,te/ar rrc -e_ of/7C S.7 - Lot #: ` -.-.
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? V 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.
Porch min. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft., Eft wide Gabled dormer
❑ 0 0 ❑
2. Eyes on the street: a minimu 12%of.each street facing facade must include windows or entrance doors.
Percentage Shown: F'1 Y0
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from long street- facingParallel to street,angle no more than 45° from street,
g wall
or open onto porch
Entrance opens to a porch: Yes 0 No
If es all the following apply: 5 sq.ft.min.
ne street facing entry P ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
ti4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches 0 Dormer min.4 ft.wide
Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
0 Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide
0 Accent siding min.40%of street facade Window trim min.2 I/2"wide by 5/8"deep
0 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 0 Attached garage is 35%or less of street facade
5. Gara_ •d Carports:May face the front or side lox line on a corner lot.
Setbacks:
No closer to front or side lot line, .• 4 longest street-facing wall. 0 Yes ■ ► .. f NoCheck one):
LI May extend up to 5 ft.if there is a covere. .orch and No (
_e .oes not extend beyond the front porch.
0 May extend up to 5 ft.where the garage is part . : , o- . building and there is a window at the second story
above the garage that faces the street ' . . area of 12 sq.ft.
Width: (Check one)
❑ 12-foot- - garage door 0 40%max. of street facade
R •Yo max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 6` ,iDate: lV/, fir
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