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Permit (167) RECEIVED City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT " JUL 15 2019 ,1111 q Re uest for Permit Action CITYOF aK AR . 1 1 c;;1 k C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503 718 2439 • www.tiga # � I'il t,s TO: CITY OF TIGARD I\r' 0 I Building Division 7/2-tc,l l9' I>/ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor 54 City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) R QA\iiCc:10 \ILNA. Mailing Address: -4Q3 -i'ji?. 81 J St. Ste-. cl0 City/State/Zip: v -�`f e-'� , ' C lk..0 Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): k CANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE at tile and provide explanation below).el� Permit#: '�1-dWIQ �WP OQ$ Site Address or Parcel #: cam\ \\-. Cf: c*— SA- . Project Name: �0\ -\C\O(\ Subdivision Name: �5��- � � Lot#: 0-$ EXPLANATION: R-c_QMr\- SL 1 -. a1 c\ot: A t kleri, c31/4 \Air )\ 3a1Q-6 /'7S7- i? 3C) f Stc.)/eciP ')/ 9 - / . Signature: Date: -9'1 e \Qj Print Name: Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OITICL t.SL: ONL'\ Route to Sys Admire: Date'i-I t5`ICI By S i Route to Records: Date • B Refund Processed: Date ef/s/ B .1',, Invoice Processed: Date 4i B .%Jd Permit Canceled: Date 7�j,1/9 By �el Tag Added: Date By ��Fnrms\ReaPemvtAction 20518. oc q. City of Tigard August 9, 2019 Polygon WLH LLC 703 Broadway Street, Suite 510 Vancouver,WA 98660 Re: Permit No MST2019-0006 SWR2019-00055 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 16887 SW Sunshine Coast Project Name: Polygon at Roshak Ridge,Lot 128 Job No.: N/A Refund Method: ® Check#232940 in the amount of$18,731.77. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit" receipt in the amount of$ Comment(s): Resubmitted new plans under MST2019-00302 & SWR2019-00231. Refund 100% of permit fees and system development fees,less plan review fees for plan review already completed. If you have any questions please contact me at 503.718.2430. Sincere , Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov _ ° City of Tigard T I G A K D Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH LLC DATE: 8/5/2019 703 Broadway St, Ste 510 Vancouver,WA 98660 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 422829&422830 Case#: MST2019-00064 - 0055 Date: 4/16/2019 Address/Parcel: 16887 SW Sunshine Coast Pay Method: Check Project Name: Polygon at Roshak Ridge, 128 EXPLANATION: Resubmitted new plans under new permit(MST2019-00302&SWR2019-00231). Refund 100% of permit fees paid. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Building Permit 230-0000-43104 $1,596.84 Mechanical Permit 230-0000-43102 324.32 Electrical Permit 220-0000-43103 345.30 Plumbing Permit 230-0000-43101 500.32 12%State Surcharge 100-0000-24001 332.03 Tig-Tual School CET 230-0000-24102 2,701.40 Metro Const. Excise Tax 230-0000-24010 317.16 Erosion Control permit 640-0000-43134 311.40 Tigard Trans SDC Reimbursement 415-0000-43301 343.00 Parks SDC Improvement 425-0000-43300 4,914.00 Parks SDC Reimbursement 425-0000-43301 1,361.00 Sewer Connection Permit 500-0000-25500 5,650.00 Sewer Inspection 230-0000-43118 35.00 TOTAL REFUND: $18,731.77 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager )K•Si If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY 1:\Building\Refunds\RefundRequest.doc x 12/21/2016 (‘,/ tff 21 CITY OF TIGARD RECEIPT • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Polygon at Roshak Ridge, Lot 128 Site Address: 16887 SW SUNSHINE COAST ST / - Gt ALA Receipt Number: 434703 - 06/04/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00064 $-13,046.87 Total: $-13,046.87 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 232940 DHOWSE 06/04/2021 $-13,046.87 Payor: Polygon WLH, LLC Total Payments: $-13,046.87 Balance Due: $0.00 Page 1 of 1 IICITY OF TIGARD RECEIPT 1111 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Polygon at Roshak Ridge, Lot 128 Site Address: 16887 SW SUNSHINE COAST ST Receipt Number: 422829 - 04/16/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00064 Building Permit-New Construction 230-0000-43104 $1,596.84 MST2019-00064 Plan Review 230-0000-43106 $751.34 MST2019-00064 12%State Surcharge-Building 100-0000-24001 $191.62 MST2019-00064 DC Provision Review, SF- Ping 1 00-0000-431 1 2 $98.00 MST2019-00064 Info Process/Archiving-Lg $2.00(over 230-0000-43135 $42.00 11x17) MST2019-00064 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $60.50 11x17) MST2019-00064 Metro Const. Excise Tax 230-0000-24010 $317.16 MST2019-00064 Tig-Tual School CET-Residential 230-0000-24102 $2,701.40 MST2019-00064 Permit Fee-Elect(SF or 1st MF 220-0000-43103 $270.30 dwelling unit) MST2019-00064 Limited Energy 220-0000-43103 $75.00 MST2019-00064 12% State Surcharge- Electrical 100-0000-24001 $41.44 MST2019-00064 Air Conditioning 230-0000-43102 $46.75 MST2019-00064 Furnaces < 100K BTU 230-0000-43102 $46.75 MST2019-00064 Water Heater 230-0000-43102 $23.32 MST2019-00064 Gas Fireplace 230-0000-43102 $33.39 MST2019-00064 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2019-00064 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2019-00064 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $93.28 Utility Rooms) MST2019-00064 Fuel Piping 230-0000-43102 $14.15 MST2019-00064 12% State Surcharge-Mechanical 100-0000-24001 $38.93 MST2019-00064 SFR-Baths 230-0000-43101 $500.32 MST2019-00064 12% State Surcharge-Plumbing 100-0000-24001 $60.04 MST2019-00064 Erosion Control w/Development 640-0000-43134 $311.40 MST2019-00064 Plan Review 230-0000-43106 $286.61 MST2019-00064 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $343.00 Detached MST2019-00064 Parks SDC Improvement-SF Dwelling 425-0000-43300 $4,914.00 (detached/attached) MST2019-00064 Parks SDC Reimbursement-SF 425-0000-43301 $1,361.00 Dwelling (detached/attached) Total: $14,285.32 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 72631 DHOWSE 04/16/2019 $14,285.32 Payor: Polygon WLH, LLC Total Payments: $14,285.32 Balance Due: $0.00 '' u/ i-A/.i U- . -72-,,7 i /, .574. . P y .S GN-v o c_ C s-7- a2, 70/, y'o /1 4-,lieft1.- /-' r .i _,.3. zi. 3 n //1-e Ce: / .2/ 7, /(� 772-iClc_ /c--41`-i/7- 3 yS, Jv 44sron/ C,.I/rncc_ /0 e-u.�-id/wC /"�.""i,T- -a G, 3 ... 7'G 77214 /S s A. C ,7�om y., V / % Spy—€i - Sc.z264,-1r1. .�� a. . t,_ 3y'/ Ali - pis s,,C /Ali- y/7/y, cti /61z2.t SbC. /2-p' ), 344. ut) a I F r .: City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT • .JUL 16 2010 Requestilh 1 for Permit Action ()Fry' cr.DF y G TIGARD IGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • wwgal311-Ilf c i 5 r,,4.• N,. TO: CITY OF TIGARD V 0 1 y , Building Division ?/2-0 I 19 -; 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: p Owner p Applicant ❑ Contractor VI City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) 3 6\\ACl "(� \'* L.L.-0_, Mailing Address: 'C '�---.� \• St• cs - C5(0 City/State/Zip: \-/t%\c-C'L'``r' " , \ Qt C\ ci Phone No.: -7 .5‘.° ,' LC-Ci .--D °--N ,(: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCEL/VOID PERMIT APPLICATION. E REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: \\(\ '''c' - \CA-O , q ;�w'< �,a-A.-t3 '`D``. Site Address or Parcel#: 1s\ cV, y(\Q-- ( c Si- St- • Project Name: RC\\31C\O� Subdivision Name: ' ,uc;,\-\0 ----"?—,04� Lot#: 0-- , EXPLANATION: 3-64-.(\A wC ‘,c2SL,' l. .voC ,i_ 01/4.0,1\ 3-kc . —?C;\ ckeNA (43,\Ot ‘1 r-A G w1` ,t11 0.9,3L. 10c<A- 2 -kc w-‘1\-‘ Signature: ``I '. Date: -9",et\G7 Print Name: Cj 1 �TLVS Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date-}101M By<1.s i Route to Records: Date 124, ( 9 By Refund Processed: Date 44- By Invoice Processed: Date By Permit Canceled: Date 7/240.117 By e1 Tag Added: Date By I:\Building\Forms\RegPermitAction_ 0518. oc P70-ES 77) E r7203'v/S pc t' "71) i+✓0Z� /667X-M tr— (..) r) Dianna Howse From: Steph Toles Sent: Wednesday,July 17, 2019 11:57 AM To: Tonja Morris Cc: PermitSubmittals;#Building Permit Technicians;Allyson Armstrong Subject: RE: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. Hi Tonja, Your entire submittal under MST2019-00064 will be voided.We will require (3)full sets of plans for the new submittal along with the completed applications. Thank you, Steph From:Tonja Morris [mailto:Tonja.Morris@polygonhomes.com] Sent:Wednesday,July 17, 2019 11:48 AM To:Steph Toles<stephaniet@tigard-or.gov> Cc: PermitSubmittals<PermitSubmittals@polygonhomes.com>;#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov>;Allyson Armstrong<AllysonA@tigard-or.gov> Subject: RE: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. Caution! This message was sent from outside your organization. Allow sender I Block sender I am getting this new submittal ready&just have a question to make sure we get this through with the least amount of complications. I have a revised Al page, showing the insulation calcs. Will the rest of the plan set I submitted be used,or do I have to print out 3 more full sets? Tonja Morris Permit Specialist Tonia.Morris(c Polvoonhomes.com Mobile 971-409-5931 Fax 360-693-4442 www.0olvuonhomes.com Y( �� T PAndrAiiimon 'dre From:Steph Toles<ster hanietPtigard-or.gov> Sent: Monday,July 15, 2019 2:31 PM To:Tonja Morris<Tonia.Morris@polvgonhomes.com> Cc: PermitSubmittals<PermitSubmittals@polvgonhomes.com>;#Building Permit Technicians <TigardBuild ingPermits(Wtigard-or.gov>; Allyson Armstrong<AllvsonA@tigard-or.gov> Subject: Polygon at Roshak Ridge, Lot 128; MST2019-00064; 16887 SW Sunshine Coast St. Good afternoon Tonja, I know our Plans Examiner,Allyson, has already reached out to you regarding Polygon at Roshak Ridge, Lot 128, but I wanted to follow-up with you. Since the entire plan set has changed for this lot,you will need to bring us a new submittal,to include new applications. Because permits MST2019-00064&SWR2019-00055 have already been paid for and issued, I have submitted a Request for Permit Action to void these permits and refund some of the fees. Please allow 3-4 weeks for us to issue a refund. Thank you and please let me know if you have any questions. Best, Steph Toles Permit Technician Assistant City of Tigard I Building Department 13125 SW Hall Blvd Tigard,OR 97223 503-718-2452 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 City of Tigard V 0 1 COMMUNITY DEVELOPMENT DEPARTMENT i. 0 ■ Building Permit Review — Residential IIGARD Building Permit #: -\-"—j\C1-OCatkie Site Address: Iceg4 SY .%J,,SL;nt C.aaI- s1. Project Name: fitypk. ki- kAAN.ok Z J t Lot #: 14 (New dwelling=subdivision name;AMition or Alteration=last name of owner) Planning Review ''Ztv1S‘(`\ -Mot\la'-.-2.e nSeD \-oT -mac\ C Proposal: tJLU Snt *'LA ..L. _ KN SFX ,Verify site address/suite#exists and active in permits tem. 5 River Terrace Neighborhood: ❑ No Y Yes,See River Terrace Review Addendum Attached ' : Plan Elements: r712,\ (,M { ►'..ee(3)copies of site plan g;•'. sting structures on site +y+t e plan must lig on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(mduding decks)with finished -wn to scale(standard architect or engineer scale) 4.. •.r elevations P f .rth arrow �') • 'ty locations&easements(required for new and additions) F ' e address,project or subdivision name and lot number .5 Sidewalk/driveway approach P. .plicant information(name and phone number) i .cation of wells/septic systems it, •t dimensions and building setback dimensions iL xisting trees to be retained with drip line,and tree 1 i'A •uare footage of buildings to be demolished otection measures V. et area,building coverage area,percentage of coverage and j5treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) iirStreet names ( Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [Q 'es ❑No 4/foot differential) If yes,is a storm water quality facility shown? ❑ No L{( Clean Water Services—Service Provider Lettof platted prior to 9/10/1995):applicantVj. i,,,, equired: 0 Yes, was notified Dr Received:eceve : 0 Yes 0 No �n4 64 At Public Faci iliti,s'Improvement(PH)Permit quired: 'Yes,applicant,was�notified 0 No Applied For. es 0 No,stop intake LrJ d Use Case#: fV1�W, `C)C O O . r! oning R—t2 Gequired Setbacks: Front VIZ Rear 10 Side 3 Street Side V, - Garage Z a Lid' dscape Requirement /o wt Coverage Maximum: ilding Height: Maximum Height 3S Actual Height 2b C ' I C Glie ensitive Lands: L� Yes ❑ No Type �} t, }U� �rr�ire 6-41J �'Vivh lt,,t 6,3 Urban Forestry Plan Conditions"Met"prior to issuance of buil ' permit Notes: te• t A.l -Iv k md- r' tNAk t j V1t.rrt A iliJA 1U. Ltd Approved By Planning: L04,4 6172/4.,_ Date: 2...---C6-1q Revisions (after B ding Submittal only) �/ Re ' Date Revision 1: Approved 0 Not Approved 7-q-141 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_010118.docx r Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: 0 Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator 0 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. 0 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Slo eat building 50 74 Nab C� � Z.- Lc.3�}-i t_. p g ❑ Conditions"Met"prior to issuance of building permit ,2" Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 47..No Assess Water Quantity Fee in-lieu: ❑ Yes a No • LIDA Facility on lot 0 Yes ,CJ-No .la'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LLVRl1T FP-- E-1.)61iN ivt--t 9' ilit PCk IU 1i� C. )2' Approved by Engineering: L Date: 2te,//1 Revisions (after Bing Submittal only) Reviewer Date Revision 1: gi Approved ❑ Not Approved j,ady 8. 3 / Revision 2: 0 Approved 0 Not Approved PPPp Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Cditions"Met"prior to issuance of building permit — - - Approved,NOT Released:294 4/KDate: Z/2 8//if Notes: Revisions(after :uilding Submittal only) Revision ..ce 1: Date Sent to Applicant Revisi. Notice 2: Date Sent to Applicant Re 'sion Notice 3: Date Sent to Applicant g SDC Fees Entered: Wash Co Trans Dev Tax: IVYes 0 N/A Tigard Trans SDC: Qi s ❑ N/ Parks SDC: riPe Yes 0 /A /7// LIDA ❑ Yes ft N/A f OK to Issue Permit Approvedby Permit Coordinator. ifii/V : '1/J6 19 I:\Building\Forms\BidgPermitRvw_RES 010118.docx . City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT I -1. 1,�, River Terrace Building Permit Review Addendum Building Permit #: (X\ -(-?.1z1k0t- 1..t. Site Address: 168r+- S1„/ S. l„ CoA4- £4. Project Name: 1936;7, Al YJJL(. rtfatf. Lot #: 12! (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? 0 Yes 0 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 WI 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 [17❑ 0 0 0 2.Eyes on the street: a minim of 12%of each street facing facade must indude windows or entrance doors. Percentage Shown: 16,0/ / 3.E trances:At least one entrance must meet both of the folio�g standards: Max.8 ft.setback from longestreet-facie wall RWParallel to street,angle no more than 45° from street, g or open onto porch Entrance opens to a porch: Yes 0 No —/ If9s,all the following apply. 4 sq.ft.min. ne street facing entry 59 ft max.roof above floor of porch Y5 ft depth min. W'30%min.porch roof coverage 4. 'etailed Design:All buildings shall include a min.of five of,pt following elements on all street-facing facades: / vered porch min.5 ft.wide x 5 ft.deep VRecessed entry area min.5 ft.wide x 2 ft.deep offset min. 16 inches 0 Dormer min.4 ft.wide l t'Roof eave min. 12 inch projection �❑ of offset min.of 2 ft. ❑ Roof shingles either tile or wood Li able,hip or gambrel roof design O Roof pitch oriented south min.500 sq. ft. 1E:Horizontal lap siding min.3-7 inches wide Accent siding min.40%of street facade 0 Window trim min.2'h°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 ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade ` 5.Garages and Carpoits:may lice the front or side Iot line on a corner Iot. Setbacks: No closer to front or side lot line,than longest street-facing wall. 0 Yes iNo. If No (Check one): ❑)Iay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. nVfMay 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) 0152-foot-wide garage door 0 40%max. of street facade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: JJV'4A1& Date: 2-a-1 q I:\BuildingTo"ms\BldgPamitRvw RES RT_121417.docx INCITY OF TIGARD MASTER PERMIT 2: COMMUNITY DEVELOPMENT Permit#: MST2019-00064 13125 SW Hall Blvd.,Ti Date Issued: 04/16/2019 fC_'arlf and OR 97223 503.718.2439 9 Parcel: 2S107AA12800 Jurisdiction: Tigard Site address: 16887 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 128 Project: Polygon at Roshak Ridge, Lot 128 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $264,303.10 Rear: 10 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: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 gWater 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: 4 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'I 500 sf: 3 201-400 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 2078 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 Required Prior To Pour 3 1 Hour Fire Rated Eaves PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,114.32 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 OA 52-001-0090. 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: /I/VL i—A71--e---._ Permittee Signature: ®,17 j-974/4G-irb�"1/fI /'\,/ 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 L -1--- \ Q.-- Residential RECEIVED FOR OFFICE USE ONLY Received . Cityof Tigard Permit No. ( ^y `(} ^v g FEB 2 6 2 019 Date/By: ' 1,31-k k �'\\� 3T`J 1S\`-'1 ()cIisy' III '� 13125 SW Hall Blvd.,Tigard,OR 97223 J _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review a Date/By: a I Other PermitS��Xj - 5� TiGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy: Juris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: -/ �/7 lfe v Supplemental Information g7`9 J/ — /`ot yc,9A/ 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ i 303 92 D Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: Total number of floors: t"i JOB STIE`1NFORMATI01.1 AND LOCATION ‘,1,-.) t -- Job site address: (0ba--1 s sticn l (' y si- C�-� New dwelling area: �.0�� square feet City/State/ZIP:Tigard,OR 97224 '�`v lJ Garage/carport area:U�jV 0 square feet Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: ✓ square feet 7 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.: I Z$ Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the BESCRIpTTO OF O work indicated on this application. New SF Valuation: $ Existing building area: square feet New building area: square feet PROPERTY"OWNER 0 IE1VAN Number of stories: Name:Polygon WLH LLC Type of construction: Address:703 Broadway Street Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:(360)693-4442 New: Ei APPLICANT 0 CONTACT PERSON . BUILDING PERMIT FEES* (PleaseBusiness name:Polygon WLH LLC refertofeesch e). Structural plan review fee(or deposit): Contact name:Amanda Gavin 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)695-7700 Fax::(360)693-4442 E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANELS rSTtNIFEES* Commercial and residential prescriptive installation of CONTRACIER roof-top mounted PhotoVoltaic 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: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 lic.:207247 Total fee due upon application: $201.60 Authorized signature. This permit application expires if a permit is not obtained J within 180 days after it has been accepted as complete. O./9.a/ *Fee methodology set by Tri-County Building Industry Print name:Ama a avin Date: Oma/ I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/0 /COM/WEB) Mechanical Permit AlicatRE,CE1VEDFOR OFFICE USE ONLY Cityof Tigard {� Received g 2.019 Date/By: Permit No.: ° 13125 SW Hall Blvd.,Tigard,OR 97223 APR Plan Review Phone: 503.718.2439 Fax: 503.598.1 r -IGG pA RD Date/By: Other Permit: TI GARD Inspection Line: 503.639.4175 (�� Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov BUILDING DING DIV1S1u,^ H Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ( Air conditioning 46.75 Job site address: /60375//U sae,Sl1 z h� Coa 5 1 T st Furnace 100,000 BTU(ducts/vents) 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:Rosbak Ridge 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:Roshak Ridge Lot no.: '2 8 Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 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,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 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@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE 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:Tim Hay Date:04/08/2019 I:\Buiding\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/COM/WEB) . vi3E( Elv .,... i•' En Electrical Permit Applicatiop FOR OFFICE USE ONLY City of Tigard APR 12 2019 Received Permit t: '• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: � •_ y �,"'y/ _ � �- � Plan Review . . Phone: 503.718.2439 Fax: 503.598. �� 1'- f 1�e Related Permit#f: - x^14 3 DateBy: C;q �!l`• Inspection Line: 503.639.4175 BUILDING OIVIS, Ready Date/By: lura. I li3 See Page 2 for '11Ljd11L7- Internet: www.tigard-or.gov 1 Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: El Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION' 0 Emergency system. larger separately derived r �, W 0 Addition of new motor load of system. Job#: Job site address: ( S� M15(al.)6 Co�ST Sr 1001IP or more. ❑"A^,`°E","1-r',"1-3^, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Roshak Ridge El Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 Qtv. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge Lot#: 1246 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER -" ❑..TENANT Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 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)695-7700 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 168.54 2 ® APPLICANT ❑ CONTACT`PERSON- Branch circuits—new,alteration,or extension,per panel ' A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 9.42 2 Contact name:Jolene Smith B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St,Ste.510 branch circuit 56.18 2 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 67.84 2 dwelling,service and/or feeder Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Address:1915 E 5th St,Ste D Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz .Z / ,✓ c Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.. 49029—' specifically listed(%hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: (l � Subtotal: Print name: Alex Shalya Date: 04/08/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: }klzj ,k, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: MISHCHUK,SERG Y Date: 04/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. , . Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Q g 2019 Q1 Received `, g Permit No.: II a 13125 SW Hall Blvd.,Tigard,OR 9722Date/BRev iew _ ��e`j'� OF ��y� P1an Phone: 503.718.2439 Fax: 503.59MLD1 o g N G D I S!0 Other Permit No.: G3t11i �14t� 9 dp11. 1w-l9wate/By: T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwellingSFR(2)bath 437.78 0 Commercial/industrial ❑Accessory building ®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: ` Catch basin or area drain 18.76 ��$-17 (� dun sh 1 Y1 �Q`j tt L. 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.: Project name: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:Roshak Ridge 1 Lot no.: Z 8 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 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 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@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 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: $72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: __ TOTAL PERMIT FEE Print name:Steve Fowler Date:04/08/2019 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. I:.Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 114 M ■ COMMUNITY DEVELOPMENT DEPARTMENT T ARD Building Permit Review — Residential Building Permit #: 1 \C-V-C .,k. Site Address: L‘ra C W „ '11;,\L Lit- SI. Project Name: V4y ,. k - KAI , e Lot #: 124 (New dwelling=subdivision name;Adtion or Alteration=last name of owner) Planning Review Proposal: 1404 SF?. Lf ) erify site address/suite# exists and active in permit system. LJ River Terrace Neighborhood: CI No R Yes,See River Terrace Review Addendum Attached Sityr Plan Elements: II 1 P ee(3)copies of site plan ECisting structures on site kg to plan must be on 8-1/2"x 11"or 11 x 17"paper L�'Footprint of new structure(including decks)with finished .01..i► awn to scale(standard architect or engineer scale) or elevations IT .rth arrow F , B. 'ty locations&easements(required for new and additions) R e address,project or subdivision name and lot number a Sidewalk/driveway approach plicant information(name and phone number) . cation of wells/septic systems t dimensions and building setback dimensions i+ M Existing trees to be retained with drip line,and tree uare footage of buildings to be demolished otection measures L •t area,building coverage area,percentage of coverage and S eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ErStreet names LIJProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Lld'(s 0 N 4 oot differential) If yes,is a storm water quality facility shown? ❑ ik No Clean Water Services-Service Provider Lette of platted prior to 9/10/1995): L.74 '1�(� equired: CI Yes,applicant was notified L' No Received: ❑ Yes CI No �`v ublic FaciImprovement (PFI) Permit: l J 1� li�ti equired: L� Yes,applicant was notified ❑ No Applied For: s Cl No,stop intake e ��,+� ,, nd Use Case#: ��" oning: Tk-'2- equired Setbacks: Front b/J Z Rear 10 Side 3 Street Side VA- Garage Z ndscape Requirement: /Lot Coverage Maximum: —8— ocV/: g Building Height: Maximum Height 3S Actual Height 2‘ tsual Clearance i IV ensitive Lands: L1 Yes ❑ No Type 014,1-40 Orr, ..+r� 6'AI S hLA vr� ltvt( Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Ce. 11til i bt+ J p,��,- T0 b,n1 i,y 'Art't A aiJ via. Ed/Approved By Planning: 61,12LDate: 2.--'0)-Iii 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_010118.docx i Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ 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. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review `� Slope at building pad: `'‘ Nab 6 -F1572— i i4 ❑ Conditions "Met"prior to issuance of building permit fa' Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes -fY No Assess Water Quantity Fee in-lieu: ❑ Yes a No LIDA Facility on lot: ❑ Yes ,CJ–No .2 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LU 1T f24-- o'lN -vv-A-. 5' ?0701-41-'6, *) 15i r-- ja Approved by Engineering: ,L Date: 2 i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 111C ditions"Met"prior to issuance of-building permit Approved,NOT Released: /Q/1ate: 212-8//)f Notes: Revisions (after uilding Submittal only) Revision Lice 1: Date Sent to Applicant: Revisi Notice 2: Date Sent to Applicant: Re .Sion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Imo' Yes ❑ N/A Tigard Trans SDC: CV,6's ❑ N/: Parks SDC: Yes CI ,i/A LIDA CI fR N/A OK to Issue Permit / Approved by Permit Coordinator: �,Qe: '4/19/ 1, I:\Building\Forms\BldgPermitRvw_RES_010118.docx i City of Tigard ilill ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: cdc_ Off. Site Address: 6 :,' S;, ,,,t S. Project Name: 9;6,/1/4. at rtakkik. rz, ,t Lot #: 12! (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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimu of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: E 6 3. EE trances:At least one entrance must meet both of the folio g standards: Lid'Max. 8 ft. setback from longe t street- facingwall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No —/ If s,all the following apply: Ll5 sq.ft.min. LiEfpne street facing entry LE 1J� ft.max.roof above floor of porch Lid 5 ft. depth min. W30%min.porch roof coverage 4.yetailed Design:All buildings shall include a min. of five of txe following elements on all street-facing façades: [ overed porch min. 5 ft.wide x 5 ft. deep "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 0 Roof offset min. of 2 ft. O Roof shingles either tile or wood [ able,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. St Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street façade 0 Window trim min. 2 1/2"wide by 5/8"deep O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 Yes iNo. If No (Check one): 0).4 ay 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) 0152-foot-wide garage door 0 40%max. of street façade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: LieMick CarQADate: 2-1,6_1 q I:\Building\Forms\B1dgPemtitRvw RES RT 121417,docx