Permit CITY OF TIGARD MASTER PERMIT
'` Permit#: MST2018-00243
"` . COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27!2019
TitEt• Parcel: 2S106DA19700
Jurisdiction: Tigard
Site address: 16555 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 236
Project: River Terrace East No.2, Lot 236
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2504 sf Value: $315,001.80 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 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0 .
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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: 4 201-400 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 2504
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $34,146.52
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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.0.
Issued By: Permittee Signature: E� �C L_' .,\7\CS
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.
PeL� 2:3 6
Building
P rmit Application RECEIVED
Residential FOR OFFICE USE ONLY
APR 1 $ 2018 Received
City of Tigard Date/By. 0 fan Xk °, PernritNo.:m�T GA -l,L��?�
at 13125 SW Hall Blvd.,Tigard,OR 97223 CITY► OF TIGARD plan Review /
Phone: 503.718.2439 Fax: 503.598.1 Q ( IVI IateBy: / OtherPermiY� _ °
Inspection 503.639.4175 "�'LD�NG DIVI�IO DateRead B ff�/ Jas: 1I See Pae2for
I I G.,.R I.:
p Ready/13y. S
Internet: www.tigard-or.gov Notified/Method. I I ! ,d156/___
/ G Supplemental Information
&/''9f//I PQ6-y60
TYPE OF WORK REQUIRED DATA:I-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 th..ep rofit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 1.47 I DO
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms: L
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2...4661
co Job site address: 1 (p9:::: 3,,) 6t,,d S.f New dwelling area:—L50 L. square feet V3C1 Co
City/State/ZIP:Tigard,OR 97224 lJ Garage/carport area: Iii square feet t,os.
Suite/bldg./apt.no.: Project name:River Terrace East Cover, a �3P are feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.: w Q Permit fees*are based on the value of the work performed.
Tax map/parcel no.: T Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
el PROPERTY OWNER 0 TENANT 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:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC ere er gesdtedu[e __ _.
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
Address: 103 irx�9869866�6�y St - L(-i G si FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA
aTotal fees due upon application:
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR, _ roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
®� -- / Jl Sink-ctt) andl r firen department acec as s alCodge checklist.lis. Oregon
Address: 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: $201.60
Authorized signature:l���r��G`""���,>�,n-v�— This permit application expires if a permit is not obtained
11 within 180 days after it has been accepted as complete.
FeePrint name:NichoIe Thorpe Date:06/16/2017 * �odology set ` Building
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i Mechanical Permit.ApplicatitECEtVED 1 t)Roi II( is i sig ()v1 r
City of Tigard �O�Q Received Permit No..
U Date/By.
IR 13125 SW Hall Blvd..Tigard.OR 97223 APR Plan Remo, Other Permit.
" ttt Phone: 503 718.2439 Fax: 503.598.1960 DatuBc'
Inspection Line: 503.639.4175 Or TIGAR ate Read,'.In. lu s to See Page 2 for
E 1, pe U L ING DNISIO^�
Internet: www.tigard-or.gov `�UiLD Natified7vtethod: Supplemental Information
ti�1EC'IiJ.IS!' .
` 1' "° �' Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Other: mechanical materials,equipment,labor.overhead.and profit.
0 DemolitionValue:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
,, l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
( 1 Multi-litmily 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Iieating/cooling:
Air conditioning I 46.75
Job site address:\1,555 S,, ;t1P $ Srl Furnace 100.000 BTU(ducts/%ents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000--B"1lJ(ducts/vents) 54.91
heal pump 61.06
Suite/bldg./apt.no.: Project name: gNer 1e1f1(etze.'EQS..- Duct work 23.32
Cross street/directions to job site: tiydronic 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
] Other: 23.32
Subdivision: l vcA - to iewA.c _, 'E Sir Lot no.: v
5.49
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF.WORK Gas fireplace/insert l 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
Other: 23.32
El PROPERTY OWNER rr 0 TENANT Environmental exhaust and ventilation:
Name: ps DVL Lapel. IU 1(YiS Range hood/other kitchen
equipment 33.39
Address: 1 I,00D E_ Do, vtheee„,r O04.4. Clothes dryer exhaust I 33.39
City/State/ZiP: Single-duct exhaust(bathrooms,
Sc A-' sda,Llr i Ti L.)p toilet compartments,utility rooms) 4 23.32
Phone:jpQ"'ty01L4_4Q7j' Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT-PERS i Other: 23.32
Fuel piping:
Business name:Polygon W LII,LLC $14.15 for first four.$4.03 for each additional
Contact name: Iv I P,Ino\e t QIP * Furnace,etc. I
`"-1'
Address:1D �� � S'11 Su 1 ,f SIO
heat pump
� Wai lsuspended/unit heater
City/State2iP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I ,
Range I
E-mail: ' Barbecue
-
Q �, Clothes dryer(gas)
•. _ Other:
Business name:Apex Mr LLC :4." . *->
Address: 18004 NE 72"A Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days alter it has been accepted as complete.
Authorized signature: ' Fee set by Tri-County aust�linr Industry Service
Print name: ii .. j Date: •/1•/C••
1;nuitdingWvmiieMEC_PmnitApp_040i 13.doe 440-46171 t 11:'ff.Cf5.t/WEnt
r - ,,,,,,,„,,,, .... ''.x x.,,,x'Aur r11,nuuo6uuuurfit REGE S ifr � ,,,''s�
D#"�%c�r�s ✓�-a -3,-,,,,L.,,,:„-,:•,,,r4„:
`, '� �' -i.ON'� � f ten.,” z�:
lii.
` City of Tigard? Received
t� Permit li:
' " 13125 SGV Hall Blvd.,Tigard,OR 97223 201$ DateJBy;. Phone: 503.718.2439 Fax: 503.598.1960 APR 18 Date/By
view Related Permit#:
Inspection Line: 503 639 41.75 w Ready Date/By; Surls:
�'YGARDi Internet: www.tigard-or.gov CITY t OF Ti !'1rr Su See menet for
-'^ ^Y ": `ohfiedJIvlotEta Supplemental Information
Vieft�.
1F..
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of pians w/items checked):
Q Demolition Other: Cl Service or feeder 400 amps or more Q Building over three stories.
=.;r:;z:•:.;,:,l y,,.,;;rs.;:;,.;;„*. . _ _ where the available tatttt current 0 Marinas and boatyards.
�GO,Rir.QI+' CQNS33lCTION�`=��;<;'.:`�' =: �.:;;: ;`:; :':+''::'.:':'i
-: <,,..,....... .. .. ....:..:..Ct)..._ •_: ,r= ;. . . .,., exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Cotumerclal-use agricultural
❑Multi-family ❑Master builder ❑Other: r allother mstallatIons,
ampsbuildings.
0 Fire pump. Cl Installation of 150 KVA or
' s:s' rrf:V:.: _:,J.Q -.SiTE INT?.00gifTION A'ND,:;LOCATIQN. "i::.:_ .'.:..:`<: ❑Emergency system. larger separately derived
Job site address: �^^ c, 0 Addition of new motor load of system.
Job#:
1 W55J 5v.) _3\coks`�( J Si'- 10011F or more.
City/State/ZIP:Tigard,OR 97224 0 Six or more residential mots. occupancy.
El Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt,#: Project name: \PX 1-t rya,e,Ea5.+ 0Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
***.j; r;HE ULA : ` aa' : `
Description i Qty. I Each i Total
New residential single-or multi family dwelling unit.
Subdivision: lia - -rem e.e_ -F4— I Lot#: 2,N, Includes attached garage.
Tax map/parcel#: 1,000 sq,ft.or less 4 168.54 4
: .: La add'1 500
or portion
io 33.92 1
..- , :. :" �4';„?':; :�:,PmC PION:OF`ENO 1 ::i :::;:`,: ';: :: Limited energy,residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75,00 2
residential(with above sq.ft.)
1ZaMtifi, r - ''''''',:: ;::':: ;:`,..:''?!::;1: 0
- - -- abol Enrgy < e 1:c__)
-` : s' :- -" Services r feeders installation,alteration,
SeePand/or2
relocation
(
Name:� {-dVA /i �„
y � ` 200 amps or less I00.70 2
Address: t/ , 1 vt 1/l,' \t'/ A p 1 1 201 amps to 400 amps 133.56 2
122
401 amps to 600 amps 200.34
City/State/ZIP: S( .4.Sri ate 1 s .l(-. 52,5c 601 amps to 1,000 amps 301.04
Phone: Din-W LI-rl 03 M Fax:( ) p Over 1,000 amps or volts 552.26 2
Email: 1 Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 1 I I
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
.--.,m .,..,.;, f , „- _ - •t'° i•anetcirc - ti l
;-:.. :, .,,:<,::��-- k1I,IGANT. =?`-' `�; .i, etv,alters onextension,per ane!
_.�1.-�.,. -....._,.kms:,.,.....-_....: . -::2-.J
- . �� COTJT'±GT•-BERS ...- ... nits n o•
• A Fee for branch circuits with
Business name:Polygon WLH,LLC above service or feeder fee,
7A2
Contact name: n,^ each brands circuit
\W ll (11 1 , B.Fee for branch circuits without
Address: 1 0 G` lJl.lt� c_L_- C� � service or feeder fee,first 56.18 2
l7`9 branch circuit
City/State/ZIP:Vancouver,WA 98660 J Each add'I branch circuit 7.42 2
Phone:(360)695-7700 Pax::(360)693-4442Miscellaneous(service or feeder not included)
Each manufactured or modular :8844
2
EmaEmail: ��o l vW :,-12 dwelling,service and/or feeder
il:::,-amu;._,:, , Y-o'reS CAyy), Reconnect only 2
ri;'i
jw'
;,. ..,;,..-., - .: &=;=.; Pump Of irrigation circle 67.84
2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuits)or limited-energy a 0 See Page 2 2
panel,alteration,or extension. g
City/State/ZIP;Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 Jr min) 66.25/in.
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.coin Industrial plant(llrrmin) 78.18/hr
Inspections for winch no fee is
CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 44968 specifically listed(i4 hr min)
90.00/hr
-. ... ;',Ot Iak0:A'Ii.=tPRRhi[T:lFEl kiti' ':
Suprv.Electrician signature,required; ,ii �,/p, Ail k.56-- - .Sabtotal ^
Print name: Joan P Albert I Date: D Plan Review Required(25%of permit fee):
'� "> _ State surcharge(12%of permit fee):
Authorized signature: f ,/�___e_ -- x TOTAL PERMIT FEE:
1 This permit application expires if a permit is not obtained within 180
Print name: Bill Daniels Date: daysofte,rttn>zs beenaeeept uscompter
* Number of inspections allowed per permit.
I:lBuildtag\Permitssmc 'ermitApp_5tR BRE.doc Rev 06/17/2015 440-4615T(11/05/COh'f/WEa
A Plumbing Permit Application iklE
Building Fixtures
City of Tigard �pR 1. 8 201 Received
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
.111
I Ian Review
Phone: 503.718.2439 Fax: 503.598.1 O 1 1\kS Other Pcrrnit No.:
n 1�7 ateBy:
TIG.n R n Inspection Line: 503.639.4175 ,`ILa1NG U, Date Ready/By: Juris: ®See Page 2 for
Internet www.tigard-or.gov V
NotiSed/Method
Supplements]Information
t_:f,t? mr � �"
+.,:., .tom ";! -" 1 zim. *- v'r .,i
For special information use checklist
® Demolition New construction Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY.OF CONSTRUCTION SFR(I)bath 312.70
SFR(2)bath 437.78
®1-and 2-family dwelling ❑Commercial/industrial
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOBSITE INFORMATION AND LOCATION: Site utilities:
Catch basin or area drain 18.76
Job site address: 1 05 S1.1 bit)i
Drywelt,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
�_�'��3J-a Footing drain(no.linear ft.: ) Page 2
Suite/bldg apt.no.: Project name: V- �-- c-r 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 R,(4QX l-"•QJ)rY-a.e, s,.-1-- Lot no.1;(j Fixture or item:
Backflow preventer I 31.27
Tax map/parcel no.:
Backwater valve ) 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0IN
P1:LOPEBT'ff OWNER ' I TENANTExpansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
PASInterceptor/grease trap 25.02
... APPLICAk�IT:,. 0:CU1�7TACT:PERS[)N . . .
Medical gas(value:S ) Page 2
Business name: PO t.' Cr 011u .1't,la.s��
N
,^,w�1�, Primer 12.51
Contact name: lJV L 4C Roof drain(commercial) 12.51
Address: 'l b3 Dy0Gia in)CA_ 3f- s, CO Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98,660` 4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:*NI `*,� Irv\I GY o`e. 1ri�'. RA
) CTCT p 01 ��( S ( Urinal 25.02
Water closet 25.02
' OZst a er ea er
``.....- W t h t 37.52
Business name: .-LD WO)*NV -SOyV7 fr Waterpiping/DWV 56.29
Address: p.0. 6 ox elA Other: 25.02
City/State/ZIP: 5T, P ort- c o 131 Subtotal
Phone:(3)3 r•v 14/1 Fax:(1.1 V .."79,1.-0?11/0
Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: lei �„• Plumbing Lic,no.Pb kali
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: ,g J-tut_ w kms_ Dater 31)--1 b This permit application expires if a permit is not obtained within 180 days
after it has been=opted as completes
*Fee methodology set by Tri-County Building Industry Service Board
1:1BuildingTamitPLMU-PermitApp.doe 10/01/09 440..4616r(t0/02/COM/VEB)
t
City of Tigard
11111 " COMMUNITY DEVELOPMENT DEPARTMENT
II
T I G A R D Building Permit Review — Residential
Building Permit #: ‘\t-Ns-c.aus5- .\-1'3
Site Address: i(09-59 SW alydSvYCi .
Project Name: Rt\o-- rY e ` c-t N 0,''2.., Lot #: '2,—Ac
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NM 4..P..--r--T2-
J Verify site address/suite# exists and active in permit system.
A. River Terrace Neighborhood: ❑ No ., 'Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan NAFxisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
.. ;Drawn to scale(standard architect or engineer scale) floor elevations
north arrow ,Utility locations&easements(required for new and additions)
-Site address,project or subdivision name and lot number ,l Sidewalk/driveway approach
Applicant information(name and phone number) NLocation of wells/septic systems
B,ot dimensions and building setback dimensions r1Existing trees to be retained with drip line,and tree
F.quare footage of buildings to be demolished protection measures
V4 ot area,building coverage area,percentage of coverage and ,'Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) treet names
,Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? VALE No
fe-
4 foot differential) If yes,is a storm water quality facility shown? ❑No
isi Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PH) Permit:
Required: ❑ Yes,applicant was notified 71. No Applied For: ❑ Yes ❑ No,stop intake
-Land Use Case#: P De t(07 C.-)C O1
.,2K Zoning: Z L k..S LPO )
, Required Setbacks: Front e Rear 10 Side 73; Street Side & Garage 20
SX-Landscape Requirement: -.L` ,,
Lot Coverage Maximum: fA ./.
Building Height: Maximum Height f Actual Height t2:7
TX-Visual Clearance
1,, ensitive Lands: Yes ❑ No Type Vmv49,C D\ rt ct c it I
!Z Urban Forestry Plan VOW \C't\u G 10e/00(. 71►+cj(-c o•+
ditions "Met" •
4 on
prior to issuance of building permit
1 otes: Y1( .rt)w1S Il -106 prw .-11 ( u izM Ce .
Approved By Planning: ,(aeDate: e"?i, -1
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\BldgPern itRvw RES_061417.docx
Building Permit Submittal
Original Submittal Date: l-{k lSkS
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: [' Planning ['Engineering Er Permit Coordinator 1:91 Building
Workflow Sign-off: g'Sign-off for Planning(include notes from planning review)
Route Application Documents: 12'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Et/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: L, Date: g 1 Ik
Engineering Review
Slope at building pad: 2j
e
[( Conditions "Met"prior to issuance of building permit
jasements (encroachments)per engineering conditions of approval and plat
ater Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: CI Yes [iNo
Assess Water Quantity Fee in-lieu: ❑ Yes 11/No
LIDA Facility on lot: ❑ Yes R No
❑ NOT Approved by Engineering: Date:
Notes: Wa/14- far f le,fia,•,,a and ersi,iee.-fes
Approved by Engineering: &r a d y Bu///i j er' Date: 7/57/e53Revisions (after Building Submittal only) cJ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
/c/No►=
I.pproved,NOT Released: �f> 7,�J kiG ja. -� 7iffebate:
9/5/4--
Notes:
tes:
/}-LL ae. l
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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes > N/A
•K to Issue Permit
, 0 4 Approved by Permit Coordinator: / / Date:
���
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
1
F •
City of Tigard
w COMMUNITY DEVELOPMENT DEPARTMENT
:IN 1
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address:
ttOgS Sin/ 1310c,,� vtre6-4-
Project Name: 12--wei' r-F'�rz .t,5-1- NO 2. Lot #: 2. 4)
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.0701):
Is the project subject to the plan district design standards?P.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
ft. deep min. 2ft., 5 ft.wide mm. 2 ft.,6ft.wide Gabled dormer
.J ., ❑ ❑ ❑ ❑
?er ?t/S,1 k)
2. Eyes on the street: a minimum of 1?% of each street facing façade must include windows or entrance doors.
Percentage Shown: Wit,-- t -/b S
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yes,all the following apply: 25 sq.ft. min.
F. One street facing entry 12 ft.max.roof above floor of porch
2 5 ft. depth min. 30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep`r/ ✓ .Recessed entry area min. 5 ft.wide x 2 ft. deep
,..Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
JR-Roof eave min. 12 inch projection is _:Roof offset min. of 2 ft. F IS
❑ Roof shingles either tile or wood . 'Gable,hip or gambrel roof design f S
❑ Roof pitch oriented south min. 500 sq. ft. ..-Iorizontal lap siding min. 3-7 inches wide t-1 S
❑ Accent siding min. 40% of street façade Arwindow trim min. 2 1/2"wide by 5/8" deep r l S
❑ Window recess min. 3 inches for all street facing ❑day window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access VAttached garage is 35%or less of street façade S
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks: I'/
No closer to front or side lot line, than longest street-facing w. Y sjfi No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and ga .ge does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door ❑ 40%max. of street façade
50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: ___Ly,4, VIII i
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal a smittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION R.C1v
:AUG 2 I. 2018
FROM: Joleen Smith CITY OF TIGARD
PLANNING/ENGINEERINC-
COMPANY: Polygon Northwest
PHONE: 360-695-7700 By: SO-
RE: 16555 SW Birdsong St. \ �
(Site Address) (Permit Number)
RTE2 Lot 236
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description:, Copies: Description:
0 Additional set(s) of plans. 2 Revisions: A8/A9 articulations
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
see Building Permit Issues attached
Routed to Perml Technician: Date: 9 c-f t Initials: /fit-
Fees Due: ❑No Fee Descf.tion: Amount Due:
00
yr $ �'
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012