Permit (137) CITY OF TIGARD MASTER PERMIT
iii
�''
. COMMUNITY DEVELOPMENT Permit#: MST2018-00238
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019
Parcel: 2S106DA19800
Jurisdiction: Tigard
Site address: 16579 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 237
Project: River Terrace East No. 2, Lot 237
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Yes
Total: 2229 sf Value: $282,189.05 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: 0
Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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: 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 addl 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 VA R-3 2229
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: $33,397.74
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 OAR 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.
Issued By:
-�-. Permittee Signature: C.*.E- erc LACIAThcr)
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 LS) Z 3
RECEIVE,
Residential FOR OFFICE USE ONLY
Cityof Tigard APR 1 8 2018 Received 1, r t
- g 11� Permit No.: � (A.-vim .
13125 SW Hall Blvd.,Tigard,OR 97223 �+
Date/By.
Phone: 503.718.2439 Fax: 503.598.1960 tart OF TIGAR Plan Review
BUILDING D1V1 1C�ate/By: (� AA' Other Permit:� eP z`or MrrftiG
Inspection Line: 503.639.4175 1 to Ready/By: , ruris: Bf See Page 2 for V�k TUB
Internet: www.tigard-or.gov Notified/Method:/ 1//y `" Supplemental Information
02/1/9" lw t yEc'
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 OFCONSTRUCTIONwork indicated on this application.
Cb® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ca•i t69
ElAccessory building 0 Multi-family Number of bedrooms: L.
0 Master builder 0 Other: Number of bathrooms: 3
Cn JOB SITE INFORMATION AND LOCATION Total number of floors: 3 ?Loci
Job site address: l(p'S-tj Sv\1 e jlcaS0( New dwelling area: 7 27'9 square feet '25
City/State/ZIP:Tigard,OR 97224 "' ►� Garage/carport area: ?J t�O square feet Ct 71t1,
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: "Z.uare 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.: `-"2, 1 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
®.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
(Please.rejer.t¢/e..aced L) -
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
Address: -7 0 3 Si S(,l l�,L FLS plan review fee(if applicable):
Broadway Total fees due upon application:
City/State/ZW:Vancouver WA
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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: _ i1 , Srt - t 0 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: $201.60
Authorized signature:l���!��C`""� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name::Nichole Thorpe Date:06/16/2017 `�°1° set 1
gY by Tr oantgBui ding Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application RECEIV lOk Orl u 1: 1 E 0\1 'l
City of Tigardi APR 1 8 201; Its ��� ''
ermil No.•
lig41 13125 SW Hall Blvd..Tigard.OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 .`� Chhcr Permit
Inspection Line: 503.639.4175 ��r A o 'l' . ` y 0 See Page 2 for
lnris
7 1 F:f) g BUILDING O V#* f� e?ethod: Supplemental Information
Internet: www.tigard-or.gov BUILDING
._.a .. .s.sx �'��`�� a mowLAr .-=- ,- <_.: t. ....�� ...,., `',gid.,' ,-4M .�� Wal;
. . ',143F. Sit
T1
Mechanical permit fees*are based on the value oft e work
®New construction 0 Addition/alteration/replacement performed.
Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEN F/SYSTEMS FEES*
,1,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
308,SITE INFORMATION AND LOCATION ,
+,, Air conditioning 1 46.75
Job site address: t5' " S' \cokSor\(a si-- Furnace 100.000 BTU(ducts/tents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91
I teat pump 61.06
Suite/bldg./apt.no.: Project name: R-wer Texectr . -eos..— Duct work 23.32
Cross street/directions to job site: I lydronic 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
L Lot no.: Other: 23.32
Subdivision:
l�l?.1r�e JrrfA[t? . � ,5'f 7,....51 Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
GUMPTION OF WORK Gas fireplace/insert I 33.39
Flue vent for water heater or gas
fireplace 23.32
Lag lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimnccyliner/flueivent 23.32
® PROPERTY OWNER + 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: PPDVL Lapel td,cS f L� Range hood/other kitchen I
1 _ equipment 33.39
Address: "L(0®O E DOu1�_-trc�G—tk i.ocue,‘ Clothes dryer exhaust I 33.39
1 City/State/ZIP: SC,Ot-�s A..., [� 1 -.) B'1 Single-duct exhaust utility L toilet compartments,utility rooms) 23.32
Phone:/n�1,1H—4Q3 t Fax:( ) Attie/crawlspace fans 23.32
.® APPLICANT ❑ CONTACT-PERSON Other: 23.32
Business name:Polygon Will,LLCFuel piping:
$14.15 for first four,$4.03 for each additional
Contact name: 0' G tvokt 1,0 Furnace.etc. I ,
Address:
7O BVD(/YJI A ��.i"Su S11) Gas heat pump
WalUsuspended/unit healer
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range I
E-mail: ) _ Barbecue
.. x; ,M ; "=( � ; Clothes dryer(gas)
Business name:Apex Air LLC Other
..r
Address: 18004 NE 72"d 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 lie.: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 ' • Feen,ethodology ou b'Id-County Board
Print name: 'f Date: 4•II.It,,.
l;nuildingiPermils'MEC_PetmitApp_o40113.dos 4404617T i1l/421COMAVE81
1
re-711 ���E' er. e, ., u do• �I11;�1 ofTigard Received-
13125 SGV Hal!Blvd.,Tigard,OR + 'Id C Date/By Peunrti}:
f Phone: 503.718.2439 Fax: 503. '8.1960 Q Date/By;PlaReview
Inspection Line: 503.639.4175 2�1U Related Permit#:
`TIGARD'9 AP 18 ReadyDatelBy; rush: i7
_- -_.,-__:_ Internet: www.tigard-or.gov See Pagel for
:..;-...�.-,-•`.. .. Nohfiedltvletlto lnfotmz#
_�����.�<;ry,.- _�Ar's<:u�-_=4� - _ - - - -- - - ('���� d SupplementalInformation
,.>.�...,�:� ..,.,._._ :._.rte:_;:...:;: �e_ -
.......-...
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®New construction ❑Addition/ai ��g �Mnt Please check all that apply(submit -. � s •c.e.
❑Demolition ❑Other: Q Service or feeder400 a nps or more is Qof Building
over
three
stories.
''�":Demolition
...;,',.,.. where the available faultg veboatya d
.. ---_. _ t" current Marinas and
'(2It G.OItY=O' = Qt boatyards.
Cb::
-. _......:.�.:-.` -_.,.:: ....,...,..,,:,,�' ,::;.:.:' :< .::,:-': exceeds 10,000 amps 150 volts or
❑X 1-and 2-familydwellingP Floating buildings.
s.
0 Commercial/industrial 0 Accessorybuildingless togr-ound,or exceeds 14,000
0 Cotnmerofai-use agricultural
❑Multi-family • 0 Master builder amps for ail other installations, buildings.
0: ,.
,•:.::-::'+'+.,::-:�:i:� ' - _ pump, ❑Installation of 150 KVA or
fOB_;.SiTE INF01214�A'TION'1ND:LsocA.TTC1of' : .
, _ Fire
•' �`'_-" "'- ..� -. `',;- ::, El Emergency system• larger separately derived
Job//: Job site address:/ Sol
❑Addition of flew motor load of system.
!' v Bi(t f 001iP or more. ❑ A>,•E "I-2","1_3
at-
City/State/ZIP:Tigard,OR 97224 O Six or snore residential units. occupancy,
#' ,' ❑Health-care facilities, ❑Recreatiottalvehicle parks.
Suite/bldg./apt.
• f Project name: i2�V or 1:ur ma.' 4 0 Hazardous locations. ❑Supply voltage for snore than
Cross Street/diI'eCfIOnS to job Site: ElService or feeder 600 amps or more, 600 volts nominal,
Description I Qty. I Each 1 Total i *
Subdivision: ��� New residential single-or multi fancily dwelling unit.
��/Irt�,• 4, 1 Lot At:in Includes attached garage.
Tax map/parcel/I 1,000 sq.itor less
168.54
4
:s'.::.:-;i,: .:::.:::: >s;: ;..::::: .:: ::: ...... .... .... a.add'1500 s ,R,orportion
Limited energy,residential
(with above sq.ft.) 75.00 2
S
Limitedenergy,multi family
residential(with above ,1}, 7 00 2
l �.a_IPa�tOBL� gip. Renewabl
-,. _..�!�lr`/,....- - - - gY See
❑ Page
Name:, - Services or feeders installation,alteration,and/or relocation
"' v -j' CJi _ f ' 200 amps or less
Address: j � I00.70 2
'`,l/ 201 amps to 400 amps 133.56 2
A �"40' __.g 401 amps to 600 atnps 200.34
City/State/ZIP: S���i e 1 Y' q t 57 5g 2
pw �n 601 amps to 1,000 amps 301.04 2
Phone: ti)02-WC3(.4.;1 j 03 I Fax:( ) Over 1,000 amps or volts 552.26 2
Email: ur "t Temporary services or feeders installation,alteration,and/or
relation
Owner installation:This installation is being made on property that I own which is not 200 amps or less
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ams to 400 am
p P s 125.08
59.36 1
Owner signature:
2
_ Date: 401 amps
- -�tA e� t ;;., "{d;t;c - - - - - _ amps 168 54 2
.. . Ilr•'t
cl
>4 .. ,� t cir —
�...._._ coifs
'�!' 5;i„ .:�_, rI,GT"P R5; , t18n or
;:::'�,r:; ;'�: _ .... - .:,.,�-.,..ON :; ;".: . extension,per panel
Business name:Polygon WLEJ,LLC A.abo fesbrvneh rifeede tfee,
above service or feeder fee,
Contact name: each branch circuit 7.42 9
n"'r` , B.Fee for branch circuits witIa:it
Address: ?J 1�� service or feeder fee,first
SuA � branch circuit 56,18 1 2
City/State/ZIP:Vancouver,WA 98660 j Each add'l branch circuit 7.42 2
Phone:(360)695-7700 Fax: (360)693-4442 Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: ����e.11401(- -.IA ` 67.84
� dwelling,service and/or feeder 2
--- °_;•t: u:=•c,: - ;:', ,=:n'• - _ orpe. •� ) Reconnect only
r.- -
,.'�.- �% 67.84
`.-. .,,:-';-, ��,.;`, ..: :;6 : Pump or irrigation circle
Business name:Garner Electric Washington,LLC Sign
2
Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuits)or limited-energy
• panel,alteration,or extension. O See Page 2 2
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66,25/hr
Phone:(253)872-6051 I Fax:(253)872-1801
Investigation(1,renin) 90.00/hr
Email:bdaniels@gvyeusa.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: C1158 Electrical Lic.: 208174 1 Suprv._ Lie.: 4496S specifically listed(4 hrntin) 90.00/hr
Supra.Electrician si ature required :WV t7' / ,-' :: .O.
'- t.?d4�1'I �_ _
r
Subtotal:
Print name: Joan P Albert I Date: ❑Plan Review Required(25%of permit fee):
.-- -- ,> State surcharge(12%of permit fee):
Authorized signature: 4.0011"-----;.------...------7.-- 217 . TOTAL PERMIT FEE:
f Print name: Bill Daniels This permit application expires If a permit is not obtained within 150
Date:
-__ aftertrhas been/weep-Rd-Ai complete
- s Number of inspections allowed per permit.
1:1131tildinglPermitslaLC PermitApp ELR&RRE.dos Rev 06/17/2015 440-461ST(l1/05/COt,pwEB
Plumbing Permit Applicatio `\E
Building Fixtures p 18 2018
City of Tigard P% Reaped
Permit No.:
III i 13125 SW Hall Blvd.,Tigard,OR 97223 II RRD DateBy:
C Phone: 503.718.2439 Fax: 503.598.1 �� ivtS�a'Nantemy et'� Other Permit No.:
T t C,n RD Inspection Line: 503.639.4175 `' DING Date Read/B
Internet: www.figard-or.gov Bv`� furls:Ready/By: ®See Page 2 for
Notified/Method: Supplemental Information
s0/- .. ,.
r New construction �--y For special information use cltecklisL
LJ Demolition
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(1)bath 312.70
® SFR 2-family dwellingSFR(2)bath 437.78
❑Commercial/industrial
SFR(3)bath 500.32
Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION' Site utilities:
Job site address:/107/CI SIX) f 1\r(I S S� Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224
V Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: 4 v-act 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 (2j - '�,em.a,,e,E Lot no.: L3-1 Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Cit pEopEETy owNEE 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floorsink/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
APPLICANT D.CONTACT.PERSON,"
Interceptor/grease trap 25.02
Business name: Po l c ,lice M m cal gas(value:S ) Page 2
er 12.51
Contact name:-�; � ,- p Roof drain(commercial) 12.51
Address: 1,(53 p3'>3c.60 '�'`�5i-- sku Ce_S ) Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660"4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail: �\1 C/�t]le OV Urinal 25.02
G V s 1 N� T �� i�c-S c-�� Water closet 25.02
<< GQ OR - Water heater 37.52
Business name: Gd-J! 4,1/4y1/4,1)v ,t-c 4._ Water piping/DWV 56.29
Address: p.o. B..ox oiA Other: 25.02
City/State/ZIP: sr-r, Pg.,4 or, '1131 Subtotal
Phone:lam 143 r 84k- 141,1 Fax:(II p..-70/,i-e nw Minimum permit fee: $72.50
i � Plan review (25%of permit fee)
CCB Lia: (t � Plumbing Lic.no.
{ State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: ,Si' t. f,w 14.e, Dater-3to-it) The permit application expires if a permit is not obtained within 180 days
__ after ithits been accemted.a ample&
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Buildasg1Pemvt5191.E4l-PernitApp be 10/01/09 44.0-4616T(t0/02/coM/wEB)
City of Tigard
.114a COMMUNITY DEVELOPMENT DEPARTMENT
■
T r c A R D Building Permit Review — Residential
Building Permit #: (s0S a0 1 - OCja3�S
Site Address: jlf)5j'j°1 S -Bircigynj (-
Project Name: Lot #: 2_31
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: New
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No XI Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
TThree(3)copies of site plan 1 xisting 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 IA'Smdewalk/driveway approach
applicant information(name and phone number) lAtocation of wells/septic systems
34ot dimensions and building setback dimensions Nkxisting trees to be retained with drip line,and tree
AgtRquare footage of buildings to be demolished protection measures
S.ot area,building coverage area,percentage of coverage and Artreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) 'Street names
roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Y• Al o
4 foot differential) If yes,is a storm water quality facility shown? ■ i1 No
3:a Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified No Received: ❑ Yes ❑ No
X Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: PD V-201 t Vt-tb
Zoning: g y.5 U)15)
,Required Setbacks: Front 12 Rear 10 Side Street Side'v/fk Garage '
JLandscape Requirement:
.F Lot Coverage Maximum: 3()
IS Building Height: Maximum Height 1/Jk Actual Height
Visual Clearance
aSensitive Lands: Yes ❑ No Type ONtry d
�� 1
Urban Forestry Plan j(�t
� C MC•j�( ) 1
��
C2Conditions "Met"prior to issuance of building permit
tes: trciftcbM rhtnc yh >' tO tglAdOLIV.e
Approved By Planning: ��./ ii N— Date: /(s
Revisions (after Building Submittal onl, Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: L \\ i5
Site Plans: # "J
Building Plans: # 3
Building Permit#: 12'Enter building permit#above.
Workflow Routing: Q' Planning gr Engineering Ca'Permit Coordinator RI Building
Workflow Sign-off: 2'Sign-off for Planning(include notes from planning review)
Route Application Documents: 2'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 4\--,t,
By Permit Technician: . D.j,A,lL, Date: g(4-1-\&
Engineering Review of
.Slope at building pad: 4.-- 6 O
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: D Yes ,2"."No
Assess Water Quantity Fee in-lieu: ❑ Yes ,Er No
LIDA Facility on lot: ❑ Yes ��Qo
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: (Ark 1-1— MI GA L Pc_i4-r7-Yl i 6 alt. 15 g.
,B'Approved by Engineering: M ( (/TZ.- l,,—). , Date: P Z2 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
❑ Conditions'Met"prior to issuance of-building-permit�p
Approved,NOT Released: •4 et.�l /,/rJ WDate: 8/29 f I r
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
evision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ,eYes ❑ N/A
Tigard Trans SDC: / Yes ❑ N/A
Parks SDC: `2 Yes ❑ N/A
LIDA ❑ Yes (R:'N/A
OK to Issue Permit
Approved by Permit Coordinator: 1 ' Date:dA�` /9
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
City of Tigard
IIIIIa COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G R o River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1(Dg1 SW a.V.°4S
Project Name: -\Vi' y-cto2 i( N'D, 2 Lot #:
(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?/M"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 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: I' 0/0
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall GI 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: A-25 sq.ft.min.
-One street facing entry INk12 ft.max. roof above floor of porch
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 XRecessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
U Roof eave min. 12 inch projection Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade Window trim min.2 1/2"wide by 5/8"deep
❑ 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 ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall.`-Yes ❑ No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
Cl 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 facade
X50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 4G`J (4,414-L__ _ _- Date: a((�irR
I:\Building\Forms\BldgPermi[Rvw_RES_RT_121417.docx