Permit (106) CITY OF TIGARD'71 MASTER PERMIT
31; ' COMMUNITY DEVELOPMENT Permit#: MST2019 00023
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019
TIGARD Parcel: 2S 107AA04700
Jurisdiction: Tigard
Site address: 16830 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 47
Project: Polygon at Roshak Ridge, Lot 47
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1645 sf Value: $214,830.65 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1645
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
rt39 BROADWAY SIB fE-510- -709-BROADWAY-STREET,sti+TE 4— GnErF 503-62a-4175 — __ _- - ---
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,101.41
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 orr1.800.332.2344.
Issued By: .A--,-\... Permittee Signature: : 1j 1. e A(e%NT\CC.
Call 603.639.4175 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.
\ 0 \ \...._\----3\--
r w Building Permit Application `'c
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard FEB 06 2019 Received -(-• ^���� ^ _\
DateB J Permit No (, VM
14
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.59 tit,OF TIGARD Date/B : jumi /iif Other Permi. \.73, _ 'tI `,C
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: /,2,� EJ See Page
2for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
6311e-i/- 'Oky6t -
TYPE OF WORK REQUIRED DATA:1-"AND 2-FAMILY DWELLING
®New construction ❑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 dwellingValuation: $ a' / Y1373Y1373 0 Commercial/industrial
IDAccessory building ElMulti-familyNumber of bedrooms:
❑Master builder CIOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:/2,. ,$:5C3
Job site address: I W X 30 S S J c\ni J (iook.ct New dwelling area: i c square feet f 0(7
City/State/ZIP: tilV VVD � \,—\ v Garage/carport area: � square feet (e 245
Suite/bldg./apt.no.: lkioject name:Polygon at Roshak Ridge Covered porch area: square feet
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') Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
�Q n s�% Valuation: $
vii V t Existing building area: square feet
New building area: square feet
Il PROPERTY OWNER El TENANT 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:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
t�F�
- — To
-- _. S_dpe 11p011 aDI?llcafipn• --
. City1State7L�:Vancouver Wi�98660
Amount received:
Phone:(360)695-7700 Fax::(360)693-4442
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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:Vancouv 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: $201.60
Authorized signatur . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ama da Gavin Date: `-(
I I�, I ' (9 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Mechanical Permit Applic CEI FOR OFFICE USE ONLY
City
of Tigard Received
Date/By: Permit Noiti irhL
�,�0�0e25
° 13125 SW Hall Blvd.,Tigard,OR 97223APR 2UIJ Plan Review
-
Phone: 503.718.2439 Fax: 503.59 TY V �� � Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD Date Juris:
H See Pagee 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Inf
ormationDUI J1 '
TYPE OF WORK COMMERCIAL FEE*SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
!""-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 conditionin. 46.75
Job site address: 1(p�� SW _ , �A a • 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.: I Project name:Roshak 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 1 Lot no.: 4-1 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 I 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
Fuel piping:
Business name:Polygon WLH,LLC
$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
~ 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)
Other:
Business name:Apex Air LLC
MECHANICAL PERMIT FEES*
Address:18004 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:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
DECEIVE
Electrical Permit Application ' FOR OFFICE USE ONLY
City of TigardAPR J
n
RDateBeceivedy: Permit#/'S 7 i/ &W 7
1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I _ - .. Phone: 503.718.2439 Fax: 503.598.191 IT'OqF TIGARD DateBy: Related Permit#:
L1liAH_U Inspection Line: 03.639.4175 Biiii rilML' fla\'QIO eadyDate/By: Juris: El See Page 2for
Internet: www.tigard-or.gov otified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition ❑Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONS1RUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Z 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 ❑Other. 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND.LOCATION El Emergency system, larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:{lt v30 6W Su-fist-ft we O -ST 1 10011P or more. ❑"A","E , '1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Roshak Ridge 0 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 I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision:Roshak Ridge Lot#: 41 Includes attached-garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 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
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
I4 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, 7 42 2
each branch circuit
Contact name:Jolene Smith B.Fee for branch circuits without
sAddress:703 BroadwaySt,Ste.510 eaice or feeder fee,first
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
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
- - a+- ,-.. „--_—,.-- .�“4—..4 :_ -- - ,:__ '''' '''*".."'"'-`- --`&--"--''-'-'._ u,:i:, 1 np or tga oncirete — - /
Business name:Portland Electric Sign or outline lighting 67.84 2
Address:1915 E 5th St Ste D Signalnel,aclteration,
n or extension. 0 See Page 2 2
St., 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
Industrial plant(1 hr min) 78.18/hr
s
Email:pawl@portlandelectric.biz 'lc/ . Inspections for which no fee is
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49021--- specifically listed('Vs hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: (10.
.., "A4 J�, a_ Subtotal:
Print name: Alex Shalya Date: 04/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
Tr TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: MISHCHUK,SERC Y Date: 04/08/2019 days after it has been accepted as complete.
Number of inspections allowed per permit
s
Plumbing Permit ApplicatioREGEVED
Building FixturesAPR 9 2019 FOR OFFICE USE ONLY
- City of Tigard Received Permit No 1S/
114 v 13125 SW Hall Blvd.,Tigard,OR 97 f TY OF TIGARD DatDate/By: '/�}-C1C0 �
Phone: 503.7182439 Fax: 503. Plan Review
IirEDING DIVISION Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H 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. 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
41-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
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: Vit o 5 i N e. CI D T ST :vhe:sli::::,doi:ench
City/State/ZIP:Tigard,OR 97224 drain 18.76
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 I Lot no.: 41 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
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: s _ 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
• II COMMUNITY DEVELOPMENT DEPARTMENT
• E
'Ai
TIGARD
Building Permit Review — Residential
,t-'.'F` .: � FE-r ..... t 5,-z3-4,..,.„,5' a' ..
Building Permit #: '(\(`�-�ap`G�_ �u)� �` r
Site Address: /e'g Ceras4
Project Name: A/,,,„ cA J- f J ' Lot #: 2--
(New('' g=sub name;Addition or Alter...% =last name of owner)
Planning Review
Proposal:
A-)-40 \-C '
7 r�fy site address/suite#exists and active in permits .
21 y
River Terrace Neighborhood: 0 NoYes,See River Terrace Review Addendum Attached
Sean Elements:
r•ee(3)copies of site plan I ia' sting structures on site
M S' - plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished
7 110 rawn to scale(standard architect or engineer scale) i or elevations
K • rth arrow V e'ty locations&easements(required for new and additions)
e address,project or subdivision name and lot number Arvalk/driveway approach
A•.licant information(name and phone number) tion of wells/septic systems
1 .t dimensions and building setback dimensions ill y.sting trees to be retained with drip line,and tree
11 uare footage of buildings to be demolished p Lection measures
rA Lot area,building coverage area,percentage of coverage and 4l et tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) ' treet names
ro., t corner elevations 2 foot contour lines if more than >1,000 sf of impervious area created or replace.? J Yes ❑
,4
eP
4 .of differential) If es,is a storm water •uali ' facili t shown ►.J ■Yes lldNo
2 Clean Water S 'ces—Service Provider Letter(lot platted prior to 9/10/1995):
qutred: ► Yes,applicant was notified 0 No Received: I Yes 0 No
Public Facifitiesprovement(PFI)Permit: 71- Fi".20(6-000/0�J
'equired: V Yes,applicant was notified 0 No Applied For. Yes 0 No,stop intake
A/Land Use Case#: SO )/ CSO 41.
Bil Hing /-/� P /
Vi equired Setbacks: Front Rear 3 Side Street Side e
Iali.ftndscape Requirement �Q
t Coverage Maximum: ' 30 %
i5 Building Height Maximum Height 11\-)1 pi Actual Height 2i3
Il 1 r isual CIear
Yes 0 No Type Ai
r40ensitive Lands: 49y4.471--VUrban Forestry Plan �^ AsIk9krit--
0 Conditio "Met" rior to issuance of building g perintt
Notes: i i Planning:-4, li ..1.1 ,
Approved By g: / � Date: •
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\BuildingWorms\BldgPermitRvw_RES_061417.docx
1
Building Permit Submittal
Original Submittal Date: .`j \A
Site Plans: # .>
Building Plans: #
Building Permit#: ra Enter building permit#above. ,_/
Workflow Routing: O'Planning I ' Engineering CgE'Permit Coordinator Building
Workflow Sign-off: 4 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: a 1--+1 lei
Engineering Review 9 7o
Slope at building pad: J
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
2 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes [1 No
Assess Water Quantity Fee in-lieu: 0 Yes El.No
LIDA Facility on lot: 0 Yes ,2' No
,ErFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: Al Y -rae- $N6 ?L ki U ti-R-1- `teD ' _. ] 5 v
y Engineering:,� Approved b E ee ' hit( V tL ✓-� L Date: Z VI T
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Pe 't Coordinator Review
Co tions"Met"prior to issuance of building permit
*--
Approved,NOT Released: Date:2 it If
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant
Revisio otice 2: Date Sent to Applicant
R cion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: [Y'es 0 N/A
Parks SDC: Des 0)I-/A
LIDA 0 Yes L►1 N/A
1 OK to Issue Permit
Approved by Permit Coordinator: AQ�'"j „ Date: ( -4,1,k, l
I:\Building\Forms\BldgPeimitRvw_RES 010118.docx
City Tigard
ofg
III 'I COMMUNITY DEVELOPMENT DEPARTMENT
T l c A R D River Terrace Building Permit Review Addendum
Building Permit #: MSc?),j G,- 0'ae
Site Address: / �&7 ns ? 7-- ���
Project Name: � / ,r7 f o� e & Lot #: 1/7
(New �
. lir g=subdivision name;Addition or Alteration iallist name of owner)
Planning Review of River Terrace Plan Dist ' t Design Standards (18.640.070.1.):
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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12°- o/ of each street facingfacade must include windows or entrance doors.
Percentage Shown: I_l ch
3. trances:At least one entrance must meet both of the folly ring standards:
Max. 8 ft. setback from long 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 es,all the following apply: r4sq.ft.min.
fine street facing entry ( ft.max. roof above floor of porch
IA 5 ft. depth min. tl4 30%min.porch roof coverage
4. etailed 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 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Vall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ of offset min. of 2 ft.
❑ Roof shingles either tile or wood Oble,hip or gambrel roof design
111 Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade Window trim min. 2'/z"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 stre- . ade
_ _, _ and Carports:May face the fron Abt line on a corner lot: _
Setbacks: " - r
No closer to front or side lo • -. an long st street-facing wall. 'es ❑ No. If No (Check one):
❑ May extend up to 5 ft.if there is a cov- -, ront .0 and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage • :.r t o a •-story building and there is a window at the second story
above the garage that faces the str - , th a min. area of 12 sq. .
Width: (Check one)
El 12-foo ....e garage door ❑ 40%max. of street facade
Pli I%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: /., Date: -. ai
I:\Building\Forms\B1dgPermitRvw RES_RT_121417.docx