Permit (33) CITY OF TIGARD MASTER PERMIT
"< COMMUNITY DEVELOPMENT Permit#: MST2019-00274
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019
Parcel: 2S 107AA03800
Jurisdiction: Tigard
Site address: 16837 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 38
Project: Polygon at Roshak Ridge, Lot 38
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $248,825.69 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703BROAOWAYSTST MO _____-._703O AYSTREET,-$U►TS-#40 1 Ewa CPU!503,639417f3—
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,685.50
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: 1 ,
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 \ --.)- S
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard C Received permit No.. ^ (��
FEB O 6 20 9 Date/By: 4�1�\C �� �,' \ 6_
'u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598Lficy OF TIGARD Date/By: 7111
'� �Ins ection Line: 503.6394175 DateReadyB Juris: H See Page 2 forT1GARD BUILDING DIVISION
Internet: www.tigard-or.gov Notified/Method: 1i i\�
I Supplemental Information
�'. ��d %
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 dwelling 0 Commercial/industrial Valuation: $ Z•y t ZS
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:2, '7.2,95
Job site address: l to O%31 S UIJT VIJv\(,U k 1. New dwelling area: 't Sg square feet 1099
1 i V
City/State/ZIP: l Y'C DV-( 1'] Garage/carport area 9n square feet god
Suite/bldg./apt.no.: Project 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.: $g 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.
`�ln, A c . Valuation: $
`, /V�/ D Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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)6934442 New:
IN APPLICANT 0 CONTACT'PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refprtoj�eschedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
_ -13ity/StatelLl'_Vancouver WA 98660 — - appi'tet =
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 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: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 r Total fee due upon application: $201.60 i
Authorized signature:` This permit application expires if a permit is not obtained
iv
within 180 days after it has been accepted as complete.
name:Amanda G•
0.4.1[-Print
in Date: ((C
*Fee methodology set by Tri-County Building Industry
Service Board.
1:`\Building\Perniits : •-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application,— ..,� ,, FOR OFFICE USE ONLY
it 4
City of Tigard c 4,•-r.�"').,.h if %t k Received
Permit No
Date/By:
" 13125 SW Hall Blvd.,Tigard,OR 97223111 I Plan Review ` t
Phone: 503.718.2439 Fax: 503.598.1960 2019
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jaris:
Internet: www.tigard-or.gov i F ;y' ..)1.- t.1‘,!:.!,'-'2, S See Pent l2 Informationfor
{g , , �,, Notified/Method: Supplemental
till. )G°� ° kitd`en,.
..
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
25.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning t 46.75
Job site address: t(pg3`1 t5 W p W t f$V I V e .511- Furnace 100,000 BTU(ducts/vents) l 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: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
Other: 23.32
Subdivision:Roshak Ridge Lot no.: 38 -
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
' .-D
� Flue vent for water heater or gas
Q6.0),. C'_:6Y�, 7Z.tATAZ �()(\. 7Zbl 9—0 OZ:1 LI 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 r 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) 3 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
:1 APPLICANT ❑ 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
----- - r @ .Wirerfiiea-fei
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
6 CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
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 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: 0j/ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Flay Date:04/08/2019
�, s
Electrical Permit Apphcatiq '- C.. `. ', ,� <� FOR OFFICE USE ONLY - a,x' s
t�, ..
City of Tigard Received
'I 13125 SW Hall Blvd.,Tigard,OR 97223r, t Date/B : IN
IIMIMI
g Phone: 503.718.2439 Fax: 503.598.196/L: '' 7 Plan Review
Date/B : Related Permit#:
d'. Inspection Line: 503.639.4175 i,,r ReadyDate/By: Jurist
� e �, � .„ , yPJ See Page 2 for
ri'19ARD Internet: www.tigard-or.gov LA 9 - Notified/Method: Supplemental Information
i �gg ale t t il'!c6 - 451
TYPE 01 OGO
-:PLAN,REVIEW. y :
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other.
where the available fault current 0 Marinas and boatyards.
. - CATEGORY.OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 0 ❑Accessory building
0amps for all other installations. buildings.
Multi-family 0 Master builder ❑ Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE.INFORMATION.AND LOCATION. ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: I(p j3"� SA) I ) Utl j C., 100HP or more. ❑"A","E°,`1-2", 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:Polygon At 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. 1 Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 3g Includes attached garage.
1,000 sq.ft.or less % 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion Z,,, 33.92_ 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
r ;C.`- LCY\!F (. —k_ r .p S-T WstCt_1)1)214 (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER`.. . 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or less 100.70 2
Address: 703 Broadway St Suite 510 201 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:(360)693-4442 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 1 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:William Lyon Homes,Inc. above service or feeder fee,
7.42 2
each branch circuit _ _
Contact name:Nichole Thorpe B.Fee for branch circuits without
serAddress:703 Broadway St Suite 510 nit feedertfee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals®polygonhomes.com II_,,_u*
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:solarpdx®me.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48711$ specifically listed('4 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: —`— TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Kile Rood Date: 03/08/2019 I days after it has been accepted as complete.
Plumbing Permit Application
Building Fixtures ... ..g ... ,,„_, ,
FOR OFFICE USE ONLY
City of Tigard Received Permit No. ���
. p 13125 SW Hall Blvd.,Tigard,OR 9 3 E 9 ?l)1 l Date/By:PlT \Ct- .�.:� {
Phone: 503.718.2439 Fax: 503.598 960 Date/By:an Review Other Permit No.:
� f>
Inspection Line: 503.639.4175 , p t 1 a 's' ,. Date Read/B Saris: BI See Page 2 for
TIGARD Ready/By:
Internet: www.tigard-or.gov ,} l ( c,it #.1' =iQ 4"Ri's% Notified/Method: Supplemental Information
tll. y
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
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
tgr I-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 LOCATIONLL Site utilities:
Job site address: (1083`( SA)A) -row 113V 1!i e SL.CCatch basin or area drain 18.76
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 I Lot no.: 3ej Fixture or item:
Tax map/parcel no.: Backflow preventer i 31.27
DESCRIPTION OF WORK Backwater valve t 12.51
w I � Vc `A_002 4 Clothes washer 1 25.02
.v�JCAd.J v J 2(j Dishwasher 1 25.02
Drinking fountain _ 25.02
Ejectors/sump 25.02
0 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 t 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 1 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 3 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 7- 12.51
E-mail:permitsubmittals@polygonhomes.com polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 3 25.02
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
Plan review (25%of permit fee)
CCB Lic.: 184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature:• TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Steve Fowler Date:04/08/2019 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I,BuildingPermits`PLMU-PermitApp.doe 10/01 09 440-4616T(10r02/COtaDWEB)
City of Tigard
74 ~ COMMUNITY DEVELOPMENT DEPARTMENT
1
T 1 c u D Building Permit Review — Residential
Building Permit #: ‘X"\S-T at,\p\_Cp;
Site Address: /&se - - `) -Thlvr'vl 9,1
Project Name: PO/ 6; , - P.-- ;, /� Lot #:
(New dw-0 subdivision name;Addition or Alteration=1 t me of owner)
Planning Review
Pro osal: k1id 2 P�
id Verify address/suite#active in Accela. In River Terra e: ❑ No L✓J Yes,River Terrace Review Addendum
Sit Plan Elements: ro ion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper PI 1 t•twined trees with drip line and tree protection measures
Optawn to scale(standard architect or engineer scale) Ir.F"otprint of new structure(including decks)and FEE,
�orth arrow Bb: 'ty locations&easements(required for new and additions)
e address,project or subdivision name and lot number Sidewalk/driveway approach
1 plicant information(name and phone number) P1,! ` ation of wells/septic systems
Lot dimensions and building setback dimensions I.S eet tree size,type and location
µare footage of buildings to be demolished V eet names
J .'`.sting structures on site U/Comer elevations(2'contours if more than 4'diffe ntial)
YA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 1QYes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 1411110Yes No
.Clean Water Services—Service Provider Lette of platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified 1a No Received: ❑ Yes ❑ No
iiVePublic Faciliti Improvement(PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied r: WJ Yes ❑ o,stopintake
272-
j
�nd Use Case#: Q tib e/� t,)�2 ' Zoning: e��
lam' / Street Side: ` g
equired Setbacks: Front: Rear: Side: �`� Garage: Jam!
''ding Height: Max. Height: Actual H ' ht: — _,
.1Landscape Area: 0 % Lot Coverage Max: %
Entrance \ • back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees . s
Windows ❑ Minimum °. of area of all street-facing facades
Garage ❑ Garage door is behin. .-st street-facing wall ❑ Yes ❑ ► :,one of the following is met:
❑ Door extends no more than ' sin wall and ere is a co _ . porch extending beyond garage.
❑ Door extends no more than 5'from wa i -- e is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or les 2 50%or less . ade ❑ 60%or less and includes 7 of following:
❑ Covered porch ■ 'ecessed entrance ❑ Wall offset = 'Roof eave 0 Roof offset
0 Fire es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or • .rel roof ❑ Dormer
G Accent siding ^ 'Window trim ❑ Window recess ❑ Window projec 1.- ❑ Balcony
►�'�V‘ sual Clearance Ad Rooltf CI ,No Type: / —?)iu'—•1/.040 2h7! +
SIA Conditions met prior to issuance of building permit
7
ArmyApproved ByPlanning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernvtRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: a1 A kci
Site Plans: # 3
Building Plans: # 3
Building Permit#: Q'Enter building permit#above.
Workflow Routing: [Planning g''Engineering a- ermit Coordinator R"Building
Workflow Sign-off: (T Sign-off for Planning(include notes from planning review)
Route Application Documents: E'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:
CA
By Permit Technician: � /�,,`,� Date: 1 ,T-1/4
Engineering Review
1
LJ Slope at building pad: j70
C� Conditions "Met"prior to issuance of building permit
0 Easements (encroachments)per engineering conditions of approval and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: El Yes No
eFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
CJS Approved by Engineering: 6,,,,,(7 6, Date: 7 • io • 2012
Revisions (after Building Submittal only) 11 Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
lston Notice 3: Date Sent to Applicant:
�J SDC Fees Entered: Wash Co Trans Dev Tax: G74'es ❑ N/A
Tigard Trans SDC: 2 Yes ❑ N/A
Parks SDC: LT Yes El
LIDA El Yes L1 N/A
OK to Issue Permit �j'
Approved by Permit Coordinator: /o Fate: h1/�/1 1
I:\Building\Fonns\B1dgPermitRvw_RES_022819.docx
City of Tigard
III el COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: 1 -T' ;'-G-3-\--\�- J
Site Address: /((gam �a� ) ainC'V /ii 0+-
Project Name: Pc)f/J 71 et)--aa r—rQ Lot #: �ei
(New CV g=subdivision name;Addition or Alteration=last, e o owner)
Planning Review of River Terrace Plan Dist 'ct 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 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 w/ access 2 Window Projection Vertical Wall Offset a
Porch mindeep7
Gabled dormer
ft. deep min. 2ft.,5 ft.wide min. 2 ft.,Eft.wide
CICICI ❑
2. Eyes on the
e street: a minimum 1�%?each street facing facade must include windows or entrance doors.
Percentage Shown: o�
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from lone street- facing wall Parallel to street,angle no more than 45° from street,
g or open onto porch
Entrance opens to a porch: Yes ❑ No
If mss,all the following apply: sq.ft. min.
•. Cine street facing entry ft. max.roof above floor of porch
►V 5 ft. depth min. 30%min. porch roof coverage
Itailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
Cvered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
❑)Kall offset min. 16 inches ❑ Dormer min.4 ft.wide
ini Roof eave min. 12 inch projection ❑ : .of offset min. of 2 ft.
❑ Roof shingles either tile or wood li Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade g 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
. . . es and Carports:May face the front or side lot e o a corner lot.
Setbacks:
No closer to front or side o .. - than longest street-fa'g wall. ❑ Yes ❑ No. If No one):
❑ May extend up to 5 ft. if there is a coy- : ont porch and garage doe .: -xtend beyond the front porch.
El May extend up to 5 ft.where the garage is part of a >.. -�. . ding and there is a window at the second story
above the garage that faces the street with a ' >. -a of 12 sq.ft.
Width: (Check one)
❑ 12-foot- - . age door ❑ 40%max. of street façade
• i'o max. of street façade with 7 detailed design elements
Notes:
i_ a41EV
Approved By Planning: Date:
1:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx