Permit CITY OF TIGARD MASTER PERMIT
•
` 7 .` COMMUNITY DEVELOPMENT Permit#: MST2019 00170
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019
Parcel: 2S107AA04500
Jurisdiction: Tigard
Site address: 14109 SW RIVER TERRACE BLVD
Subdivision: ROSHAK RIDGE Lot: 45
Project: Polygon at Roshak Ridge, Lot 45
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1869 sf Value: $242,271.65 Rear: 0
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
Drains: 0
Tubs/Showers: 2 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'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF R-3 1869
Owner: Contractor:
POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Geo Tech Required Prior To
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Pour
2 1 Hour Fire Rated Eaves
3 Ersn Cntrl 503-639-4175
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX: 360-693-4442
Total Fees: $33,738.58
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 or 952-0 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: ()Al e470/4/_, /0 1-77 C)'"
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
Residential RECEIVED E FOR OFFICE USE ONLY
City of Tigard MAY 2 2019 Received i..„t Date/By: 5 I �`-- ��� Permit No.:1Mc""� 1;x"1—W� 14�
1111 r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
5/41�1 Other Permi \q-� 1,��
Phone: 503.718.2439 Fax: 503.598.1 Date/By:
Inspection Line: 503.639.4175 OF �'u��� Date Ready/By: lure H See Page 2 for
TIGARD p BUILDING DIVISION
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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
D Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ t.i , -.7® 1-and 2-family dwelling ❑Commercial/industrial f
❑Accessory building ElMulti-familyNumber of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: ' 35 b
Job site address: 1 t{i 5 W '..---} NV eR "ref Ira 61 e V D New dwelling area: `goCi square feet Ss5 f
City/State/ZIP:Tigard,OR 97224 Garage/carport area: Lk?j1 square feet 1174
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: square feet `l f 0
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge Lot no.: 116 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.
^ l -I Valuation: $
"Cll.d�-Y1 �[U Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St.,Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitsubmmittals@polygonhomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Polygon WLH,LLC 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.
Permit Fee(includes plan review
City/State/ZIP:Vancouver WA 98660 $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:204238 , Total fee due upon application: $201.60
A. This permit application expires if a permit is not obtained
Authorized signature: 411''''
, 1111
within 180 days after it has been accepted as complete.
�� IL1 A *Fee methodology set by Tri-County Building Industry
Print name:Tonja Morris Date:04/17/2019 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,
Mechanical Permit Applica Ili 1 C FOR OFFICE USE ONLY
City of Tigard Date/Bed
Permit No.:M. C\Ck_GO nO
111111 "" ° 13125 SW Hall Blvd.,Tigard,OR 97223 k/ 2 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960"AY Z 1 Date/By: Other Permit:
T I G ARD Inspection Line: 503.639.4175 CITY CSF' 'I laf 1-10 Date Ready/By: Juda: H See Page 2 for
Internet: www.tigard-or.goV ������� �������� Notified/Method: Supplemental Information
3TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
A Air conditioning 1 46.75
Job site address: I k i d-1 SU' k41)er 1-Vrete& VD Furnace 100,000 BTU(ducts/vents) 1 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
Subdivision:Roshak Ridge Lot no.: 1-15 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater s 23.32
DESCRIPTION OF WORK Gras 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
Other. 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment N 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
® 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
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address:18004 NE 72nd Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
,_ days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
I:BBuilding\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
A
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�..Li a�- r 1
Electrical Permit Applicati�.•�., 0— ! - FOR OFFICE USE ONLY
City of Tigard 1 RecDateive/B d Permit 4:
.'Pi v 13125 S W Hall Blvd.,Tigard,OR 97223•U L 8 2 O 9 Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.59 41960 Date/B
Inspection Line: 503.639.4175t ` Ready Date/By: Juris: 0 See Page 2 for
TIGARD Internet: www.tigard-ongov «!t :� Notified/Method: SupplementalInformation
E t 1,1 l,r 1
TYPE OF WORK .PLAN REVIEW . . ' :'<..
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service Or feedei 400 amps or more 0 Building over three stories.
0 Demolition - 0 Other: ., where the available fault current ❑Marinas and boatyards.
CATEGORY:OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ,
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB Sill,INFORMATION AND LOCATION 0 Emergency system. larger separately derived
1�UY ` T ❑Addition of new motor load of system
Job#: Job site address: lOoxP or more. ❑"A","E "1-2","1-3",
0 Six or more residential units. occupancy.
City/State/LIP:Tigard,OR 97224 t0 Health-care facilities. Cr 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. I Each I Total 1 *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 1-4 5 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
RNI.45
19 VnSI I-act_Da 1+1 0 (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2.
E 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: 7 Date: 401 amps to 599 amps 168.54 2
CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
®.APPLICANT "`..❑ .
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
service or feeder fee,first Sb.l 8 2
Address:703 Broadway St Suite 510 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 Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:3415 NE 44th 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
Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48711 S specifically listed('/3 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):
TOTAL PERMIT FEE:
Authorized signature: r.��
This permit application expires if a permit is not obtained within 180
Print name: Kile Rood _ Date: 03/08/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I
Plumbing PermitApplication
Building Fixtures FOR OFFICE USE ONLY
City of Tigard MAY 2 2019 Received PermitNo.:�n
. a 13125 SW Hall Blvd.,Tigard,OR 97A Date/By:v ,V\�����(�\
Phone: 503.718.2439 Fax: 503.598!1 6 ki ��U �� Plan Review
Date/By: Other Permit No.:
TI G A R D Inspection Line: 503.639.4175 a U I LD I N G DIVISION 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. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family 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:
m‘os Sw �42Anac-e. 1i v Catch basin or area drain 18.76
Job site address: ,v.�Q
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench 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 Lot no.: 115 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
0 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510 Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 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
CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
jState surcharge(12%ofpermit fee
Authorized signature: _ TOTAL PERMIT FEE
Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
I a
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
0
T 1 G A R o Building Permit Review — Residential
Building Permit #: ►MS-+� C-(
Site Address: 1410i W 1 '- ittrut Bdtvi
Project Name: PIAa - Lila .(t Lot #: i,
(New elling=subdivision name;Addition or Alteration=last name of owner)
Planning Review A
P�royosal: kitW F j flat. 900 kS —/
Lid Verify address/suite#active in Accela. In River Terra : CI No Lid' Yes,River Terrace Review Addendum
Sit an Elements: cion Control
1'3 opies of site plan on 8-1/2"x 11"or 11 x 17"paperGained trees with drip line and tree protection measures
r wn to scale(standard architect or engineer scale) L(rF otprint of new structure(including decks)and FFE
arrow C� ty locations&easements(required for new and additions)
C�,� address,project or subdivision name and lot number LSidewalk/driveway approach
Igril.pplicant information(name and phone number) TIF/cation of wells/septic systems
OIL dimensions and building setback dimensionset tree size,type and location
L .s are footage of buildings to be demolished C et names
I .sting structures on site Jorner elevations(2'contours if more than 4'differential)�,re�
I .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L�J'Yes ❑No
imervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ No
"Ja
[ "Clean Water Services-Service Provider Lette of platted prior to 9/10/1995): ifi/ipd ,„;14,r
quired: CIPpYes,applicant was notified LJ No Received: CIYes CINo
Public Facilitie mprovement(PFI)Permit: 10-1 w
Required: RtYes,applicant was notified ❑ No Applied_ieFor: CI Yes Cl No,stop intake
Ltd and Use Case#: rOPois-60002- I� Zoning: 1?-12- 1
ig :e q uired Setbacks: Front: 12.- Rear: 0 Side: 3 Street Side: Garage: 3 frCilding Height: Max.Height: Actual Height: Z6
III
EI7Landscape Area: 2/0 % Lot Coverage Max: A
trance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
'11I'tr Cl Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
ttrril{t1, ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding n Window trim ❑ Window recess ❑ Window projection ❑ Balcony
usual Clearance P yrban Forestry Plan
V Sensitive Lands: Lid' Yes ❑ No Type: anal
c. La,/
Conditipns 'meet prior to issuance of buildkin permit
o s: l/g4`'F+ni \. � +•tr crvr- o� /I )) ftv- :�- 1SS:+A�t
Approved By Planning: A�r.X-- , Date: S` 7—1
Revisions (after Building Submittal only) COON( MAO Reviewer Dat
Revision 1: K-Approved El Not Approved Al" '2,-3) g
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
F
Building Permit Submittal
Original Submittal Date: S t)\1Ct
Site Plans: # -7--)
Building Plans: #— , 3
Building Permit#: [ Enter building permit#above.
Workflow Routing: D/Planning N'Engineering C'Permit Coordinator ['Building
Workflow Sign-off: C Sign-off for Planning(include notes from planning review)
Route Application Documents: Ig/Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
D./Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: `,_, Date: D( .\‘ci
Engineering Review
2*/-Slope at building pad: a x,
❑ Conditions "Met"prior to issuance of building permit h /A-
E Easements (encroachments)per engineering conditions of approval and plat
Q'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes 12'/No
LIDA Facility on lot: El Yes INo
CSFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[ '.'.Approved by Engineering: Date: 7 ,e0,
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
❑ Approved,NOT Released: Date:
Notes:
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: Er Yes ❑ N/A
Tigard Trans SDC: E es ❑ N/A
Parks SDC: LI Yes ❑ XA
LIDA CI Yes /A
OK to Issue Permit
Approved by Permit Coordinator: Date: /vP9
I:\Building\Forms\BldgPer mitRvw_RES_022819.docx
s •
City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
. i
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: mc,-c-21- \a- r_)
Address: N'iIOi S1 C,,if Itrata. Q$
Project Name: pti\pati 2A- �. ak � e Lot #: 'AS
(Ne welling=subdivision name,Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Disyict Design Standards (18.640.070.1.):
•e project subject to the plan district design standards? V Yes ❑ No
1. r iculation: a minimum of 1 element per each street-facing facade that has 30-60,ft. of frontage.An additional
ele► ent required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
orch min. 5 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft.,5 ft.wide min.2 ft..6fti�le
a
1. s, j^ ❑ ❑ 0 X S
S
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 161.1/ '
3. EE trances: •At least one entrance must meet both of the folloy g standards:
L4!'Max. 8 ft. setback from longer 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 //
s,all the following apply: P sq.ft.min.
e street facing entry [t 1122 ft.max.roof above floor of porch
[ 5 ft. depth min. [1:14°/0 min.porch roof coverage
4. tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
LtG Covered porch min. 5 ft.wide x 5 ft. deep - ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches �// ❑ Dormer min.4 ft.wide
Roof eave min. 12 inch projection 1/ J ❑ Roof offset min. of 2 ft.
El Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design F//
❑ Roof pitch oriented south min. 500 sq. ft. CI Horizontal lap siding min. 3-7 inches wider
L(k ccent siding min.40%of street facade Vc ❑ 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 street facade A'
5. Garages and Carports:May face the front or side lot line on a corner lot.
14A Setbacks:
'moo closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one):
Clgtec May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
Ujjjabove the garage that faces the street with a min. area of 12 sq.ft.
tltl Width: (Check one)
J ❑ 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street fa a(dew�ith 7 detailed design elements 1
Notes: AA Z ' .crl' `"'`1'L S L" aiNiAi rrj et. f iCkitn,-) C4111,., NJ'
Approved By Planning: 144,
Date: 51-1 q
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
IIIii
Transmittal Letter
T l G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVCD
SEP 23 2019
FROM: il- \ �OS CITY OF TIGARD
COMPANY: t c. BUILDING DIVISION!
d, -
PHONE: � �O 7106 By:
RE: R 5w -R\‘Ye-AZ- 1-� –6vD VY1 1 �
Z , --O 0170
ite Address) (Permit Number)
yK- k it —L -cLk.�
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. X Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: is, NpU, fsscl ► T R.QC (kl k, e( e cid' S
Sir St L ti°NJ
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: --1!v4` i 1°') Initials: `' , _
Fees Due: p}Yes ❑ No Fee DescrFption: Amount Due:
t by VOW 'W Q,�% $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes "No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc