Permit (2) CITY OF TIGARD MASTER PERMIT
IIII11. COMMUNITY DEVELOPMENT Permit#: MST2019 00241
T AGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019
Parcel: 2S106DA18700
Jurisdiction: Tigard
Site address: 16528 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot: 226
Project: River Terrace East No. 2, Lot 226
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: 27 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2229 sf Value: $297,329.54 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
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: 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: 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB 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: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $34,691.42
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 95 - 01-0090. 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: `--' r '11-LZrJ" '•----- Permittee Signature: OA/ 09-74W— G C %7 D/V
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 r FOR OFFICE USE ONLY
City of Tigard RECEIVED Received `
Date/B : Permit No.`
3 J i �
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
. �� � I��j Other Permi. � ��1 C'
Phone: 503.718.2439 Fax: 503.598.1960)UN 1 3 2019 Date/B : \�. —CC
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
Rlill DING DIVISION
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 ❑Other: equipment,materials,labor,overhead,and the profit for e
work indicated on this application.
CATEGORY OF CONSTRUCTION �7 t�
® 1-and 2-family dwelling 1=ICommercial/industrial Valuation: 4
$
❑Accessory building 0 Multi-family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms:
JOB_ Total number of floors: Z(49 0JOB_SITE INFORMATION AND LOCATION Z
Job site address: � � ,SIt) ? Q.t 01'1C-1 57 New dwelling area: Z 2 Z -1 square feet /a'
City/State/ZIP:Tigard,OR 97224 Garage/carport area: blip square feet (7i
Suite/bldg./apt.no.: Project name:River Terrace East#2 Covered porch area: › ..quare feet C�
Cross street/directions to job site: Deck area: 2110 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East#2 Lot no.: 22.40 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
2 y� DESCRIPTION OF WORK work indicated on this application.
i31, Valuation: $
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*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St,Ste.510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
Phone:(360)695-7700 Fax: :( )
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 - Total fee due upon application: $201.60
Authorized signature: / / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/26/19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
•
r ,
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard C E I V E D Received
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223H y Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 U N 1 3 2019 Date/By: Other Permit:
T I GARD Inspection Line: 503.639.4175 Date Ready/By: Suns: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
^'IJILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: 11052t5(A) QASpxnC–t ST Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Project /Aces T ArreteG eit Tr 2..
Heat pump 61.06
Suite/bldg./apt.no.: name:
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: •EI u 1—trra C e ecis-- *f '.,. Lot no.: "22(z, Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 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 OWNEROther: 23.32
0 TENANT 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) 3 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 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
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 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay J Date:04/08/2019
[\BuildinePermits\MEC PermitAnn 040111doc 4,1n_4CI7rnu11,,Cnnaun:131
r ,
Electrical Permit Applicatio iR E C E I V E D FOR OFFICE USE ONLY
City of Tigard JUN 13 2019 Received
: Permit#:
.•I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 1.
Phone: 503.718.2439 Fax: 503.598.1 A-
ii Y OF f I GAR D Date/B Related Permit#:
1 y U Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDateBy: Juris: H See Page 2 for
I1�i.I_ Internet: www.tigard-or. ov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
exceeds 10,000 amps at 150 volts or 0 Floating OF CONSTRUCTION - -> ,. buildings.
E 1-and 2-family dwelling [1:1Commercial/industrial ElAccessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: 1(0528 5u) —61 lzbso lG, ST 100HP or more. ❑"A ``E,"l-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: to'f 1-F.1rcretc a 'Ga5.l0 2 0 Hazardous locations. 0 Supply voltage for more than
0 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 ) 'Terra C e. East kt Z Lot#: .224 Includes attached-garage.
1,000 sq.ft.or less i 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 2j 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
- .121 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/7TP: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: ❑ CCN L'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,
each branch circuit 7'42 2
Contact name:Jolene Smith B.Fee for branch circuits without
Address:703 BroadwaySte. branch St, 510
service or feeder fee,first 56.18 2
ranch circuit
City/State/GIP: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 onl
67.84 2
CONTRACTOR •i Pump or irrigation circle 67.84 2
Business name:Portland Electric Sign or outline lighting 67.84 2
Address: 1915 E 5th St Ste D Signal circuit(s)or extension. 0 See Page 2 2
panel,alteration,or extension. _
City/State/7.TP: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 __
Email:paul@portlandelectric.biz Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lice 4C11,05 specifically listed(t'i hr min)
n A- ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: l.�l,�ttx 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: X T}L J k, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: MISHCHUK,SERE Y Date: 04/08/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit
r .r
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
Date/By:II
Permit No.:
- 13125 SW Hall Blvd.,Tigard,OR 97223J U N 13 2 019
Plan Review
Phone: 503.718.2439 Fax: 503.598U OF-TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: 0 See Page2 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. 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
1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
0 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: 1(0 5 2 S �'j ?� �6 Sr
Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
L Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: l�.Q -cerr4ce EcCS LD
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: ktJ " ecai c!.e East 4 2 Lot no.: 72(0 Fixture or item:
Tax map/parcel no.: Backflow preventer N 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
Clothes washer , 25.02
Dishwasher k 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
t,,1 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
l 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 WaterPips g/t m 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: tiW' "'�„ 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.
t:Building\Permits'PLMU-PermitApp.doc I0/01,09 440-4616T(l0/02/COMzWEB)
,`
City of Tigard
Y COMMUNITY DEVELOPMENT DEPARTMENT
ill ■
T 1 G A R D Building Permit Review — Residential
Building Permit #: '(\( S-\"23�A- ()O 'L\ \
Vl
Site Address: IS ��� Aida a , Q /
Project Name: everj,-ta P f-i1 fl)'„ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Prosal: /{l) NqPie--
Or Verify address/suite#active in Accela. ►LJ In River Terra e: ❑ No Ltd'Yes,River Terrace Review Addendum
SityPgan Elements: 1V. r.sion Control
IZytopies of site plan on 8-1/2"x 11"or 11 x 17"paper IV'• tained trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) •y6otprint of new structure(including decks)and FFE
il ty locations&easements(required for new and additi
rth arrow
ons)
e address,project or subdivision name and lot number Sidewalk/driveway approach
plicant information(name and phone number) liE;!.cation of wells/septic systems
I.ot dimensions and building setback dimensionseet tree size,type and location
luare footage of buildings to be demolished eet names
11:3'''sting structures on site Comer elevations(2'contours if more than 4'diffe ntial)
M. .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? L✓JYes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?p\) Yes No
Oki k an Water Services—.Service Provider Lett (lot platted prior to 9/10/1995):
equired:
CI ,applicant was notified No Received: ❑ Yes ❑ No
Public Faciliti Improvement(PFI) Permit:
' -quired: Yes,applicant was notified ❑ No� Applied�iFor: Yes No,stop intake
Vand Use Case#: Xia. g., r0(c��_ LSI Zoning. 4 -, ��))
equired Setbacks: Front: Rear: 10 Side: Street Side: / Garage: D
Lwilding Height: Max.Height: Actual He ht: ,Ole (p it
andscape Area: •--Q0 % Lot Coverage Max: 0/0
Entrance ii _• back no more than 8'from street-facing wall ❑ Parallel to street or offset' .-grees or less
Windows El Minimum -°• of area of all street-facing facades 0
Garage ❑ Garage door is behin. . t street-facing wall ❑ -. ■ No,one of the following is met:
❑ Door extends no more than •. wall and .- 's a covered porch extending beyond garage.
❑ Door extends no more than 5'fro.. ...1i a . .ere is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ ' .r ess ❑ 50%or less o . ❑ 60%or less and includes 7 of following:
❑ Covere. -: ❑ Recessed entrance ❑ Wall offset • ' ..f eave ❑ Roof offset
ire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam. - sof ❑ Dormer
❑ Accent siding 4 Window trim ❑ Window recess ❑ Window projection '� :alcony
I'"isual Clearance !4 rban Forestry Plan j
U ensitive Lands: 0 Yes El No Type: tf S�" rI Gt1..wkoe_cam(vC• ditions met prior to issuance of building permitV�P e r-
N. es: 4
FA Approved By Planning: — /ir;/ Date: > 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Si ',
Building Permit Submittal
Original Submittal Date: U.-t lit voi
Site Plans: # 21
Building Plans: #
Building Permit#: ErEnter building pet#above.
Workflow Routing: 'Er Planning [ Engineering R'Permit Coordinator lErBuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: lam' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
D4uilding original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .Q Date: tk i 1`..)1 e1
Engineering Review
di Slope at building pad: 3 ext„
LI Conditions "Met"prior to is uance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes .1 No
Assess Water Quantity Fee in-lieu: ❑ Yes 2T No
LIDA Facility on lot: 0 Yes ,8--No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
LJ Approved by Engineering: ESA,,,,,147 44 Date: (o//7 /ct
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
0 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:
iYA SDC Fees Entered: Wash Co Trans Dev Tax: fid' es ❑ N/A
Tigard Trans SDC: EYes 0 N/A
7Parks SDC: Yes 0 /A
LIDA 0 Yes 1� N/A
OK to Issue Permit l
Approved by Permit Coordinator: Date: ''/I / �9
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
c
II City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: \c" T'v\c\-002,L.4,
Site Address: / ic=2 ,&) 9
Project Name: Lot #: ��.
(New dwelling=subdivision name;A.dition 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? ❑ Yes 0 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. 5 deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the
e street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 0
2M6trances:At least one entrance must meet both of the follo ' g standards:
e street- facingwall Parallel to street,angle no more than 45° from street,
ax. 8 ft. setback from longe or open onto porch
Entrance opens to a porch: Yes ❑ No
HA,all the following apply: sq.ft.min.
ne street facing entry �l ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.,lietailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Zall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood Ad Gable,hip or gambrel roof design
0 oof pitch oriented south min. 500 sq. ft. ❑ . orizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street façade TA Window trim min.2'/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 façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No�Eloser to front or side lot line,than longest street facing wall. ❑ Yes No. If No (Check one):
y 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
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
• 2-foot-wide garage door ❑ 40%max. of street façade
50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: _ , Date: IND� ,f/
I:\Building\Forms\BldgPermitRvw_RES_RT_1214I7.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
1111 = Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: PAkfSal Q—nA �, DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 15 2019
FROM: -V\, S CITY OF TIGARD
v
COMPANY: • BUILDING DIVISION
PHONE: Q 4;\\.Q-'l 11 Lf By:s -r
RE: it„ 528 5w (' abSonG ST m5-7- Bio��1 -6 ozq
(Site Address) (Permit Number)
--PC6R1 beg— Lir 221
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. x Revisions: IS\ad deck
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): l'
REMARKS:—B1,LL l N MR G 5,
acta
FO OF ICE USE ONLY
Routed to Permi echnician: Date: ((. j Initials: 44
Fees Due: es ❑No Fee Des ripti n: Amount Due:
1/2 Y'�-� $ `-L�-�U
P $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 121 No n Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
ipl
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: \kf\ XRECEIVED:
DEPT: BUILD ken
REEF
AUG 172019
FROM: �j�S CITY OF
BUILDING 0 `,, -,-FN / /
COMPANY: ///
PHONE: �J—170 0 BY///
RE: \ _062-1?) ' W \C21)StSI�G VY‘S,C 20 VA.-002L
Site Address) (Permit Number)
lved12 Tex,r * 2 -- 1 T s2-(41(Project name or subdivision name and lot number) "
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
X Other(explain): RjLA.A.LeT' NI CT-111 `. AA.- 33 add,ho,Gl/J L
REMARKS: %YO 4: ZiLDon \,JOOL�
ln-GOO q oSkah.era/1AAA,% cielp)e—
FO OF ICE USE ONLY
Routed to Permit Techni ' . Date: (� ( 9 Initials:
Fees Due: D Yes No Fee Desc 'ptio Amount ue:
$
(vb ......c- c.__ .---1 $ gS.'
Special
Instructions:
Reprint Permit(per PE): n Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc