Permit 1111 q
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00076
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
tG'� g Parcel: 2S107AA00900
Jurisdiction: Tigard
Site address: 14309 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 9
Project: Polygon at Roshak Ridge, Lot 9
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1119 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2321 sf Value: $295,094.05 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: 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2321
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required Prior To
Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $34,750.18
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: Oregonlawrequires you to follow the rules adopted by the Oregon Utility Notification Center. hose rules are set forth in OAR
952-001-0010 through OA ,,2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 3.232.198 or 1 800.' 2.2344.
e------7--
Issued By: 49?—te-li � Permittee Signature: . -4`
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 pr•
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
- Cityof Tigard Received _
g MAR 1 2 2019 3�t� 1�a S PermitNo.: Cr_ ('�
1111 al 13125 SW Ha11 Blvd.,Tigard,OR 97223 Plan Re: '� ��-j� � 1 GW
Tigard, Plan Review �> A \�
Phone: 503.718.2439 Fax: 503.598.1960ITY OF TIGARD Date/By: �7 t9 Other Permit U G
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: ////�/ Jur s: H SeePage2for
Internet: www.tigard-or.gov Notified/Method: 9 Supplemental Information
( q// /lo1.y6-4,A1
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
®
1-and 2-family dwelling ElCommercial/industrial Valuation: $ a s1 cDa
11Accessory building CIMulti-familyNumber of bedrooms: 9.
❑Master builder ❑Other: Number of bathrooms: f G /J
JOB SITE INFORMATION AND LOCATION Total number of floors• >� 2 7 cf3
Job site address: I -1 92 5 W I b T J pf u Q ) New dwelling area: d),929-1 square feet (D Lo
City/State/ZIP: Garage/carport area: /I2-� square feet ! (/
Ct
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: ll square feet 'q
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.: (4 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.
Valuation: $
Existing building area: square feet
New building area: square feet
ID 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)693-4442 New:
APPLICANT' ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC
(Please refer tojeesehearrle)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::(360)693-4442 Amount received:
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: $201.60
Authorized signatur • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda avin Date: '>/b J 101 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
F
Mechanical Permit Applicat C 1VE FOR OFFICE USE ONLY
Cityof Tigard Received
- g ^ Date/By: Permit No.: tj t�—000 74,/_
13125 SW Hall Blvd.,Tigard,OR 97223 H P R 9 2019 Plan Review , / /, Y+
• 11111 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARDDate Ready/By: Jam: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK J /1`S COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
X1 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:
Air conditioning 46.75
Job site address: tC-k. G\ SU, t(p gj r}\ PA , 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.: 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.: 9 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
Other. 23.32
® PROPERTY OWNER 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) 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($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
I:\Building\Permits\MEC_PermitApp_040113.doc 4404617T(11/02/COM/WEB)
DECEIVED � p,��
Electrical Permit Applicati®m t 1Mt
var FOROFFIC USEONLl�.;.' a' `.4 ('p
Int r; 4.c' JAN 17 2020 � x ,.,:As. taM tli=£a 'o- 4$.',; ^ � itt
it ,; City
Of Tigard Received EfflffigMariffingli
Date/B :/07 ''Ir_
'i 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review
( r t Phone: 503.718.2439 Fax: 503598:1 OJILDING DIVISION Date/B : Related Permit#:
.1„ Inspection Line: 503.639.4175 Ready Date/By: J,, : EI See Page 2 for
IyG,, Internet: www.tigard-or.gov 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 0 Building over three stories.
❑Demolition ❑ Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY.0E-CONSTRUCTION:., ::,, •:......•;-.. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyMaster builderamps for all other installations. buildings.
❑ ❑ ❑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: iLli 5 0 ci %V1/4.) !totiTh 100HP or more. ❑"A","E","l-2","l-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. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominaL
Cross street/directions to job site: FEE SCRFDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 1 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
,tali C 7 r�`G�„ (��11_ (with above sq.ft.) 75.00 2
vtA re (3"" 1 'a 4�-+ �O Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑.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,
each branch circuit 7'42 2
Contact name:Nichole Thorpe • B.Fee for branch circuits without
seAddress:703 BroadwaySt Suite 510 branche it feederitfee,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
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
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/br
Email:solarpdx@me.com Inspections for which no fee is
V CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871,$'
specifically listed(A hr min) 90.00/hr
' ELECTRICAL PERMTT 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: jr.".r:jej, TOTAL PERMIT FEE:
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 insoections allowed her hermit
Plumbing Permit Application
Building Fixtures RECEIVE t
FOR OFFICE USE ONLY
City of Tigard APR 9 2019 Received PermitNo.:/t15 I-‘200J 'o 74,,- 's 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.598.1q� Other Permit No.:
CJIT�® n�l �+ eD�to/By:
TIGARD Inspection Line: 503.639.4175 �UILD'NG UI�JI�7IO1DAteReady/By: kris: 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 I Qty. Ea. I 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
XI-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:
1,130 p C 160/1„� l�_ ,_ Catch basin or area drain 18.76
Job site address: `-C 1 J T) ���
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.: 9 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
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)
State surcharge(12%of permit fee)
Authorized signature: IS:tAift1
• 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 N
City of Tigard
ill COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: 1(`(' 'D-o\C\- OM-- -11
Site Address: N 3°11 cW 1.6g L-
Project Name: V6I . dA cd K64kek Kiljt Lot #: `j
(New Melling=subdivision name;Ad tion or Alteration=last name of owner)
Planning Review
Pro osal: Ni-L) JCV- / /
Ll Verify address/suite# active in Accela. [ In River Terrace: El �No L� Yes,River Terrace Review Addendum
Site Ian Elements: a'.Sion Control
°pies of site plan on 8-1/2"x 11"or 11 x 17"paper [� ' ained trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) .•tprint of new structure(including decks)and FFE
orth arrow_yid P a*ty locations&easements(required for new and additions)
NJSi address,project or subdivision name and lot number I! idewalk/driveway approach
[ pplicant information(name and phone number) U2pocation of wells/septic systems
of dimensions and building setback dimensions 3tr et tree size,type and location
I are footage of buildings to be demolished et names
sting structures on site L�Comer elevations(2'contours if more than 4'diffential)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? la Yes ❑No
pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yetar
o
Clean Water Services—Service Provider Letter of platted prior to 9/10/1995): �r^_^„ ' I t
l�uired: ❑ Yes,applicant was notified No Received: ❑ Yes No 1 1�a+
Public Facilitie mprovement(PFI) Permit: / USL
Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
( nd Use Case#: P�?�2JlS_ppoo2- ElZoning: ,2-u (PO
E equired Setbacks: Front: g l Z Rear: 0_____VI
Side: ,) Street Side: y Garage: 3[ "[Building Height: Max. Height: T Actual Hei ht: 25.5
2 Landscape Area: 2-0 % Lot Coverage Max: GI 0/0
A t. r ltntrance CI Set back no more than 8'from street-facing wall 1=1 Parallel to street or offset 45 degrees or less
lv 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.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
1 rkL ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof cave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
t ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony
L4d sual Clearance Urban Forestryn
L' Sensitive Lands: ❑ Yes LJ No Type:
0 Conditions met miiorf to issuance of building permit
io s: L i+I��idhS NO' pn°yr' iv bvi`,1j �Lvw�,i l" altro'�Ct
I Approved By Planning: �at CtiliDate: 3 /L+(
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\BldgPermitRvw_RES_022819.docx
! �
Building Permit Submittal
Original Submittal Date: 3t tD.\
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: R' Planning Ci Engineering EV Permit Coordinator g Building
Workflow Sign-off: [I Sign-off for Planning(include notes from planning review)
Route Application Documents: Er' 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: 31 A Z Q
Engineering Review
2' Slope at building pad: 6 7D
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
4ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Z1 No
Assess Water Quantity Fee in-lieu: ❑ Yes fi No
LIDA Facility on lot: ❑ Yes `Cfr No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: �0,..1A 1 fit- f 1h . ice, Zl
Approved by Engineering: / , �.�c'' Date: 3(g/j/
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
a C. ditions "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:
Revis. Notice 3: Date Sent to Applicant:
C Fees Entered: Wash Co Trans Dev Tax: O Yes ❑ N/A
Tigard Trans SDC: y ❑ N/A
Parks SDC: Ly'Yes ❑ /A
LIDA ❑ Yes Er N/A
ii(OK to Issue Permit
Approved by Permit Coordinator: thiKDate: 3/11//1
I:\Building\Forms\BldgPermitRvw_RES_022819.docx ' J'� I i ] to)
a
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: \N\`--C 1Cc- Cid®
Site Address: 1101 SU l61'4 ,4.
Project Name: P6kyseN al" 4 Op Lot #: C(
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 t. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of��/12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2.b.4.l'
3. trances:At least one entrance must meet both of the follo ' g standards:
Max. 8 ft. setback from longet 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: [ sq.ft. min.
ItiOne street facing entry 12 ft.max. roof above floor of porch
Iff 5 ft. depth min. '30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of following elements on all street-facing facades:
❑ Covered porch min. 5 ft.wide x 5 ft. deep E Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
aloof eave min. 12 inch projection ❑ ' .of offset min. of 2 ft.
❑ Roof shingles either tile or wood E Gable,hip or gambrel roof design
❑ t .of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
Epi Accent siding min. 40% of street facade ❑ Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑,� B�y" window min. 5 ft.wide by 2 ft. deep
El Balcony min. 5 ft.wide x 3 ft. deep with inside access [D4ttached garage is 35%or less of street façade
k /- 5. Garages and Carports: May face the front or side lot line on a corner lot.
GAG Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one):
1,. ❑ 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
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: .2 (�,,, Date: 7 j L1q
B
I:\ uilding\Forns\B1dgPermitRvw_RES_RT_121417.docx __J"