Permit CITY OF TIGARD MASTER PERMIT
ill
I • COMMUNITY DEVELOPMENT Permit#: MST2019-00272
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
T[GAR.D Parcel: 2 S 107AA02600
Jurisdiction: Tigard
Site address: 14310 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 26
Project: Polygon at Roshak Ridge, Lot 26
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'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
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 1858
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
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,685.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce ,-r. •se rules are, set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 03.232.1.8 • ‘:00.'32.2344.
Issued By:
Permittee Signature:Y 9
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. t‘e
This permit card shall be kept in a conspicuous place on the job site until completion of the profit
Approved plans are required on the job site at the time of each inspection.
,
Building Permit Application L O-C
Residential ilErIFIVE..A FOR OFFICE USE ONLY
- Received
City of Tigard i Permit No.
Il a 13125 SW Hall Blvd. Tigard,OR 97223��Y8 2 6 20 19 Date/By. �1�r� �,\ '\t1�T�lcl-L.rL��" .
Plan Review
Other Permit. _ Ilse
Phone: 503.718.2439 Fax: 503.59$:d${Q; r � g Date/B � 1��
TIGARD Inspection Line: 503.639.4175 `ll.011 1 1I Qt I �zAk-P p Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov '3UILD!NG DIVISION Notified/Method://7/47 Supplemental Information
r,1 POt-y6''Ai — Af ecw1724c 77),,e_S
-TYPE OF WORK REQUIRED DATA 1 AND2-FAMILYDWELLING
®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
Valuation: $ .LIS 15.
® 1-and 2-family dwelling IDCommercial/industrial
111Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION SAND LOCATION Total number of floors: . 22�s
Job site address: 11.1221 O 51/0 l)j( l"1 fi/�,-fir 0 New dwelling area: \ SC square feet \b�9
City/State/ZIP:Tigard,OR 97224 °" I "„y1 Garage/carport area: t. 911 square feet aCIC:i
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.: '�( n Permit fees*are based on the value of the work performed.
Tax map/parcel no.: �l� 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.
New SF 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 Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
El APPLICANT 0CNTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer tit fee schedule
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*
a
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: $201.60
Authoriz_,.;ar / - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ama da Gavin Date: *Fee methodology set by Tri-County Building Industry
AService Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/ OM/WEB)
` Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE I, Received �" /►/� '7
. q Date/By: � a2�I .i4•A-..Permit N43-�A0`� .ev, /
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960ill
JAN 17 2020 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISIO
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical pennit fees*are based on the value of the work
® New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Z.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special infonnation 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: 14NO Std \lock"T' c Nve, 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.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
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
polygonhomes.com Barbecue
5t 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: j " Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
•
Electrical Permit ApplicatiOnRECEIVED rs,r . 3 , ix 3 1,„..,.. ' , i ,. t
,,,..,,,.,,,.;„..,:...,.:+. yFOR oFiatUSEI LY
� • .
E
: City of'TigardJAN 17 2020 Date/B /6,'/ ' 11
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2 , Phone: 503.718.2439 Fax: 503.598.1960ITY OF TIGARD
Date's Related Permit#:
IGA " Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDate/By: loris: H See Page 2for
,.1'., <a.RD. Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF.WORK ,'PIAiv-itEV1Ew -
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current ❑Mar nos and boatyards.
' ':,'. ` ".. CATEGORY,-OF:CONSTRUCTION `;. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder ❑ Other. 0 Fire pump. 0 Installation of 150 KVA or
._ } JOB Si'!'It.:'INFORMATION.-'AND ❑Emergency system. larger separately derived
Job#: Job site address: l�'310 t��-(O 0 Addition of new.motor load of system.
100HP or more. ❑'° "E
City/State/L P:Tigard,OR 97224 El Six or more residential units. occupancy.
❑Health-care facilities. ❑lRecreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge 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 SCF CFDULE :
Description I Qty. I Each I Total I .
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 492 0 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft) 75.00 2
Renewable Energy 0 See Page 2
®.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 I 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Ov✓rier 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
sAddress:703 BroadwaySt Suite 510 branche it feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add']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
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
•
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.: 4875 specifically listed(%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: ,/ r•�� TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Kite Rood - Date: 03/08/2019 days after it has been accepted as complete.
f 1.T,.ml,>.of incnunY:nnc allnn.>ri nnr„>..,,ir
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFI"IC: use ONLY
City of Tigard
JAN 1 2020 Received / //22()
2c �Zi Permit N9 J7r� sI% 0e,27cr�
- `r 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRe Date/By: / f el"
Plan Review
Phone: 503.718.2439 Fax: 503.59$jaiq'OF TIGARD Date/By: Other Permit No.:
Inspection Line: 503.639.4175 BUILDING DIVISION
TIGARD Date Ready/By: Suns: 11 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description f Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-famil y dwellin SFR(2)bath 437.78
g ❑Commercial/industrial
0 Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1(• 3� ttA� Catch basin or area drain 18.76
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.: OR-`u 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 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 -
- 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:permitsubntittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc WaterPP 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
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634 -
_ - State surcharge(12%of permit 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.
City of Tigard
11111 q COMMUNITY DEVELOPMENT DEPARTMENT
0
T1cARD Building Permit Review — Residential
Building Permit #: \Nc\S-C�- ,\C-k_c
Site Address: /113J0 .it) /62 -1-A /51V-e__
Project Name: P �AaL ,/� Lot #:
(New c6v g=subdivision name;Addition or Alteration 7`"; name of owner)
Planning Review
Pros :sal: / {t)
1! Verify address/suite# active in Accela. v In River Terrace: ❑ No Yes, River Terrace Review Addendum
Sit Plan Elements: V Ex.sion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper I -tained trees with drip line and tree protection measures
[�raven to scale(standard architect or engineer scale) Mzootprint of new structure(including decks)and FFE
/rth arrow V , .ty locations&easements (required for new and additions)
e address,project or subdivision name and lot number J ;d walk/driveway approach
.plicant information(name and phone number) PA L#cation of wells/septic systems
Y.L.t dimensions and building setback dimensions Fl reet tree size,type and location
oo
\ IPV .re footage of buildings to be demolishedIL�1S7et names
. sting structures on site 1QCorner elevations (2'contours if more than 4'diffe ntial)
'A Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace 2 LvJYes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0 Yes No
t,1►� lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ yes,applicant was notified No Received: ❑ Yes ❑ No
V Public Facili�' s Improvement(PFI) Permit:
1
t equired: 'ICJ Yes,applicant was notified ❑ No AppliFor: I/Yes ❑ No stop intake
7vnd Use Case#: Z/i&d/S= 06X :V Zoning: k-1.2 ()b)
quired Setbacks: Front: Rear: Side: Street Side: 3 Garage:
Lilding Height: Max. Height: Actual Hei ht:
andscape Area: 0 % / Lot Coverage Max: ' 0
Entrance C -t back no more than 8'from street-facing wall ❑ Parallel to street or offs- ' .egrees or less
Windows ❑ Minimu %of area of all street-facing facades
Garage ❑ Garage door is be-;-• widest street-facing wall \K ❑ Y .. • No,one of the following is met:
❑ Door extends no more . •• 5'from wall and ther- .• covered porch extending beyond garage.
❑ Door extends no more than 5' ro ; a there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or .• ❑ 50°o . -ss of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch • 'ecessed entrance ❑ Wall o • ❑ 1'Roof eave ❑ Roof offset
❑ Fire s °•:es ❑ Lap Siding ❑ Roof pitch ❑ Gab -, •.. or gambrel roof ❑ Dormer
ccent siding IA Window trim ❑ Window recess ❑ Wine... .rojection ❑ Balcony
VA V. ual Clearance 7 Urban Forestry Plan
111�.ensitive Lands: ❑ Yes ❑ No Type:
\A Conditions met prior to issuance of building permit
No s:
Approved By Planning: __— --- / Date: / /i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
C\Building Worms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: (au t icA
Site Plans: # 3
Building Plans: # ` _
Building Permit#: REnter building permit# above.
Workflow Routing: ["Planning QiEngineering [ /Permit Coordinator L Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: ["Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
E 'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: L- — Date: l q 11q
Engineering Review
Z Slope at building pad: 3�
0 Conditions "Met"prior to issuance of building permit
jZ Easements (encroachments)per engineering conditions of approval and plat
0 Water Quality/Quantity Facility: f
Assess Water Quality Fee in-lieu: 41 Yes 1\No
Assess Water Quantity Fee in-lieu: Al Yes No
LIDA Facility on lot: �7 Yes No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Z Approved by Engineering: 5,...911 _ Date: 7 - /0 • 2.0f9
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:
/R�
Revision Notice 3: Date Sent to Applicant: /
E SDC Fees Entered: Wash Co Trans Dev Tax: T Yes ❑ N/A
Tigard Trans SDC: EtYes ❑ N/A
Parks SDC: Yes ❑ N}
LIDA 111 Yes LN/A
OK to Issue Permit /
Approved by Permit Coordinator: ADate: . /OJ/9
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
111
II COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
e .04
Building Permit #: y\-\S-t uC t-C j���.
Site Address: /41 /() S)`4J J 974 fA/e _
Project Name: PO/ , 2--/--- S/ L ,i'f Lot #:
(New� 'v g=subdivision name;Addition or Alteration=last f' e o owner)
Planning Review of River Terrace Plan Dist ' t Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 t. deepGabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft'�ode
feptjr
CI min.
CI2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: % . .'/-2 '4
3. Etrances:At least one entrance must meet both of the folloyifig standards:
az(pi
ax. 8 ft. setback from longe t 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 y ,all the following apply: 112 sq.ft. min.
Ei ne street facing entry ►L��f 11 ft. max.roof above floor of porch
V115 f
t. depth min. A� 30%min. porch roof coverage
4. tailed Design:All buildings shall include a min. of five of the 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 rj.1 ❑pormer min. 4 ft.wide
RVoof eave min. 12 inch projection V. .of offset min. of 2 ft.
❑ Roof shingles either tile or wood iT Gable,hip or gambrel roof design ri
❑ Roof pitch oriented south min. 500 sq. ft. ❑/Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40% of street façade VWindow trim min. 2'/2"wide by 5/8" deep 'Y
❑ 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
. _ ..rages and Carports: May face the front or sid lot line on a corner lot.
Setbacks:
1,3
No closer to front or sis- ' e,than longest street- acing wall. ❑ Yes ❑ No.- o (Check one):
❑ May extend up to 5 ft. if there is a ., ; -d front porch and gaxagcoes not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part o r.- •-story building and there is a window at the second story
above the garage that faces the street wi n. area of 12 sq. .
Width: (Check one)
❑ 12-foot- ;•- garage door ❑ 40%max. of street façade
EI 1%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: ny Date: A1M
I:\Building\Forms\BldgPermit Rvw_RES_RT_121417.docx