Permit (3) p CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00187
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
TF ' � g Parcel: 2S106DA19100
Jurisdiction: Tigard
Site address: 13194 SW 165TH AVE
Subdivision: RIVER TERRACE EAST 2 Lot: 230
Project: River Terrace East No. 2, Lot 230
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 20 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2594 sf Value: $342,201.10 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 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: 5 201-400 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 2594
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: $35,724.94
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 - - . hose rules are set forth in OAR
952-001-0010 through 0 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2. •: o 1.8'• 332.2344. c
VA
1
Issued By: Permittee Signature: Allib,� 1y .A1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 4-14
_r
This permit card shall be kept in a conspicuous place on the job site until completion of the -ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard MAY 13 2019 Received
-�\
Date/B : S—i-�X 5 S Permit No.
111 r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review AREITI
Phone: 503.718.2439 Fax: 503.598.19 Date/B : ( Other Permi _l-
Inspection Line: 503.639.4175 �� �� i(��cH� Date Ready/By: Juris: 0 See Page 2 for
TIGARD g g 3UILDING DIVIS10 20 t' ? % Supplemental Information
Internet: www.ti and-or. ov Notified/Method:(P
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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwellingValuation: $ 311 ,I g p l
0 Commercial/industrial
❑ 3
Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: i 3 I.lie
Job site address: 131 S S W 1105,} A tic New dwelling area: Ot'{j ci square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5 64, square feet
Suite/bldg./apt.no.: Project name:River Terrace East#2 C vered potch
yarreea square feet
Cross street/directions to job site: . S" 1:)
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East#2 Lot no.: tap 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.
/ ,&r �- Valuation: $
lolXO'J Existing building area: square feet
New building area: square feet
El 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
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
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: $201.60
Authorized signature: / / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/26/19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPerrnitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
Mechanical Permit ApplicationE' I N Ir
FOR OFFICE USE ONLY
- Cl of Tigard V Received Permit No fie( ��(�
`Jg „'i i 13 2019 Date/By: 1 4 v�G_CIO
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
V)I Y kit- !MAR Date/By:
TIGARD Inspection Line: 503.639.4175 UI�_DI1�1G DIVI�7I M�Ilate Ready/By: Jure Ei See Page 2 for
Internet: www.tigard-or.gov S j�otified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El.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
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning % 46.75
Job site address: 1,St RM. " U•.) 1(,s, 'R-& 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:1,oce, 'terrace. R0.$'('.0 2 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: I V Ttrra Ce £S t! Z Lot no.: 130 Other: 23.32
T Other fuel appliances:
Tax map/parcel no.: Water heater I 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 0 TENANT 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 ❑ 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
6 CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address: 18004 NE 72"d Ave Subtotal
City/State/ZIP:Vancouver,WA 98686
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
1:BuildinglPermits'MEC_PermitApp_040I13.doc 440-4617T(I 1/02iCOM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE I Date/B d Permit#14,/#14,/s#14,/s7,24, ,g. �0�
n 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 2 3 2019 Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Ions: El See Page 2 for
TICARD Internet: www.tigard-or.gov CITYOF TIGARD Notified/Method: Supplemental Information
xl Ill r'lltIn nOO./Ictn,
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 ❑Marinas 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.
❑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
Job#: Job site address: Q W t�®5-n,{ � + ❑100H Addition of new motor load of system.
31–t�"� 5 t"�+ 100I IP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 91 V 01 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks,
Suite/bldg./apt.#: Project name: East River Terrace '4('2- 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 I *
New residential single-or multi-family dwelling unit.
Subdivision: East River Terrace Lot#: 23o 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
Change contractor on MST '�t,-- ()Ot4S`"I (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: 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/ZIP: 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 0 CONTACT 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:Tonja Morris B.Fee for branch circuits without
servAddress: 703 Broadway St,Ste.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
n
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 44111 Ave. Signal circuit(s)or limited-energy 0 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(I 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 Lie.: c923 1 Suprv.Lic.: 48715 specifically listed('/hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: f ^.,rte .. _
Subtotal:
Print name: Kirk Rood Date: 05/09/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: lC t 11. /Z,pae TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:;Building'Permits`ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4-10-4615T(11/05/COM/WEB
• Plumbing Permit ApplicationEV
EDBuilding Fixtures FOR OFFICE USE ONLY
City of Tigard MAY 13 2019 Received Permit No.
II - 'I 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �\ ��._.W'6;74
Phone: 503.718.2439 Fax: 503.594�1 1' I I Plan Review Other Permit No.:
ve.lr� r OF- 1 I��f1Ll Date/By:
TIGARD Inspection Line: 503.639.4175 3UILDINO DIVISION Date Ready/By: Juris: 0 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. Ea. 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
tg 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32
0 Accessory building Multi-family
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: 13'c Li SU) ((oe� y �� 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:"klx.Q -vex-race Eas 0 2.
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
r Water service(no.linear ft.: ) Page 2
Subdivision: W'CrTecalet. 6QSt42 Lot no.: 250 Fixture or item:
Tax map/parcel no.: Backflow preventer k 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 1 25.02
Dishwasher l 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 WaterPip g/r rn 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 Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
_ 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.
I:Building Permits'PLMU-PermitApp.doc 10/01;09 440-4616T(I0i0ICOM,WEB)
,
City of Tigard
'� COMMUNITY DEVELOPMENT DEPARTMENT
: _
T I G A R D Building Permit Review — Residential
Building Permit #: ,\G- PU
Site Address: /382/ Sk' / fA/4-e
Project Name: ivc V ey 7e, ree- 06 'k , Lot #: ( 3()
(New dwegam=subdivision name;Addition or Alteration=last name of owner)
Planning Review `" 5( 'l 'rte 66 lZ 171-k V.W.Si>(,Q
Proposal:
Verify address/suite# active in Accela. In River Terrace: ❑ No .ld Yes,River Terrace Review Addendum
Site Plan Elements: ,..12Tfrosion Control
^ copies of site plan on 8-1/2"x 11"or 11 x 17"paper des with drip line and tree protection measures
.I�� wn to scale(standard architect or engineer scale) Fotprint of new structure(including decks)and FFE
.North arrowty locations&easements(required for new and additions)
rte address,project or subdivision name and lot number walk/driveway approach
plicant information(name and phone number) '❑Location—of'wells/septic systems
.lot dimensions and building setback dimensions treet tree size,type and location
•a,S.quarag-€eetage of buildings to be demolished ,reet names
res on site - Gtorner elevations (2'contours if more than 4'differential)
XJLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes 481CTo'
47.1314
Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified o Received: CIYes CI No
j2(1
Faci i -es Improvement (PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: 1"Yes ❑ No,stop intake
1 /Land Use Case#: ?IR,3016 -( G O7 .12'Zoning: R-`b-
Required Setbacks: Front: /. .... Rear: 6 Side: _ Street Side: Garage: 20
Building Height: Max. Height: 3 0 Actual Height: 70 ?or?'4 3
Landscape Area: Ds b % ❑ Lot Coverage Max: 70 0/0
Entrance ❑ 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 .oo ' ;-.• d widest street-facing wall ❑ Yes ❑ No,o - _ e ollowing is met:
❑ Door extends no mor- .- . 5'from wall and there is a covered .•• extending beyond garage.
❑ Door extends no more than 5'from ••.. - .. the - sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less P i%or less o ._ .- ❑ 60%or less and includes 7 of following:
❑ Covered porch sed entrance El Wall offset • ' •.f eave ❑ Roof offset
❑ Fire s • es'" El Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam.re .; • Dormer
ccent siding ❑ Window trim ❑ Window recess El Window projection ❑ Balcony
17V--
`sual Clearance Cr—Urban Forestry Plan
Sensitive Lands: ❑`Yes ❑ No Type:
Conditio s met j� or to issy�an of building permit j`
Notes: On t`l. .v < 4
n ) 4?V lJ r- /55 3/1��
❑ Approved By Planning: c Date: -5". ._4/&.5 _____
Revisions (after Building Submittal only) OJ r�� fl Revi wer Dae
Revision 1: �" Approved CI Not Approved P 5122 I L
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: 5\1. 11 CI
Site Plans: #
Building Plans: # 3
Building Permit#: 121 Enter building permit#above.
Workflow Routing: Q.-Planning ["Engineering Permit Coordinator ["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.
R Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: _,...._ Date: -Nk`‘\q
Engineering Review
/r3 Slope at building pad: /Z 769
.2 Conditions "Met"prior to issuance of building permit
ET Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Z. No
Assess Water Quantity Fee in-lieu: ❑ Yes .a No
LIDA Facility on lot: ❑ Yes Q-No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 441 e w l Date: 1�=J
Revisions (after Building Submittal only) Reviewer D to
Revision 1: P Approved ❑ Not Approved ,.,, /57,...4.....: 5/ ' 2- //
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
AConditions "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: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
,,-- Parks SDC: cl' Yes ❑ N/A
LIDA ❑ Yes c®'N/A
OK to Issue PermitS 1 l 1
Approved by Permit Coordinator: 1--- ������Date: J� l
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
s
City of Tigard
INp COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD River Terrace Building Permit Review Addendum
cm
Building Permit #: htS1.- ,p- CYJIC`A-
Site Address: i 301/ s a) /661' AQ.
Project Name: g'�-er- '-"enr�ce, -c / Lot #: (236
(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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep". ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
,s' ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: 14%7
7
3. Entrances:At least one entrance must meet both of the following standards:
ZMax. 8 ft. setback from longest street facing wall '1arallel to street,angle no more than 45° from street,
L or open onto porch
Entrance opens to a porch:'LJ Yes ❑ No
If yes,all the following apply: ....12 25 sq.ft. min.
.Z.bne street facing entry 112 ft.max. roof above floor of porch
N ' ft. depth min. 10%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
o
Covered porch min. 5 ft.wide x 5 ft. deep d2rRecessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
.Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood .-Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. .I4Iorizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 I/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks: �
No closer to front or side lot line,than longest street-facing wall.2 Yes ❑ No. If No (Check one):
❑ 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 .IJ 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ..,.- Date: 3 /3 '
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.
44 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN
Transmittal Letter
T G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 4l \ 5'(V. EC
DATE REIVED
DEPT: BUILDING DIVISION '1 I V C:c
D
MAY 2 2 2019
• CITY OF TIGARD
FROM: IZ .1 \\\D'AR. S BUILDING DIVISION
COMPANY: 11 ' •
PHONE: "3.S)0'AOR MOO By:
RE: k�‘ctiV SW ` m ;i zorci CDI7
Site Address) (Permit Number)
w-dz`C��,2Q.1� c A/ --- 2_30
(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: Seo ( 0(6 )Cp L (D0k:B••
11‘).. z. 0\AS •
FO OFFICE USE ONLY
Routed to Permit Technician: Date: -7,- i F) Initials: AA--
Fees Due: ❑ Yes ❑ No Fee Des ripti n: Amount Due:
$77, � cw M) $ 1-15 b
Q $
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc