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Permit
IN . CITY OF TIGARD MASTER PERMIT '. ' COMMUNITY DEVELOPMENT Permit#: MST2019-00210 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2020 T E �a1 ° g Parcel: 2S 107AA01000 Jurisdiction: Tigard Site address: 14323 SW 168TH AVE Subdivision: ROSHAK RIDGE Lot: 10 Project: Polygon at Roshak Ridge, Lot 10 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1869 sf Value: $242,271.65 Rear: 3 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: 2 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: 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 1869 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 Report Required Prior To Pour PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,629.08 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. - rules are set forth in OAR 952-001-0010 through R 952-001-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987--r 1.8,0.33 . 344. Issued By: Permittee Signature: no Ix. ..ii, 1 - Illb Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 'i._ 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 L C—C \ (C)"' Residential ...ri'l` FOR OFFICE USE ONLY Received City of Tigard g 2 2019 Date/By. 4145 I k ' S\T Permit No.I� (e (1_,J iF) Ili " 13125 SW Hall Blvd.,Tigard,OR 97223 i-- Plan Review 11�C}�Iw,�J� l ���� Phone: 503.718.2439 Fax: 503.598.19 Q DateBy Other Pernui) ci_ x Inspection Line: 503.639.4175 A I Y Or 111(7:4A (Q Date ReadyBy: Juris: ® See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING f I\Pj 1 IO Notified/Method��/// /9' / Supplemental Information 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 1-and 2-family dwelling 0 Commercial/industrial Valuation: ® $ i ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: (( JOB SITE INFORMATION AND LOCATION Total number of floors: ,3 2s�P Job site address: i4 5i v It X Ave) New dwelling area: I D(7C square feet SSS City/State/ZIP:Tigard,OR 97224 Garage/carport area: Uv�1 square feet t 1.1 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: t�Q square feet r y Q Cross street/directions to job site: Deck area: �•!�� square feet t Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.:ID 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. New SF Valuation: 8 Existing building area: square feet New building area: square feet 121- 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: ED APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Please refer tofee 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.:207247Ali Total fee due upon application: $201.60 Authorized signature: 'I ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Gavi Date: I°I *FServicemee ethodologyBoard. set by Tri-County Building Industry I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 3T(11/02/ OM/WEB) Mechanical Permit Applicatio (� FOR OFFICE USE ONLY City of Tigard ' °EI Date/By: ReceivedEM�� Jv � �� • = VEr Permit No.: " 13125 SW Hall Blvd.,Tigard,OR 97223 y • g Plan Review ph Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 9 2019 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUD fINIrl D!\/lSl s,; TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z.1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: INFORMATION 2 ` � � Air conditioning I 46.75 t4"32 Job site address: J 6\&) 110 i I V . 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.: 'o 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 n € V 1_ t OC 240 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 ❑ 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 WalUsuspended/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 CONTRACTOR Clothes dryer(gas) Other: Business name:Apex Air LLC 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 lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 j---- 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 Electrical Permit Application RECEIVE FOR OFFICE. ONLY t 2 :, .a ,, u.ar,n Lt., .1mi4 .w; .n t.id na reJ, ?,''''• s City of Tigard JAN 8 20�r Received t $ori Permit#1'7J /9 -00 2/C , 't 13125 SW Hall Blvd.,Tigard,OR 97223 ' _. Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARt Plan Review �ate/B : Related Permit ti: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO 'ReadyDate/By: Anis: RI See Page2 for ..:o Internet: www.tigard-or.gov Notified/Method: Supplemental Information • TYPE OF.WORK -.. . - 'P7,A'ly-REVIEW-. ®New construction 0 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY.,.OF.-CONSTRUCTION, ;,,.,:-;,:..' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other; 0 Fire pump. 0 Installation of 150 KVA or •- JOB SITE'rINFORM(TION.'AND"LOCATION;••-s;: 0 Emergency system. larger separately derived Addof Job#: Job site address: 14- Z3 .S LL) ( (p8-r)77./ ❑100H ooP or mnew motor load of system. ' 00Hmore. ❑"A","E","1-2","1-3", City/State/LIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description • I OD'. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#; 10 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF•WORK Limited energy,residential 75.00 2 o\ IMSr Q-OO 21 0 (with above sq.ft.) 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 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 I 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, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 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 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: 48715 specifically listed(h hr min) 90.00/hr 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: // ..e"---57,!..e -- 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 in.cnections allowed ner nermit Plumbing Permit Application Building Fixtures '- E--( t- E l FOR OI+'FICI? USE ONLY Cityof Tigard Received : \S 1q- _^,�0 2019 Date/By: PermitNo., W '1 13125 SW Hall Blvd.,Tigard,OR 9722-.I N 1 9 Plan Review II - I : Phone: 503.718.2439 Fax: 503.598,1.960. Date/By: Other Permit No.: Inspection Line: 503.639.4175 t IN OF TIGARD TIGARD Date Ready/By: Juris: EI See Page 2 for Internet: www.tigard-or.govN D �1 ,�� ftel DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE Z New construction ❑Demolition For special information use checklist. Description Qty. [ Ea. Total ❑Addition/alteration/replacement ❑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 ❑Commerciallindustrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath ' 500.32 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: ‘LA 31 D 5k1/4) kloc?Yret NVICV Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) _ Page 2 Suite/bldg/apt,no.: I 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 I Lot no.: 1,C) Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve i12.51 ons-1-Tact- o Lt Clothes washer Q 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 I 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 'L 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 1 12.51 CO APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name:Tonja Morris Primer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 L Sink/basin/lavatory i 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 1.i 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name: G&B Plumbing&Sons Inc Water heater 37.52 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 Plan review (25%of permit fee) CCB Lic.: 184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature:• 1' � TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Steve Fowler Date:04/08/2019 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. L'Buiidiug,Permits'PLbtU-PennitApp.doe 10:01,09 440-46I6T(1001 COM/WEB) r • City of Tigard !Pi v COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential Building Permit #: IN\S-C \ )1- 00 -k() Site Address: ii-in SW )(,Q w Ave, Project Name: Pb1 0y\ - 'RDsha4 12-td pJ Lot #: 10 (New d,�J g=subdivision name;Addition or AlteratioIh�..�last name of owner) Planning Review Proposal: NOW C;r- aVerify address/suite# active in Accela. ' In River Terrace: ❑ No L Yes,River Terrace Review Addendum Site Plan Elements: Erosion Control 'Xi copies of site plan on 8-1/2"x 11"or 11 x 17"paper Wetained trees with drip line and tree protection measures )rawn to scale(standard architect or engineer scale) k7.' ootprint of new structure(including decks)and FFE X forth arrow a tility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ,sidewalk/driveway approach Wpplicant information(name and phone number) VALocation of wells/septic systems ;Slot dimensions and building setback dimensions Street tree size,type and location quare footage of buildings to be demolished ,IKStreet names .E,�/'xisting structures on site *Comer elevations (2'contours if more than 4'differential) Kot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? CaY No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? s No R.Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified K No Received: ❑ Yes El No 1 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified y,t. No Applied For: ❑ Yes ❑ No,stop intake K Land Use Case#: SUQj2L 5-cocb4 RI Zoning: .—(2- •RRequired Setbacks: Front: 81 Rear: 31 Side: ?j' Street Side: N/A Garage: 3o 9 Building Height: Max. Height: N / P Actual Height: t 22.. XLandscape Area: 2_0 % ❑ Lot Coverage Max: X30 Entrance ❑ Set b ck n more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows C . . gum 2%of area of all street-facing facades Garage ■ • .ra•- do is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: -1 oor xte .,. no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door xte '. o more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. CIGarage doo wid ithi • 12'or less ❑ 50%or less of facade CI60%or less and includes 7 of following: ❑ Cover po ■ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles • Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ' ❑ Accent siding�/❑ Window trim ❑ Window recess CI Window projection ❑ Balcony V, Visual Clearance lN1 Urban Forestry Plan R.Sensitive Lands: ❑ Yes X No Type: X, Conditions met prior to issuance of building permit Notes: Approved By Planning: A w 4—... 1'*A........ Date:s Revisions (after Building Submittal o y) 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: a, ; 11G Site Plans: # t Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: 2/Planning 12r Engineering L;" Permit Coordinator R"Building Workflow Sign-off: 12/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. CY'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \ �-"---. Date: 5'A k ket Engineering Review iz' Slope at building pad: So 7° .el Conditions "Met"prior to issuance of building permit a Easements (encroachments) per engineering conditions of approval and plat Er Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes a" No /21"Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: -© Approved by Engineering: /14 /1O- Lu! Date: 5/2-77/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: tZ SDC Fees Entered: Wash Co Trans Dev Tax: < esCIN/A Tigard Trans SDC: s ❑ N/A Parks SDC: LTJ Yes ❑ LIDA ❑ Yes OK to Issue Permit Approved by Permit Coordinator: /dilDate: .5 24/i f I:\Building\Forms\B1dgPermitRvw_RES_022819.docx 4 r City of Tigard 1111 IR COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: t"\-\S- tC-A- O j'C Site Address: 11- 23 5VJ 1loca-ryi ?y_ Project Name: c=b` �qRoshct,V.. .-k Lot #: t 0 (New dwtlliig=sub vision name;Addition or Alteratiof1=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?IA 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide X ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 2-1-10 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall III Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: `54 Yes ❑ No If yes,all the following apply: 25 sq.ft. min. One street facing entry 12 ft.max. roof above floor of porch gI 5 ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: r. Covered porch min. 5 ft.wide x 5 ft. deep RRecessed entry area min. 5 ft.wide x 2 ft. deep • Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Y.Roof eave min. 12 inch projection ,B'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood g Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade ❑ Window trim min. 2 1/2"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. /�''� 1004C0(Setbacks: rr '� No oser to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): I► ,.y e ten up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. II .y to p to 5 ft.where the garage is part of a two-story building and there is a window at the second story above garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) N ❑ 12-foot-wide garage d or ❑ 40%max. of street façade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: _____Alg4 `. Date: _ ___L2.8_1_n Jr I:\Building\Forms\BldgPermitRvwRES RT_121417.docx