Permit CITY OF TIGARD MASTER PERMIT
11. COMMUNITY DEVELOPMENT Permit#: MST2017-00324
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
T I t"1 R[� Parcel: 2S106AD08600
Jurisdiction: Tigard
Site address: 16999 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 193
Project: River Terrace East, Lot 193
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: 28 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: $281,343.55 Rear: 5
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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2321
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 2 GEO TECH INSPECTION
REQUIRED BEFORE
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,391.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 52-001-0090.
You may obtain a copy of the rules or direct questions to OUNC by calling.,
503.232.1987 or 1.800.332.2344.
6
Issued By: L T�/J`1 Permittee Signature: "/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application L• 0
1 I :GElVED
s q, FOR O1 litL I. .SL OVLl
City of Tigard JUN 14 20 , - al Permit No• Si, ' )_ 3
1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r
Phone: 503.718.2439 Fax 503.598.0;6Y OF TI 1) Dares - . —2 - I otberPermit:SWL p OC) ,S'
r i C; `K I) Inspection Line: 503.639.4175 BUILDING 01 (. ON Date Ready/By J ,� Juts: RI See Page 2 for
Internet www.tigard-or-gov NotiSedadethod� ' Supplemental Information
q ,fig EX-07 C.-- "�,-.
R'r gi 3 ✓ , a. li XilI r ^ry s =.t6�' g .11;-,G.y.. W .±%' .. _..
ma...K �'h�
y New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ■ • equipment,materials,labor,overhead,and the profit for the
' t a« ._ . R,r# n 1, v r sa z• „ work indicated on this ap r
® 1 and 2-family dwelling 0 Commercral�md Valuatioustrial � Si
Accessorybuilding0 Multi-family Number of bedrooms: �O',34.3
❑ C
❑Master builder ❑Other- Number of bathrooms: 4 ttr,t t a e� s t;�w X It i ' * % Total number of floors 3 3
Job site address: l(jC C C1 SVV FY'it nal, l-LAe. New dwelling area: 13L( square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area square feet
Suite/bldgJapt no.: Project name: Q
( iv(.4^ - 6 I. , ti Covered porch area 141 square feet ' „ �
Cross street/directions to job site: Deck area: square feet) ' I
cy
Other structure area square feet i 4,0
Subdivision I VV{,r Te rtcicEast- I Lot no.: 1 Ci 5d Permit fees*are based on the value of the work performed.
1 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no equipment,materials,labor,overhead,and the profit for the
_ 7 ""°`"-w ^sue, '` - "' work indicated on this application_
�; :;_ t ..,sat � t „s ,t a.
Valuation: $
Existing building area square feet
New building area: square feet
Number of stories:
Name: i Holdings,LLC Type of construction:
t E Doubletree Ranch • ... Occupancy groups:
I. Existing:
.t I New:r., 0'i rr+:°'4p .\'. +r a; i ag�cfc) VA $ fi e, �,,'' **z, � NP+�� .,,:
� ksE �a_x7 �. � HC�'P'
Business name:Polygon WLH,LLC
N 1�O Structural plan review fee(or deposit):
Contact name: FLS plan review fee(if applicable):
Address:109 East 13"'Street
Total fees due upon application:
City/StatrJIIP:Vancouver WA 98660
Amount received
Phone:(360)695-7700 Fax::( ) __ _ __
E-mail: N i 0 t, 11 • i t P ►► _I, 11 6 I. 1 i 1
v,: wrti Commercial and residential prescriptive installation of
t ^wr c: , ;` e ,:; � „. a,m a ,I a,. , ' - :- roof-top mounted Photovoltaic SolarPanel System.
Mess name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
ess: 109 East 13th Street Solar Installation Specialty Code checklist.
IP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
60)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
'7247 Total fee due upon application: $201.60
fie: �� This permit application expires if a permit is not obtained
L/��,,y/�_ within 180 days after it has been accepted as complete.
kale_ I Date: *Fee methodology set by Tri-County Building Industry
d ° ��7/� Service Board.
rSPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit APnIica ' E FOR OFFICE:USE ONL\
City of Tigard �`����® "cm,C' /�
Cp q Date it!.. Peimn No/L43•` 20/7,62 302 y
—44 I11'->SW Hall Ithd_ Iigard.t:gt 97223 :EB 20 2000 Plan lleviea d"ri
6 Phone 3.7I S2439 Fa[: 503.59a 1960' Oaten) Ulhet I'canit.
TIGARD CITY
line. 503.fi39.4175 Date Rcad aiy t.�d."
1Nrmct: www.ti and-or.u, CITY OF TIGARD Y ® 'see Cage_for
g g BIJI(_rlrJ G DIVISION Nnhllch'hlcdtod. Supplemental Information
TYPE OF WORE COMMERCIAL FEE' SCHEDULE - USE(t1EC%LISr
Mechanical permit fees'are based en the value of the work
®New construction 0 Addition/allcration replacement performed.Indicate the Value(mudded to the nearest dollar of all
0 Demolition ❑Other: mechanical materials.equipment.labor.oacdicad.and profit.
\clue S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPSIEN r i SYSTEMS FEES*
0 I-and 2-famil- do chine ❑Commercial/industrial ❑Accessory huilding Forspeciai information ore chechlia>'.
® Multi-famih ❑ Master builder ❑Other: Dcseription Qt). Fa. 'total
Ilea tln±/cnulin;:JOB SIT: INFORMATION AND LOCATION
--
Air Conditioning 4(1.73
Job site address: I to QIQQ S lJ ����.� Furnace It0.iO1BTU(ttcts'.ent.j 46.75
CityStgte.LIP: Tigard,OR 97224
---
Fumace 100.000r 131 i ts.ynst -_ 54.91
— l lest pump 61.06
S one/bide.irrpt. no: !reject name I Q Tenraee.,EaSE Duel nark 23,32
('rnss street directions to job site: I h drums but waterssstcni 23 32
Residential boiler(radiator or
hvdronicl 23.32
Unit homers(fuel-type.not electrk I.
.in-wall-in-duct.suspended,etc. 4ti 75
Flue vent foram.of ahovc 23 32
Subdivision Lot no.:
Other. 233'rt
Other fuel applianeax:
Taxmaptparcel no. Naterheater 2332
.
DESCRIPTION OF WORK Gas flreplacc'insert 33.39
Flue vent for water heater or gas
fireplace _ 23.32
Log lighter(gas) 23.32
Wood'pc0et stole 33.39
Wood liteplacc'imcrt 23.32
Chimncw.iner0uc'vem 23 32
CaPROPE;RTS' OWNER Other: - 23.32
" Ern ironmeutnl eihaust and ventilation:
Name: pibu- rto 14b--ta NU t L.C. Range hood+other kitchen
equipment _ i3.39
Address: 'Ft O_e bi cable $ rCn a� Cothesdrserexhaust 33.39
City7Stuter79P: 3CDie1S &'.a t AZ gCJ Single-duct exhaust ibathrooms.
toilet Compartments,atiIity rnnmsl 21 12
Phone: (pb'1L CAt- L O Fax:( t Attie'crawlspace fans I 23.32--
® APPLICANT ❑ CO.TACT PERSON, (lthcr. I. 23,32
... .. Fuel piping:
HUsltreaa name: Polygon Si`L11,LL(' SIJ.IS rot-first four.54.II3 for each additiaual
Contact name:, 17;;MJ A MDR42-1 S Furnace.etc.
Address: "103 l)ro(4 LAD 0.0 S' ' ` C�e CJtp Gas hwtpump
.J Wallsuspended`unit healer
City/State/ZIP- 1 aneouver,WA 98660 Water.heater
Phone:(3603G95-77(0 P a% 1360}693-4442 Fireplace
E-mail: JRe,rINN'tkSub IA-GAS. . rap.VCA. o�ar,MAlntiee5.cis nil Runes —
mow.c
t'ON7RACTOR Clothes dryer(east
Business name:Apex Air LI.0 Other.
MECHANICAL PERMIT FEES*
Address 18004 NE 72'a At, Subtotal
('in'State ZIP Vancouver,W A 98686 Minimum pow fee(S90 tin,
Ilan.review(2co.of pemn fee i
Phone.4360)342-8109 lax'1360)326-1769
Stale surcharge(12%of permit Ice)
CUB 203034 TOTAL PERM I FEE I
'l'his permit application e,pires if a permit is not obtained within JRO
days ante it has been accepted as complete.
Authorized signalure. ' I cc rnrthodoMp u9 twin—County fhtitdtap tndusnr Sri,tcc Board
Print name' ./ 1 Date 10 2.R\Z
I dl:ek m5 Pe•1n+4,MI:C Pr mil Apt•erne 11 dc. aa0-4r'''I t%i nDrn,l R'.71 e
,
Electrical Permit ApplieatiO ECE`vED FOR OFFICE USE ONLY
City of Tigard r q Received
Date/By: Permits .ST�e.17_D p 3a
q q
III it 13125 SW Hall Blvd.,Tigard,OR 97223 FEB D LO(0 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit s:
Inspection Line: 503.639.4175ClTIGARD ReadyDate/By: I ® See Page 2for
T1c.axn CITY G ate/B : Juris:
Internet: www.tigard-or.gov nl IILDIN( OIVhION 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.
El Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling ElCommercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Comma vial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Q / ,, ❑Addition of new motor toad of system.
Job#: Job site address:
1t.`i4S SU r,iGND 1001♦1'ormore. ❑"A""E""l-2""1 3'
City/State/ZIP:Tigard,OR 97224 J ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace 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 Qu'. ) Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace Lot#: (,49,3 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'i 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Change contractor on MST (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER ❑ TENANT Services or feeders installationralteration,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 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:Polygon WLH,LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Tonja Morris B.Fee for branch circuits without
Address:703 Broadway St,Ste.510 ranche cit feet o
fee,first
branch 56.18 2
b
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)6934442 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 44h Ave. Signall,circuit(s)or limited-energy
0 See Page 2 2
panel,alteration,or extension. g
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(Ihrmin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 199188 Electrical L) 23S . L
L48715 specifically listed(h hr mi )
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 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: ,C,JC /10 pe-"(.. 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'PemitaELC_PermitApp_ELK ERE.doc Rev 06/17/2015 4404615T(II/05/COM/WEB
e • `
Plumbing Permit Application
Building Fixtures RECEIVED
Cityof Ti and 2 0 Received �( _
g F Fl 2020 Date/By: Permit No.r sr2 i/7-47 9O3.a
• 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
C Phone: 503.7182439 Fax: 503.598.1960 Other Pernui No.:
Inspection Line: 503.639.4175 �i-Thar�n Date/Rea -
T a G A R D - DateReady/By: Joris: 1 See Page 2 for
Internet: wivw.ligard-or.gov '5 C Not ied/Methnd: Supplemental Information
TYPE OF WORK. FEE* SCHEDULE
(� ❑Demolition For special information use checklist
tDl New construction Description I Qty:. I Ea. I Total
❑Addition/alteration/replacement 1p Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
SFR(2)bath 437.78
® 1-and 2-family dwelling 0 Commercial/industrial ,
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bathlkit hen 25.02
El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: lkorlcOt i.,0 Fp.% p' , 1 Catch basin or area drain 18.76
CitylStatelZIP Tigard,OR.97224 '^.-J1 DrywelL leach line,or trench drain 18.76
Footing drain(no.linear IL:_) Page 2
Suite/bldg./apt.no.: Project name: River Terrace EAST T 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
Subdivision:Northwest River Terrrace Lot no.: service(no.linear R: ) Page 2
item:
� Fixture or
Tax map/parcel no.: Beckflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25:02
Dishwasher 25,02
Drinking fountain 25.02
Ejectors/sump 25.02
( PROPERTY_OWNER LJ 0 TF2iaL>r11' Expansion tank 12.51
Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LLC
Floor drain/floor sinls/hub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.0.2
City/State/ZIP:Scottsdale,AZ85258 Hose bib 25.02
Phone:(602)694-4031 Fax:(��;(( ) Ice maker 12.51
APPLICANT U,CONTAC'f PERSON InietcePtor/grease trap 25:02
Business name:William Lyon Homes,Inc Medical gas(value:Ste) -
Page 2
y� Primer 12.51
Contact name; O/\+Lf A 4 f LQP-42-i S Roof drain(commercial) 12.51
Address: 10 B "br-oockt x,� S\• . 3 610 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: 4errrs.\S>xlotsn•1�a1 s a�'o °1 1romes. cbm urinal 25.oz
CONTRACTOR
closet 25.02
L Water heater 37.52
Business name: &E rn D NCI ,d--.0v g Water piping/D W V 56.29
Address: p.15. e, f1)Ci -r lA 1 Other: 25.02
City/State/ZIP: 5T, e O-IA (3m cl i t,3i Subtotal
�+ 3 S C IL I,11 41.1 .'7 '7 Minimum permit fee: itfee
72.50
Phone:lr�D .- '[ Fax:( ,. �rf rye)
Plan review (25%of permit fee)
CCB Lic.: f J l0._ Plumbing Lic.no.al
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
, This permit application expires if a permit is not obtained within 180 days
Print name: �t� � �}'�� Dale.�Q/'7!�/� after it been accepted as complete.
'Tee methodology set by Tri-County Building industry Service Board
l iuildineformitsWLMU-PertenApp.doc Iei01:O9 440-4616T(10/02000M/WEB)
4 s
City of Tigard
:N ~
■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G n R D Building Permit Review — Residential
Building Permit #: ,4-1.gT,je)/)_6.)6 y //
Site Address: 1 is 99ci st / 11-1 e.-4`/ Ai.e
Project Name: R. ✓ow- 're er-aee -act" Lot #: /73
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review /
Proposal: �et/ti J r- I
Verify site address/suite# exists and active in permit system.
l`River Terrace Neighborhood: El .Lf Yes,See River Terrace Review Addendum Attached
Sit Plan Elements: ��
Three(3)copies of site plan t7�: sttng structures on site
Si - plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
Ir awn to scale(standard architect or engineer scale) floor elevations
51 orth arrow rLf�Otility locations&easements(required for new and additions)
address,project or subdivision name and lot number er Sidewalk/driveway approach
licant information(name and phone number) ton wells/septic s/septic systems
of dimensions and building setback dimensions .I-lF, ritsgee-to be retained with chip line,and tree
e f otage of buildings to be demolished protection measures
t area,building coverage area,percentage of coverage and ci t_rsgt tree size,type and location
nn ervious area(applicable if R-7,R-12,R-25&R-40) :1115-treet names /
IPS•Koperty comer elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? eYes ❑No O
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes B1Go ,ll,.4/
1;1.4-an Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
quired: ❑ Yes,applicant was notified 0 No Received: ❑ Yes 0 No
Public Facilities Improvement(PFI)Permit: PF,'Zt:j 0003C/
Required: ❑ Yes,applicant was notified ❑ No Applied For: 0 Yes 0 No,stop intake
12-Land Use Case#: >i'p R00167'1006 l
2 oning 1Z S V D
Lt.-Required Setbacks: Front la Rear S. Side 3 Street Side — Garage--
.12-Landscape Requirement: ab
1ILot Coverage Maximum: Sa u/o
Byilding Height: Maximum Height /WI Actual Height
.0/Visual Clearance
lsitiveLands: 0 Yes 1=1.--go Type
,Urban Forestry Plan
.Conditions "Met" or to issuanc�%o building permit /
Notes: //// r'016t 11`D/v $ 5 hoP be ivi e% p r I" Y:1 /Sjrf/ 4=714 C9
Approved By Planning: , Date: � .7
Revisions (after Building Submittal only) Reviewer Date
RevisionRevision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
l:\Bui lding\Forms\BldgPermitRvw_RES_061417.docx
•
Building Permit Submittal
Original Submittal Date: 4'7/4/7/2
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building ernut#above.
Workflow Routing: Planning Engineering 17 Permit Coordinator 2 Building
Workflow Sign-off: y Sign-off for Planning(include notes from planning review)
Route Application Documents: p 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: n
By Permit Technician: 144,(0,1(rit
Date: �(6j7/
Engineering Review
,I Slope at building pad: D
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
43-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes A No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: ' Date:
Notes: Atre-- � par ` - y/1-[, I tint t Ex*, OK ,y l/
Approved by Engineering: ii,“ lI(t- IA) , Date: 8 k—i /(
Revisions (after Building Submittal only) Reviewer 9 4 S/!?Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review ��/ )
❑ Conditions "Met"prior to issuance of building permit /��✓"a �/ l
V pproved,NOT Released: — ci, ate: �f
•
otes: C!N`,1/4}-d" "\rt°'^0\1&— �. 1,1 loli1
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: es CI N/A
Tigard Trans SDC: Yes CI N/A
Parks SDC: Yes CIN/A
LIDA ❑ Yes /A /241a 0
Virk OK to Issue Permit 0
Approved by Permit Coordinator Date:
I:\Building\Fonns\BldgPemutRvw_RES_061417.docx
t., •
City of Tigard
III �t COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G ARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16,gq 5M.J Frs.;P Ave
Project Name: R .tre "r rra<e EQ 571- Lot #: 161 3
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.L):
Is the project subject to the plan district design standards? ❑ Yes 0 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
C ❑ 0 ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 3 l �p
3. Entrances:At least one entrance must meet both of the folio g standards:
ax. ;
8 ft. setback from longest street- facing wall arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No
If y ,all the following apply: 25,sq.ft.min.
One street facing entry ,r, 1�L ft. max. roof above floor of porch
9'S'ft. depth min. .2�5l1"/o min.porch roof coverage
4.9efailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Fr Covered porch min. 5 ft.wide x 5 ft. deep �B Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ ill offset min. 16 inches ❑ Dormer min.4 ft.wide
01 Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
O Roof shingles either tile or wood able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
,Accent siding min.40%of street facade ❑ Window trim min. 21/2"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 0 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 to front or side lot line,than longest street-facing wall. 0 Yes . No (Check one):
❑ May exten ft.if these is a covered front porch rage does not extend beyond the front porch.
O May extend up to 5 ft.where is a two-story building and there is a window at the second story
above the garage that faces the street • a min. area ft.
Width: (Check one)
❑ - e garage door 0 40%max. of street facade
❑ 50%'max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: / Date: 7/X///-]
I:\Building\Forms\BldgPamitRvw_RES_RT 062216.docx