Permit CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MST2018-00009
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
Parcel: 2S106AD08800
Jurisdiction: Tigard
Site address: 16970 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 195
Project: River Terrace East, Lot 195
Project Description: New SF.
BUILDING
Floor Areas Reaulred Setbacks Reauired
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 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: $233,371.01 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
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
FUrna10OK: 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!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:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves
ATTN GAST,FRED VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
109 E 13TH ST
VANCOUVER,WA 98660
PHONE: 602-694-4031 PHONE: 380-895-7700
FAX:
Total Fees: $31,349.73
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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /� `.[�t>—L/y'j Permittee Signature: ON ,71.-/G 7L/ ,-t_/
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.
L.,_0 --/---- g
Building Permit Application
• s t RECEIVE'• Receved FOR OnF�FIC'G USE ONLY
City of Tigard I /C.)/� // - Permit NohA 577 c),F acAo()CY
13125 SW Hall Blvd.,Tigard,OR 97223 plan Rev ew
' Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 /017 I — I l — I 1'' Ot -Permit: i -_� vo,,
^ DareBy:
T 14 n R 1) Inspection Line: 503.639.4175 CITY�I GARD Date
Ready/By d/Metbod:gi y/ t�5 See Page 2 for
!! Internet: www.tigard or.gov Supplemental Information DIVISION q-i 1 7-4 AJ'-7?
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addrtron/alteratron/replacement ❑Other Indicate the value(rounded to the nearest dollar)of all
equipment materials,labor,overhead th profit for the
n t N t ii " ' .' work indicated on this application. � 7 I�
Ei 1-and 2-family dwelling ❑Commercialindustrial Valuation:
❑Accessory building El Multi-familyNumber of bedrooms: H.
1
0 Master builder 0 Other: Number of bathrooms: 3
4, q a Total number of floors. 22-"t5
Job site address: (10 1i w m ASS Levy..., New dwelling area: 18 r square feet(5
City/State/ZIP:Tigard,OR 97224 "' `� Garage/carport area: 31 square feett. l>M
Suite/bldg./apt no.: Project name: f iVGr Ten-ace t Covered porch area: square feet
Cross street/directions to job site: � � square feet
yvt a; UtM( l(P
other structure area: square feet
Subdivision f1:iv."-Terrence.r.+- I Lot no.: I S 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
a `i 3 s work indicated on this application.
Valuation: $
l
Existing building area: square feet
New building area: square feet
" Number of stories:t e' t
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
Business name:Polygon WLH,LLC
`, *at,
l,�%Vl O Structural plan review fee(or deposit):
Contact name:la lifiv, 1y FLSplan review fee(if applicable):
Address:109 East 13th Street )'
City/State/ZIP:Vancouver WA 98660
Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail: NI1 6 .C., ,
ati !
* �- Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic 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: 109 East 13th Street 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
b %/�g4j/y�— within 180 days after it has been accepted as complete.
Print name: /Ji Ch v kj V Date: �j *Fee methodology set by Tri-County Building Industry
/ '`-- / • /✓`� �/7// Service Board.
I:13uildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
` Mechanical Permit Application a ! FOR OFFICE(SEt)\L1
City of Tigard
•
f11 C
1.. E VE tr:•e,c=1
II I I ):S SN Hull lllvd fiem d.<..lR U7.?3 t� 0 ?02� !'tan k.r�cu f-rz 0
Phone:me: Sp i 7)t; 439 Fa s: 5113.5n3.19t i F�j 2U.acaty olh;,Pa, n.
T I G:1 kD Inspection line' 503.(,,9A 175 "1".
Mite ReadyrIt' loci H See Pape 2 for
Internet: wtcwaigard-or.goc CITY Dc (IGARD ',,7ied Method Supplemental Information
�'iSION
TYPE OF ►VOIt6 - COMMERCIAL TEE' SCHEDULE - USECIIECELISF
Mechanical permit fees'are based en the value of the work
®Ness construction ❑ Addition/altenttionlreplacentcnt Itcrt,tntted.Indicate the Value(rounded to the nearest dollar of rill
mechanical materials.equipment.labor.overhead.and pro
El Demolition ❑Other: Nola Value S
CATEGORY OF CONSTRUCT/ON RESIDENTIAL:EQUIPME\'r/SYSTEMS EELS*
❑ 1-and 2-famil2. ds,citing ❑C'ummercialiindustriai ❑Accessory building For xpr iulinformation usechccblisr.
® Multi-family 0 Master builder 0 Other: Description tot). F.a. Tcttai ..
JOB SITE INFORMATION AND LOCATION Ilcatingtcouliup:
Air conditioatMu 46.75
Job site address' k(pg1d I.A..) neto n e Furnace 100.090 BTU J,+eu.ions)
CitylS1ute7IP:Tigard,OR 97224 Furnace 1D0.000*.I311J t:-t h teusi : . 54,91
Suile/hlilgiapt.no.: Project name tVe4 "retf)ract` St — I teat Paul[ 61.06
Duct%sort 23.32
Cross strectichrections to job site: I is Brunie hot scaler system 23.32
Res Klemm'boiler(radiator or
In bonic) 23,32
Una heaters(fuel-type.nor electric),
in-,roll.in-duct.suspended.etc. 46.73
flue'vent for any of above 23 3'-
_ �� Other: 23.32
Subdivision: r Lot no:
Other fuel appliances:
1 as ntap.'parcel no.: Wales healer 23.32
DESCRIPTION OF WORK Gas lireplaceinscrl 33.39
flue vent for aatenccatcr nt gag
fireplace 23.32
Lop lighter(pas) 23.32
Wood'pc)Iet stove 33.39
,�. Wood fireplace insert , 23.32
Chitnncsi,nerflue:vent 23 32
Other: 23 32
ElPROPERTY OWNER 0 TENANT Ensirumneotal exhaust and ventilation:
tu N ie: ttV I_ L}t-p [IGLU)h}ci5 i LA-G Range hood other kitchen
Address: ltoPO_E"bpujj\t4rz.e nC,h ROaA- Clothnihes es nt 33.39
CI do cr exhaust 3339
City/State/ZIP: r..OE1SdG>`L2( Pa. $5 2-553 Single-duct cxhaust(hsthruoms,
toilet compartments,solids rooms) 23.32__ —
_
Z �Phone. 1pbv4 (.4,01 pax:I ) Atticrcran-lepace fans _.--_ 23.32
® APPLICANT 0 CONTACT PERSON Other. 23.31
Easiness name PolygonN't,ll,TLC Fuel piping:
E
S14.15 fur first four:54.113 for each additional
Contact name:'Q/Li fl inertzeis furnace.ele
Address: 10 3 -"Rjrcot1u & St.- 1 5ke 5l0 Gas heal pump
Wall.Suspendedruntl heater _
City/State/ZIP: Vancouver,W A 98660 Water heater
Phone;(360)695-7700 him:1360)693-4442 .Fireplace
f-(staid eC'Y9r tIrSU.10tYl+ 0.,Sra-) O‘.l0rAtIAYibP5•C61'Y1 Range i _�
13arhecuc
CONTRACTOR Clashes dryer(gas)
[3tcciness name:Apex Air lit Other:
----- MECHANICAL PERMIT FEES*
Address:18004 NE 72"d Ave
Subtotal
Din'Statci7lP' ti'a aeons ert R';�98686
(+Noonan permit fee t S90 04)
Plan resew(25no of permit feet
Phone. (360)342.8109 _ ( far:13601326-1769 sale surcharge t I2 nd'�ptnnit feel
(TBhe..203034 TOT Al.PERMIT FEE —i
rho permit application expires if a permit is not obtained within IRO
days after it has been accepted as complete.
Authorized signature. - • fee utathodolog set by in-(;fumy Rui1ding lathe-stry tis,rce Board
Print name'T I, y I Date: 10 I y 1 ‘`hi 1
1-rwa.i,c0Nntm1=Nl:':C t ttt'Ipptt..IJ„r: .1-Ci_,;,1 i,10C-i'C:St'wt Ji+
Electrical Permit Application RECEIVED2 FOR OFFICE USE ONLY
CityofTigard E. 0 2112li' Received c /�b Date/By: Permit#: ST�/O vV O O 9
n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
7: Phone: 503.718.2439 Fax: 503.598.1960 CITY OF r l(GARU Date/By:11114
Related Pennil#:
Inspection Line: 503.639.4175 i UILDING DIVISION Ready Date/By: rw;s: la SeePage2for
TII;AKL) Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submits sets of plans wiitems checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-familydwellingCommercial/iridustrialless to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ 0Accessory building
amps for all other installations. buildings.
El Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 1ioq—(D SW ( C Qii SS 100HP or more. ❑'A".'e', '1-z", Ia
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldgJapt.#: Project name: East River Terrace 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description j Qty. ) Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace Lot#: ‘95 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 (with abovesq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
E' PROPERTY OWNER 0 TENANT Services or feeders installationLalteration,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, 7.42 2
each branch circuit
Contact name:Tonja Morris B.Fee for branch circuits without
Address:703 Broadway St,Ste.510 anct feete fee,first branch circui 56.18 2
brh
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 Ave. Signalnel, len 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(I hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:solarpdx@me.com
Inspections for which no fee is 90.00/hr
CCB Lie.: 199188 Electrical Lic.: c923 I Suprv.Lic.: 48715 specifically listed(X hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: , _�r Subtotal:
Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%ofpermit fee):
ff State surcharge(12%of permit fee):
Authorized signature: liC I le, /�n�t, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within IRO
Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building'Permit'ELC PermitApp ELR ERE.doc Rev 06/17/2015 440-4615T(I 1/O57COM/WEB
Plumbing Permit Application
Building Fixtures
City Of Tigard Received
• 13125 SW Hall Blvd.,Tigad OR 97Z'_3 i;' 20'1 t Date/By. Permit14, SJ�d/�/1U0a Q
,114 Plan Review !f
1. C. Phone: 503.71 R.2439 Fax: 503.5981960 Other Permit No.:
DateBy:
Inspection Line: 503.639.4175 Date Ready/By:TIGARD - y y: Ions: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE,OF WORK FEE* SCHEDULE "
®New construction C Demolition For special information use checklist
Description [ Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 R.for each utility connection)
CATEGORY OF CONSTRLTCFION SFR(1)bath 312.70
SFR(2)bath 437:78
® 1-and 2-family dwelling ❑Commercial/industrial -
SFR(3)bath 500.32
n Accessory building ❑Multi-family Each additional bath/kitchen 25:02
I I Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: ,koCtip,SW L 71GC it 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 R: Page 2
Suite/bldg./apt.no.: Project name: River Terrace 61)ST Manufactured borne utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear f.: ) Page 2
-
Storm sewer(no.linear ft.: 1 Page 2
Water service(no.linear ft.: ) Page 2
Subdivision; River Terrrace ) Lot no.: I/5 Fixture or item:
Tax map/parcel no.: Backilow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
- Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
ry Ejectors/sump 25.02
_
ER PROPERTY OWNER .ILJ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LLC
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 ]lose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
® APPLICANT ❑-CONTACT PERSON IllIercePtorigreasetrap 25.02
Business name:William Lyon Homes,Inc
Medical gas(value:S ) Page 2
PContact name: r Q/LLJ4. M4 a Romer 12.51
Roof drain(commercial) 12.51
Address; 153 ' jroodtocu3_ S\, , 3k'I0 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/showerishowcr pan 12.51
pKyyv,I St laty�a A0.\S 2Ro Urinal 25.02
E-mail:
' O�OY\ylDYY1e 5. CAY1't
CONTRACTOR
�s..l Water closet 25.02
•
Water
59
Business name: G+� � k) �G �-^�p � � Waterpipi g roWV 5629
Address: p.0. $ , op
Other: 25.02
City/State/ZIP: T 7-, e44,4leyre, Ci 1 i13/ Subtotal
M3 $/.� 1'L� i (ill -7a1_�1 J� Plan
eutnpermtfpe: 57250
Phone: D 100.• 'L Fax: ,.
p� Plan review (25%of permit fee)
CCB Lie.: 10 I Plumbing Lic.no:Pb 63q
State surcharge(12%of permit fee)
Authorized signature: y TOTAL PERMIT FEE
' -f..., G,.. „F*.v t k,e Date./O/4//q This permit application expires If a permit is not obtained within IRO days
Print name: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
lalloildinglPermiu\PLMU-PermilApp.doe 10/01/09 440-4616T(l 0/02,COMIWEB)
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G A R D Building Permit Review — Residential
Building Permit #: , D/T-00427
Site Address: I 4P°112 S\A) I.MMite racs IAn-(
Project Name: IZ', jt y T 'raace -[S"r Lot #: K15 A
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N€\Ai L
Verify site address/suite# exists and active in permit system.
. River Terrace Neighborhood: ❑ No ,ra Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
''[Three(3)copies of site plan1'04611,6ring structures on site
ite plan must¢g on 8-1/2"x 11"or 11 x 17"paper \( ootprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) /" oor elevations
,l4North arrow ,)N(Itility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
! .plicant information(name and phone number) Location of wells/septic systems
1 .t dimensions and building setback dimensions igiExisting trees to be retained with drip line,and tree
Square footage of buildings to be demolished protection measures
.ot area,building coverage area,percentage of coverage and INItreet tree size,type and location
impervious area (applicable if R-7,R-12,R-25&R-40) NStreet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 7 ••s/CNo
4 foot differential) If yes,is a storm water quality facility shown? i No
XI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified .. No Received: ❑ Yes ❑ No
Public Facili 'es Improvement(PFI)Permit: J2F/o20/ P —OOO
Required: ' Yes,applicant was notified No Applied For: X Yes 0 No,stop intake
i Land Use Case#: p D R-2 OI(,P10000 t
zoning: 12-- j LVD)
Required Setbacks: Front 8 Rear 31 Side 3 Street Side Nl A Garage 3—(o/
Aandscape Requirement: 2-0Lot Coverage Maximum: SO % 1 2
Building Height: 0/0
Maximum Height is.)f A Actual Height Z3
No, Visual Clearance
Sensitive Lands: ❑ Yes 0 No Type
77( Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
otes: •
Approved By Planning: ��f„ v Date: (�6j Il�
Revisions (after Building Submittal nly) Reviewer Date
Revision 1: 0 Approved D Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal . ,
Original Submittal Date: (i G
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: (`Planning Engineering 093ermit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review) /
Route Application Documents: Xr Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
li original plan review routing form.
ti Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: / 4G'�l Date: / A9 /i
EnAineering Review q
Ale Slope at building pad: 5 lO
E Conditions "Met"prior to issuance of building permit
E Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes O'No
Assess Water Quantity Fee in-lieu: 0 Yes .2r-Rlo
LIDA Facility on lot: ❑ Yes AP-'<Io
0 NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: E,,,,,1 R, E>. - Date: Ip®/zo/g
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit a
1pproved,NOT Released: o� 4 sxo+✓e, i Il 10 j 1r
Notes:
7
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 0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: Yes 0 N/A
LIDA ❑ Yes pN/A
VOK to Issue Permit
'2/7747/ .6'
Approved by Permit Coordinator: Date:
I:\Buildin g\Farms\B1dgPermitRvw_RES_061417.docx
City of Tigard
;. 11 COMMUNITY DEVELOPMENT DEPARTMENT
s
r I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1 61 TO SW L¢rliras.s L,ant
Project Name: K u.r lirr G4 F Lot #: 115
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distract Design Standards (18.660.070.1.):
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 Gabled dormer
ft. deep min.2ft.,5 ft wide min. 2 ft.,6ft.wide
❑ El 0 0 i
2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2.3/
3.Entrances:At least one entrance must meet both of the following standards:
st street- facing wall ❑ Parallel to street,angle no more than 45" from street,
Er-Max. 8 ft. setback from long-es
[c�% or open onto porch
Entrance opens to a porch: Yes 0 No �/
If s,all the following apply Ail 225 sq.ft.min.
[ One street facing entry 11X ft.max.roof above floor of porch
V. ft. depth min. 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep L31 Recessed entry area min. 5 ft wide x 2 ft.deep
❑ ball offset min. 16 inches 0 Dormer min.4 ft.wide
Roof eave min. 12 inch projection �❑ of 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. ❑ 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 ❑#y 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 co er lot. 14,111,
f 14.
Setbacks: f f GWly2 it 14, M 1 JI ltr fi 4t
No closer to front or side lot line,than longest street-facing wall. }C� e ❑ 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.
O 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)
I1t ❑f t-wide garage door
40%max. of street facade
o ax. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 169\AA f'vi&
(,t Date: ik_c\i
I:\Building\Forua\BldgPermitRvw_RES_RT_0622 16.docx
Albert Shields
From: Albert Shields
Sent: Wednesday, January 10, 2018 4:52 PM
To: 'Nichole.Thorpe@polygonhomes.com'
Subject: MST2018-00009, Lot 195 RT East
Nichole, as I believe you know there are still some utility poles on this lot that need to be moved before we can release
this permit application. Meanwhile, I'll call it"Approved (for Plan Review) but Not Released. Please let me know if you
have any questions.
Albert Shields
Permit Coordinator
City of Tigard
Albert(tigard-or.gov
503-718-2426
t
sc4- .✓
MST2018-00009 —Received 6/14/2017
/6 970 Jw 4-67-i ,vGi&9 cs i nV
Valuation Calculator
Occupancy Unit Unit Unit Version Unit Cost Job Value
Type Amount
Res, one & two family VB 1858 Sq Ft V07/01/16 112.65 $209,303.70
Utility, covered porch VB 184 Sq Ft V07/01/16 22.32 $4,206.88
Utility, patio cover VB 16 Sq Ft V07/01/16 22.32 $357.12
Utility, private garage VB 437 Sq Ft V07/01/16 44.63 $19,503.31
Total Job Value: $233,371.01