Permit N.`' CITY OF TIGARD MASTER PERMIT
lit
I� COMMUNITY DEVELOPMENT Permit#: MST2017-00325
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02l27l2020
Parcel: 2S106AD08700
Jurisdiction: Tigard
Site address: 16994 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 194
Project: River Terrace East, Lot 194
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Reaulred
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1744 sf Value: $215,340.09 Rear: 5
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
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0
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!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 6D1+amp-1000v: 0
1000+amplvolt: 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 1744
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 Required Prior To
Pour
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $30,961.54
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: �� `� r�., Permittee Signature:
nature: 0/1 , L../e_,977D/V//
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.
B>A tdin Permit Application 4 ' r ' -f
L1" R EC El • i FOR OFFICE ISEO\L.1
City of Tigard JUN 1.417 Day: F /Gl0 2 t Permit No f�(ST).ot> s
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, (/'_ y�J �y
' tl Phone: 503.718.2439 Fax: 503.598.1960 CI�O��F� GARD Date/By: JQ '1�� 3,„„
� ��P��t'SG�/1�/�U�7—W��6
7.i G.�A l) Inspection Line: 503.639.4175 BUI L I'i7"DIVISION Daze Ready/By: ///./ L w� 1wv. ® See Page 2 for
Internet: www.tigardor.gov Noti5ed/Method: J �O Supplemental Information
-. :7cae/c_ �� 1fe� oZ 7 y 3C e'r g.! TON.Ta9
Tf' e : , ,s tt= x� t t ' ti t
N New construction ❑Demolition Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
D Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
' a s� " ;�t work indica1t on this application.
N 1 and 2-family dwelling 0 Commercial/industrial Valuatf�c a 0�17 J 03
0 Accessory building 0 Multi-family Number of ms:
❑Master builder 0 Other: Number of bathrooms: 3
a - t `t i s e t to 4 g " Total number of floorsal a-7
Job site address: l I n(� 14 �� rn1 yirasS a New dwelling area 17yy square feet
City/State/ZIP:Tigard,OR 97224 `� Garage/carport area: square feet
Suite/bldg./aptno.: Project name: rjVGr rerracc, `f Covered porch are • square feet 3 q
Cross street/directions to job site: Deck area: square feet 0,5'
Other structure area: square feet
Subdivision RiVvr Terrace, f— I Lot no.:t 011.4 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
_.? a °aE, € _" � i)'s work indicated on this application-
Valuation: $
I
Existing building area: square feet
New building area: square feet
9.7 t c . Number of stories:
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:
I g�
yz
Business name:Polygon WLH,LLC
Contact name:N i oak�t�(10 Structural plan review fee(or deposit):
`�� �a' FLS plan review fee(if applicable):
Address:109 East 13°i Street
City/State/ZIP:Vancouver WA 98660
Total fees due upon application:
Phone:(360)695-7700 I Fax::( )
Amount received:
E-mail: NI i O.0 Iihi, ft ...t /.11 Ali. 11A
Commercial and residential prescriptive installation of
ti� ,. �„`, a ,, 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: 0 This permit application expires if a permit is not obtained
%/g ',a --- within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: , f Ch vk / vyy►e Date:�/7/� Service Board
I:1Building\Pemi" 1 itsBUP-RESPennitAppp.rd`oc 02/24/2011 440-4613T(I1/02/COM/WEB)
•
Mechanical Permit Applica +)I I CAVED FOR OFFICE USE ONLl`
City of Tigard � ReceivedDate4 emote d< /7
II. 13125 SW(tall Blvd..Tigard.OR 97223�I t7 2018 pia,ity, S (j/t�—l/03�0��
Phone: 503.7182439 Fax: 503.598.196 +OV Ptan Rev ew Uatitte: Other Permit.
T i t i A R I) Inspection Line: 503.639.4175 r'e elate Readyrtt c- ®!uriSee Page 2 for
Internet: www,tigard-or,gov CITY �1 -,� ��i� ).raiticd;Methed: Supplemental InformationBeat!D1N(.K, ` :_ .._((`.
. , ' 3 li. fit, r" I RCtt�T;-oti Rl. to04. £ T'.i(isr
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/tlterationlreplacement performixl.Indicate the value(munded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor.overhead.and profit.
i'A..,, ,Y i.0. C [t 37O V
Value:
0 I-and 2-family dwelling 0 Commercial/indusrial ❑Accessory building For special information usechec*Nat
®Multi-family 0 Master builder ❑Other. Description (ley. 1 Fa. Total
- '--: -a.slue c r - r` Heating/tooling:
I 46.75
Job site address: Air mnditionine
Furnace 100.000 BTU Weir/vents) I 46.75
City/State/LIP:Tigard,OR 97224 n �/ /��/��— ^— Furnace 100,000+BTU tdue!awms) 54.91
121 ve fi�T Y ULb Ilene pump 61.06
Suite/bldg./apt no.: Project name: Duct work 23.32
Cross streelidirections to job site: ljdronic hot water system 23.32
Residential(oiler(radiator or
Itydmn ic) 23.32
Unit heaters(fuel-type,not electric),
in-walL in-duct,suspended.etc. 46.75
('p �/' r ( Flue/vent for any of above 1 23.32
Subdivision: ?i vev 1'[,new .sat„ l OIL her: 23.32
[� Lot no.:
Other fuel appliances: ,
Tax map/parcel no,: Water heater 23.32
0- m Gas fireplace/insert , 33.34
' � '' Flue vent for water heater or gas
fireplace 23.32
Log lighter teas) 23.32
Wood/pellet stove 33.39
Wood 11replaee/insen 23.32
Chimney/Iineri lutcnt 23.32
• :* cari � _ p< v
Other: 23.32
• '� " ' -- ��--- -'—°�"_` Enviromneatal ezbaasf and ventilation:
Name:Polygon WLR,LLC Range hood/other kitchen
Address: 109 East I3" Street equipment ' 33.39
Clothes diver exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. y
toilet compartments.utility morns) 40 /23.32
Phone:(360)695-7700 Fax:( ) ARicJerawlspacc fans 23.32
23.32
Business name:Polygon W AI,LLC Fuet piping:
S14.I8 for first four,$4.03 for each additional
Contact name:Angela Grajcwski Furnace.etc. ' ,
Address: 109 East 13th Street Gas heat pump
Walt/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water beater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace I -
Range '
1-mail:Angela.Grajewskii polvgoubomes.com Barbecue
-e
°,$_.,��: � . - �-,�-� �i���7'QR .4. 7-7(` moo dryer(ens)
Business name:Apex Air LI.0 Other:
Address: 18004 NE 72'a Ave 'a'0 4- '- • -
SuMutal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(255 of permit fee)
Slate surcharge 112%ofpermit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application mpircs if a permit is not obtained within 180
days after it has heen accepted as complete.
Authorized signature: ' Fee methodology set by Tn-County nodding Industry Service limed
Print name:"- ratJ Date: 4.II.f{...
I.41.46r,tJ ..IOMCC_PeontApp IW)I 13 d,e 44C.-4t.i3Tti Ua COAiM'rm
• *Electrical Permit Application r�i�t�E® FOR OFFICE USE ONLY
City of Tigard Received Date/B : Permit p MS7;2-oi7-003
III q 13125 SW Hall Blvd.,Tigard,OR 97223 ., c fj 2 0 2020 Plan Review
Phone: 503.718.2439 Fax: 503.595.1966 Date/B : Related Permits:
Inspection Line: 503.639.4175 F T I GARD Ready Date/By: kris: WIg See Pa e 2 for
T1( ARu !-lam G ,
Internet: www.tigard-or.gov ,
I LONG Di\JtSION Notified/Metlwd: 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):
['Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION - exceeds 10,000 amps at ISO 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 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
,�,, ,W�,,,� ❑Addition of new motor load of system.
Job#: Job site address: 11.0C(414 fSUJ L I 1 1 YA's 10011P or more. ❑"A","E'•,•'I-2 "I-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 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 Qtr. I Each I Totat I •
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace Lot#: l-{V Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
with above s 75•00 2
Change contractor on MST ( q•ft)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® ❑ TENANT PROPERTY OWNER 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 ❑ 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 seach cie t feet
fee first
bra nnc 56.18 2
t
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:permitsubmittais@polygonhomes.com dwelling service and/or feeder
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 44n Ave. Signal circuit(s)or limited-energy a 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(I hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:solarpdx@me.com Industrial plant(I hr min) 78.18/hr
-• - - Inspections for which no fee is 90,00/hr
CCB Lic.: 199188 Electrical Lic.: c923 I Supry Lic.: 48715 specifically listed(S hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%u of permit fee):
State surcharge(12%of permit fee):
Authorized signature: /C J FL /len4-'(, 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.
ItBuildioglPermits'ELC PermitApp ELR RRE.doc Rev 06/172015 440-461ST(1 I/05/COM/WER
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. y Plumbing Permit Applicatioi C L A
Building Fixtures NOV G 2018
City of Tigard //, t. Received
teived PemiltNu.: /yf��/�eV 3�S
111 e 13125 SW Hall Blvd.,Tigard,OR 97247iTY OF i 0Gl u 't'.
6 t „s,,G ry iti I Piam Review Other Permit No.:
Phone: 503:718243) Fax: 503.598.1960 t,, Lf I f S I O;�DatdBy:
T I G ARD Inspection.Line: 503.639.4175 Date Ready/By: Jmis: H See Page 2 for
Internet
www ti a nd-or. o v.. ,� .-: Notified/Method:
n ..- .. .��
Su?plementalInformation
.w it x ��TYPEOF40 �13. �� 3s�� � YFED* g j11� ,WJ - �;,
For specia information use checklist
®New construction El Demolition Description j Qty. 1 Ea. 1 Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
TQ# � a SFR(1)bath 312.70
11--�� SFR(2)bath 437.78
El 1-and 2-family dwelling I_I Commercial/industrial
SFR(3)bath I 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.it) Page 2
., 15 7$e.IKl'Yiiiii1Rt1QilT i>.3K t �' r-* Site utilities'
rA i � Catch basin or area drain 18.76
Job site address; `�(/�V l' W l / OI/��I��/Y�V) 1�V�/
` iVy Drywtsll,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear it:__J Page 2
Suite/bldg./apt.no.: Project name:get ve,y-1 Uhf(tip,y t//9I Manufactured home utilities 50.03
Cross street/directions to job site: 1 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: u !�/2cePralLL1vi Sic Lot no rn I oil- Fixture or Item:
Tax map/parcel no Bacidlow preventer 31.27
-sc; -*�� , - - e,,, 1 12.51
13 'Y . Backwater valve(ryathes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
='`i o . c� ❑ TFN s' t" „� Expansion tank 12.51
Name:ADVT.,Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/bub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
4 _��` °s -. 2 4.13 -- '.. Interceptor/grease trap25.02
Business name:William Lyon Homes,Inc Medical gas(value;S_) Page 2
Primer 12.51
Contact name:Angela Grajewskl Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/sbower/shower pan 12.51
Urinal 25.02
E-mail Angela.Grajewsld@polygonhornes.com
sue - w,a-c a 4 '-v "*. -t-`^�'-�''7 i. '.- ,., i2" Water closet 25.02
? ,� � -3 Water heater 37.52
Business name: tG±6 Q)J fl )\'t C s 3,A .- Water p'p i in glDWV 56.29
Address: Q.0. 6 tic, OfD, Other: 25.02
City/State/ZIP: S'J T. e6444cwt. q 1 t,g'J Subtotal
Phone:(a j D3-S - 1140 Fax:( 1 c + '7 1_S2''J� Minimum permit fee: S72.50
CCB Lie.: ' Plumbing Lie.no. ( stt� Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 4, A TOTAL PERMIT FEE
Print name: ,' f-fCi(/[,.. FD U.)'4,� Date:g-3 tl-II _J 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.
1:ili tdiaaamihWl.MU-Pmnitkpp.dx 10/01i09 4404616TO0/02/corvWEB)
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City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
Building Permit #: zti 62?-6)/7—V0 3.2 S—
Site Address: i (o cle7 y Su' L eh.,o,, ,-ass Cf,
Project Name: kisyser 7e•v-ae.4%. Qsf Lot #: /?1/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /tigL-(2 SF R
Verify site address/suite# exists and active in permit system.
j=kiver Terrace Neighborhood: ❑ No es,See River Terrace Review Addendum Attached
Sit lan Elements:
TJ ee(3)copies of site plan ,.DExisting structures on site
,2lsite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished
drawn to scale(standard architect or engineer scale) floor elevations
forth arrowtility locations&easements (required for new and additions)
�/Site address,project or subdivision name and lot number Idewalk/driveway approach
/A cant information(name and phone number) a nc uti of wells/septic systems
Lot dimensions and building setback dimensions ePlE45targfreas to be retained with drip line,and tree
'E7Square footage of buildings to be demolished protection measures
area,building coverage area,percentage of coverage and ,85rreet tree size,type and location
im envious area(applicable if R-7,R-12,R-25&R-40) 2btreet names
ie•WII corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? es ❑No 0 `�`�j,
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes la'No vy.¢,��
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
"ublic Facilities Improvement(PFI) Permit oZ D f .,-0005 '
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
2 LLand Use Case#: P R a v/ _aoD(p 1
ca.—Zoning: o` jp.�
required Setbacks: Front` 1 Rear s Side 3 Street Side — Garage —
e4Er—Landscape Requirement e D %
.0---Lot Coverage Maximum: 5-:b
'ding Height: Maximum Height /U/ Actual Height
Visual Clearance
nsitive Lands: 0 Yes Er—No Type
/Urban Forestry Plan
El Conditions "Met"prior to issuance 9f building permit 1n /
Notes: All to nth7/`0llf' 0// `/
.66' �1/Y/dr e) 1..5-5,--- Cn C'C-
Approved By Planning: _ C%C/ Date: c
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_061417.docx
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Building Permit Submittal
Original Submittal Date: f74�4,
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning )2-Engineering 7-Permit Coordinator Building
Workflow Sign-off: 12 Sign-off for Planning(include notes from planning review)
Route Application Documents: 0 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ZBuilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: i "' 't - Date: (.. /. - `/7
Engineering Review
Slope at building pad: 70
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
gf Water Quality/Quantity Facility: �{
Assess Water Quality Fee in-lieu: ❑ Yes .-CJ No
Assess Water Quantity Fee in-lieu: 0 Yes No
LIDA Facility on lot: 0 Yes -2-No
❑ NOT Approved by Engineering: Date:
Notes: /2etiiC ']JBT Z iA i 1 kleL) Fr172 ?3/&r 6
Approved by Engineering: Vvt1 /IK_- toil I Date: 8 Z _ ( 7
Revisions (after Building Submittal only) Reviewer !I /S /7 Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review y4 �/ „o
O Conditions "Met"prior to issuance of building permit 3 /J 9
pproved,NOT Released: /9.e 'rAj, o4 Ae o,v�, Date: /Z-`/ 1�—
otes: See_ C'w►n�t.I (414, Fly& - II I1S/1" ,
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 0 N/A
Tigard Trans SDC: - es 0 N/A
7 Parks SDC: %'Yes 0 N/A �� , ., 2-42—°
To LIDA 0 Yes 4/A ,I:'t^'
OK to Issue Permit i !-_- ,
proved by Permit Coordinator: —.Noir IF
/ r I I _ t _ / �H it '�i s-te: ' '
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
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City of Tigard
11111 ■ 1' COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address:
Project Name: Lot #:
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1):
Is the project subject to the plan district design standards? D 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
in Porch m . 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft.wide Gabled dormer
.1 ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: P3 mj�
3. Entrances:At least one entrance must meet both of the following standards:
girl. 'arall
l�'Max. 8 ft. setback from longest street- facing wall el to street,angle no more than 45° from street,
J� .c:N open onto porch
Entrance opens to a porch: ❑ Yes 0 No ,�
If yes,all the following apply: Z ��5 sq.ft. min.
One street facing entry 12 ft.max.roof above floor of porch
5 ft. depth min. ,V30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
rErCovered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches 0 Dormer min. 4 ft.wide
e.eRoof cave min. 12 inch projection Vti-Roof offset min.of 2 ft.
O Roof shingles either tile or wood Er-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 0 Window trim min. 21/2'wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
O Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35°/o 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. 0 Yes 0 No. If N ne):
❑ May extend up to e is a covered front porch an es not extend beyond the front porch.
O May extend up to 5 ft.where the garage t o-story building and there is a window at the second story
above the garage that faces the s with a min. area of 12 sq. t.
Width: (Check one
O 12-f -wide garage door 0 40%max. of street facade
O 50/o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: i
I:1Building\Forms1BldgPermrtRvw_RES_RT_062216.docx