Permit CITY OF TIGARD MASTER PERMIT
: ! Permit#: MST2019-00211
COMMUNITY DEVELOPMENT
T l C;A la'f3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
Parcel: 2S107AA01100
Jurisdiction: Tigard
Site address: 14349 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 11
Project: Polygon at Roshak Ridge, Lot 11
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Reaulred
Stones: 3 Bedrooms: 4 First: 1109 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1059 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2308 sf Value: $293,554.20 Rear: 3
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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 10D 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 Tvoes 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 SrvctFeeders 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 SvciFdr: 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 2308
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: $34,767.29
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 0 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1199877 r1 or11..800.332.2344.
�
Issued By:, % v� Permittee Signature: `/1 /"G/ C,9-77CN/
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.
a� L u� \
Building Permit Application
Residential E F:i' `f i"
,� t�> ? FOR OFFICE USE ONLY
City of Tigard 2 L Received /� Y�,\((I� //�
111111
t rg FEB 6 2019 DateBy: 6 1 Q.S 1 Permit N �\OV`"1�L1��'�1
!, 13125h SW Hall Blvd.,Tigard,OR 982,2Q36o Plan/By: wC S ci_ram,' o+
_ Phone: 503.718.2439 Fax: 503 598�1!- Date/By: J ( Q Other Pemut W VdSl
T1GA RU Inspection Line: 503.639.4175 u I Or IU tl) L.) Date Ready/B e�/ Juris: El See Page 2 for
Internet: www_tigard-or.goV 3, 111.; f e`d, '-" Notified/Method:� N ." Supplemental Information
&-l7q 77lil/.. -.
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.
0 Addition/alteration/replacement ❑Other: equipment,
the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 253 r C✓J
Li❑Accessory building El Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors'*3 3 7 304
Job site address: �/v (2) New dwelling area: //' �- square feet ( 091
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1
2- square feet 1 (DC 1
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: v4 square feet 11.4 V
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCLAL-CISE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: I 1 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 WORD work indicated on this application.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 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)6934442 New:
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES"
Business name:Polygon WLH LLC
'Ptrnv refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax: :(360)693-4442
Amount received:
E-mail:permitsubmittalsclip,polygonhomes.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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: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)6934442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Ga in Date: ^ *Fee methodology set by Tri-County Building Industry
!! Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
Ci1312ty5 S W TigardHallBlvd.,Tigard,OR 97223 I / DReacteefisveyd Permit No.M S� ���`�11114
1 r� 1
of Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 J U N 1 9 2019 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jug:
Internet: www.tigard-or.gov Supplemental
y See Page 2 for
CITY OF TIGARD Notified/Method: S Information
3UILD NG DIVIS P1\,j
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
C7.1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use checklist.
Multi-family ❑ Master builder ❑Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
AJob site address: 1434 q. 5W `�,(� Furnacer conditioning 1 46.75
�YU7}1 �/ 100,000 BTU(ductslvents) 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.:
1 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
(Ni(1STZOl°1— O0Z;; 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 El 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 0 CONTACT PERSON Other. 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
ermitsubmittals Range
E-mail:p rt polygonhomes.cort
Barbecue
61. CONTRACTOR Clothes dryer(gas)
Business name:.Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address: 18004 NE 72"a Ave
Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax: (360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
Jii
This permit application expires If a permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
Electrical Permit Application REGEiVE I FOR OFFICE USE ONLY. City of Tigard Received
Permit 4/if72 ,i9- 00 a.//
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date
FEB 2 0 2020 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By Related Permit 4:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD ReadyDateB Ands y: See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifed/Method: I la Supplemental Information
TYPE OF WORK PLAN REVIEW
Please checkall that apply(submit 2 sets of plans w/items checked):®New construction El Addition/alteration/replacement
0 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.
0 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-familydwellingCommercial/industrialry
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: ID Fire
pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
143 .ems /�7 0 Addition of new motor load of system.
Job#: Job site address: lOORP or more. ❑"A�,"E^,•'I-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt#: Project name:Polygon At Roshak Ridge ❑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. ) Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: t 1 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 -ram Limited energy,residential
eiAar1/40e. o.OV1.5 YEt�t.i cry. rn.S l 0074( (with above, ti 75.00 2
�Q ( 9 Limited energy,multi-family
residential(with above sq.ft,)_ 75.00 2
Renewable Energy ElSee Page 2_
® PROPERTY OWNER D TENANT Services or feeders installationt 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
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 1 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
PERSON Branch circuits-new,alteration,or extension,per panel El +fiol'I1 ICANT 0 CONTACT
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
each branch circuit 7.42 2
Contact name:Nichole Thorpe B.Fee for branch circuits without
Address:703 Broadway St Suite 510 service or feeder fee,first 56.18 2
branch circuit
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)693-4442 Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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 El See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(I hr min) 90.00/hr
Email:solarpdx@me.com Industrial plant(I hr min) 78.181 hr
Inspections for which no fee is
CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 specifically listed(A lr min) 90.00l hr
ELECTRICAL PERMIT FEES ,
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood I Date: 03/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: , � 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 inspections allowed per permit.
I:tBuilding1Permits\ELC PermitApp_ELR_ERE.dor Rev 06/17/2015 440-4615Tt t 1/05/COM/WEB
Plumbing Permit Application
Building Fixtures ' FOR OFFICE use ONLY
City of Tigard Received ^�Q, ` -(„l )11
g Receive Permit No.:`V ` 0�..1 `W
't 13125 SW Hall Blvd.,Tigard,OR 97223I I I 2019
9Sif N 1 9 /By:
Plan Review
Phone: 503,718.2439 Fax: 503.598.1 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 CITY 3 st
TIGARD Internet: www.tigard-or.gov V i `� 191Zh1r a Date Ready/By: funs: ® See Page 2 for
alJliDjNi 1}jyc,10 Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qy. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Dit I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR 3 bath
❑Accessory building Multi-family ( ) 500.32
Each additional bath/Ititchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14'ajl Su-) \14 QjTyt iL Catch basin or area drain 18.76
1� ,�� 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 J Lot no.: LI Fixture or Item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
'A ` ,� ct q_�11 Clothes washer I. 25.02
!/`� Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Address:703 Broadway St.,Ste 510
Floor drain/floor sink/hub 25.02
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 1 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory ii 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 '20 12.51
E-mail:pern4itsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet '!j 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
CCB Lic.: 184372 Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
Q State surcharge(1T %L f fee)E
Authorized signature: A TOTAL PERMIT FEE
Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
ABuildntPermits'PLMU-PermiIApp.doc I0411.09 4404616T(10i021COM,WEB)
N
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
' Q
T I G A R D Building Permit Review — Residential
Building Permit #: McT ICI_ uo�l l
Site Address: I4' 4q Svc/ W(Qg- in Ayr..
Project Name: Pdt•IMDIA e R,gSynk RICO Lot #: 11
(New dwelling=subdivision name;Addition or Altera' n=last name of owner)
Planning Review
Proposal: NevJ S
t' Verify address/suite#active in Accela. g In River Terrace: ❑ No &Yes,River Terrace Review Addendum
Site Plan Elements: xosion Control
13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ORetained trees with drip line and tree protection measures
1 'brawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
North arrow tility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
. Applicant information(name and phone number) YV.Location of wells/septic systems
16 it dimensions and building setback dimensions ,Street tree size,type and location
18quare footage of buildings to be demolished Street names
Ixisting structures on site `Corner elevations(2'contours if more than 4'differential)
.ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Y s 4p No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? LJ3'. 11 No
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
Fl Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified W No Applied For: ❑ Yes 0 No,stop intake
Land Use Case#: dZCAS- 000014 X. Zoning: 12--11
.2' Required Setbacks: Front: 8 Rear: 31 Side: 31 Street Side: 144 A Garage: Si
,.,/Building Height: Max. Height: (J /fr Actual Height:*�'
P4 Landscape Area: 20 % jit Lot Coverage Max: $(o
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Ga ge door is behind widest street-facing wall 0 Yes ❑ No,one of the following is met:
Do r extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Do r :^lends no more than 5'from wall and there is a 12 sq ft.window above garage on 2ad floor.
t ra e d or ..i. is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following
Co r-. po ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ElRoof offset
❑ Fire hingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding ❑ Wmdow trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance i .Urban Forestry Plan
,Sensitive Lands: ❑ Yes ytt.No Type:
Conditions met prior to issuance of building permit
Notes:
a-Approved By Planning: Date:E ?-
Revisions (after Building Submittal onl Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
1:1Building1Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: l�lsL I 19
Site Plans: # 3
Building Plans: #
Building Permit#: Er Enter building permit#above.
Workflow Routing: 13'Planning 2/Engineering Et Permit Coordinator Building
Workflow Sign-off: 2/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.
[ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
Engineering ReviewG/
,Er Slope at building pad: (( 6
Conditions "Met"prior to issuance of building permit
a Easements (encroachments)per engineering conditions of approval and plat
a Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes C'No
Assess Water Quantity Fee in-lieu: 0 Yes Er No
LIDA Facility on lot: ❑ Yes Er No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
1.
Jd'Approved by Engineering: 44-/kL w Date: 72-7 l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: 13'yes ❑ N/A
Tigard Trans SDC: 4Yes ❑ N/A
Parks SDC: =es ❑ N/
�� LIDA 0 Yes /A
LS OK to Issue Permit
Approved by Permit Coordinator: ��ll'"d' Date:5A911'c1
I:\Building\Forms\BldgPemritRvw_RES_022819.docx
City of Tigard
34 I, e COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
C 1- - -Or .at.r.*. ii. .ri.dah-xa.N...s v1,ata iuiNais. ..y.. - - - :. _
Building Permit #: N-\(:)-r aocl-C�1 `,-1k
Site Address: \L 1-1q So/ 1t 1'i Ave-
Project Name: P O ' Dye �a R,C6 .k RIct Lot #: j 1
(New dwe =subdivision name;Addition or Alteration= ast name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards?, Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
0 0 ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2-7,10
3. Entrances:At least one entrance must meet both of the following standards:
ArMax. 8 ft. setback from longest street- facing wall ❑ Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: % Yes 0 No
If es,all the following apply: Qic25 sq.ft. min.
One street facing entry i 12 ft. max.roof above floor of porch
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:
Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
tIfiWall offset min. 16 inches ' ❑ Dormer min. 4 ft.wide
'Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood jgGable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
0 Accent siding min. 40%of street facade XWindow trim min. 21/21 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
❑ 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. AA bt
Setbacks:
No clo er to front or side lot line, than longest street-facing wall. 0 Yes El No. If No(Check one):
El y x 1 d + to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ a x1-, , 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 . a•e that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-fo d age door CI 40%max. of street facade
❑ 50%t� o:s eet facade with 7 detailed design elements
Notes:
Approved By Planning: Date: %— c1
I.Building,Forms\BldeermtRvw_RES_RT_121417.docx