Permit CITY OF TIGARDIII MASTER PERMIT
44
a- Permit#: MST2019-00213
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020
Parcel: 2S107AA01200
Jurisdiction: Tigard
Site address: 14357 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 12
Project: Polygon at Roshak Ridge, Lot 12
Project Description: New SF.
BUILDING
Floor Areas ReaulredSetbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 20 Bathrooms: 0 Second: 555 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1869 sf Value: $242,271.65 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 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: 2 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: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 Securly Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1869
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required
Prior To Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,693.58
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
oorr 1.800.332.2344.1.
Issued By: C��(/` 1R9 al/Yrp ( N-- PermitteeSignature: O ram- ,L/C�j�C'N
/
// 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
�J \ \
-•
Residential (A -l k is' FOR OFFICE USE ONLY
ErilReceived
City of Tigard Permit No.
v 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 6 2019 DateBy: J 1 I9 m��" `Q
g Plan Review I LJ 9 Other Perm 'a.�';„ `
Phone: 503.718.2439 Fax: 503 598 1960 DateBy: �( l VI
TiGARD Inspection Line: 503.639.4175 CITY Ui- R R('.' DateReadyBy: __ Jarir H See Psge2 for
Internet: www.tigard-or.gov :>' 'f Notified/Method /4 Supplemental Information
/t 7'z,;u,Tfr.
rTYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑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 ❑ Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ gLrat o
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms: 2)
JOB SITE INFORMATION AND LOCATION Total number of floors:)43 2"3 O`p
Job site address: '4 9"5'1 tkAD I W c( , -hut) New dwelling area: �q iv oi square feet ssS
City/State/ZIP:Tigard,OR 97224 " Garage/carport area: 2J-1 square feet l(7 y
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area square feet ICEp
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: 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
DESCRIPTION OF WORK work indicated on this application.
New SF Valuation: 5
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon WLH LLC Type of construction:
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/Z1P:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
El APPLICANT [] CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC {Ptertre refer iafeesckrdal'
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:permitsabmittals polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a
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)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signatui This permit application expires if a permit is not obtained
I/)'R within 180 days after it has been accepted as complete.
Print name:Amanda Gay' Date:
f *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 3T(11/02 COM/WEB)
Mechanical Permit Application
Cityof Tigard ECE
e��s. Date/By: Permit Nnit/S ; 7/C.-CO
a 13125 S W Hall Blvd.,Tigard,OR 9722
1,1 Man y' /
■ an Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T ICAR13. Inspection Line: 503.639.4175 MAR 1 2Q2�
Internet: www.tigard-ongov Date Ready/By: hint: See Pate 2 for
�_ �R� Notifted/Method: Supplemental Information
C CITY c IIG,
OLTLDING DIVISION
TYPE OF WORK COMMERCIAL FEE*SCHEDULE -USE CHECKLISTMechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement perforated.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION slue:$
REMDENIM.EQUIPdlENT/SYSTEMS FEi'S°
Ell-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. -
__ Multi-family 0 Master builder 0 Other: Description Qty. Fa. Total
JOB Silt INFORMATION AND LOCATION lteatiryticooling:
A`+be" ,(o9 t Furaceconditioning00, 00 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents/ , 54.91
Suite/bldg./apt.no.: Project name:Roshak Ridge Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hvdronic hot water system 23.32
Residential boiler(radiator or
hvdronie) 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.; 12* Other: 23.32
Other fad appliances: -
_Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Oaa fireplace/insert 13.39
.,, Flue vent for water heater or gas
04,d-V'G{tlsrL 2- �4S q r+c<Q--OOZ%5 fireplace 23.32
Lot liahhter(gas) 23.32
Wood/pellet Stove , 33.39
Wood ttreplace/insert 23.32
Chimney/liner/flue/vent 23.32
4 PROPERTY OWNER 1- 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.3r0 c Moment _ 33.39 ,
Clothes dryer exhaust 33.39
City/State/ZIP;Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms)_ 23.32
Phone:(360)693-7700 Fax:( ) Attic/ctawlapace fans 23,32
:( APPLICANT ❑ CONTACT PERSON Other: 23,32
Business name:Polygon WLH,LLC Fuel Dlpin@:
$14,16 for fifstigpti$4.03 for each ilddlt(onal
Contact Rama:Tonga Morris Furnace,etc, _-
Address:703 Broadway St.,Ste 810 Oas heat Dump
- — Walliauapended/unit heater
City/State/Z1P:Vancouver,WA98660
Water heater „
Phone:(360)696.7700 Pax::(360)693-4442 Fireplace
- - Rance ,
P-fait.•permitsubmlttals@polygonhomas.com -
Barbecue
g_. CONTRACTOR Clothes dryer(asa) _
Business name;Apex Ale LLC Other:
MECNANIEAL PERMIT PRO*
Address: 1g1104 NE 72e*Ave _ .. - ; - — _.
Subtotal
City/State/ZIP:Vancouver,WA 96686 Minimumpettnit fee(390.00)
Phone:(360)343-8104 Pax:(360)336 1769 Platt review(25%a of permit fee)
State surcharge(l i%of permit fee)
CCB tic,:203034 TOTAL PERMIT PEE
This permit application espires It*permit le not obtahted within 1a0
J
days atter it has been accepted as complete.
Authorized signature: < Fee methodology set by Tti-County Building Industry Service Board
Print name:Tim Hay Date;04/08/2019
tABuBding\ermitsIi C_PmmilApp_040113.doc 440.46(7T(I I/02/C0WWEB)
Ec '' '.
Electrical Permit Application , 7£a r
.;rs , to[ oHrlce:l�s[ t>v11
MAR 1 6 2020 �� _ . x.:° ,. t � _ v
City of TigardDa _
13125 SW Hall Blvd.,Tigard,OR 972R y G, ; Plan Review i W r/ .
il
i. g Phone: 503.7I8_2439 Fax: 503.5 Da g , Related?emit O:
Inspection 503.639.4175 INN
.„.;,,r.,, p Ready Datc/By: ]u�' RI See Pagel for
laterneC wmY.tigatd-ot:gov NotifeNMethod: Supplemectd Warman on
l� W TYPE OP. =.•-? ,. ' . , r. i' -
oltiy
ipi New construction 0 fiddition/eiteiation/rtplacement Please check ail that applY(submit acts ofplam wrneas checked):: ;
❑Demolition ❑Other. or more Q$us7dina over three dries,.,en...or 400 amps
whoa the available flute emend ❑Marlene and boatyards.
:;>':4,zs;':-=r,t:.'.:-CAT `ORY._OF CONSTnCTION : .,; :' ecieteds 10,000 amps at 150 vole of 0 Aoabotbw7dinpa.
®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Imo m around,or exceeds 14,000 0 Commwnial-use agricultural
build
❑Multi-family Q Master builder mops for all other installations. buildings,
® Other. °Fuepaop. 0Iasallidionof150KVAor
."_`k v; JOB gritO`lihbaTOffAND7;OCAT1014'" :.• 0 BuiturncY lam larger separately derived
Job#: Job site address; 14351 (108ri Q,,c A 0111P a of new motor bad of system
p saver ]OOHPotmote. i7"A`,"S',•1-2«,•l_3",
City/State/ZIP:Tigard,OR 97224 ❑Six or came tea dent al lanai onnnpoxy.
1_1 Hake-we facaitts. CRomaatonal vehicle perks.
Suite/bldg./apt#. Project name:Polygon At Roshak Ridge 0Haardomlomtiom. 0 Supply voltage ear r more than
❑Soviet cc feeder 600 amp or more. 600 yoga tavminaL
Cross street/directions to job site s Mk SC13TDt.I E
nwkbop 1Qv I sank I Ural 1 •
New residential single-or multi-fanly dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#; t L. Includes attached garage, _
Tax map/parcel#: 1,000 a1.it trim 168.54 4
Ea edd'1500 sq.A.nr portion 3392 1
DBSOPIPTf'ON OF WORK •- limited*new,raid®tilt
Ck"C)42IL v't t,1.114 �O MST 2Or°I- CO2I5 (with above so.It.) _ 75.00 2
Limited mew,multi-family 75.00 2
residential(with above ao.fi)
El.P.ROPER1'x;0 7,NEti .`..:.-' .-I ❑ TEN #T. Services or feeders inttellationtalteraeon,and/r reloeuioo
Name:William Lyon Homes,Inn 200 amps or less _ 100.70 2
Address:703 Broadway St Suite 510 201 atapt to 400 amps I33.id 2
401 amp to 600 mops 2003a 2
City/StateSZ1P;Vancouver,WA 98660
601 amps 10 1,000 amps caps or Wu _ 201.04 2
Phone:(360)693-7700 Pax:(360)693.4442 Over k,OMs tes 552a6 2
Email: Temporary service:or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200�mien ` I I 16816 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 to 400 a
mpsOwner signature: Date: 401 amps to s99 am t
. ^"'APPLICANT • I� CONTAC'r�ARSON - 2
Branch circuits-Haut alteration,or axtanslnn err eerie,
A Fee for breech circuit with
Business name:William Lyon Homes,Inc, above sauce or feeder fee,
- each branch davit 7.42 2
Contact name:Nithole Thorpe B.Fee fat breach titan n witaeso
Address:703 Broadway St Suite 510 to-iia Dr frxder fee,fire
56.1 s 2
City/States/ZIP:Vansoirvar,WA 98660 Basis add'1 brmdh aarawt
— foul
Phone:(360)695.7700 Pax: (360)693.4441 mim Miscalling-oilede oervjecdular hotlocledadl
dwelling service end or feeder 67.ad 2
1:parmiteubmittalsapolygonhomes,tom 31.114
2
CONtRACtOR_ .
Pip mitigation ctrc)e 67.84 2
Business Hems:Alameda Electric Sign or outline lighting 67.84 2
Address:94151VE 44th _ Spiel*mit(t)er Bruited exgv
_��� seas) sltetation of aAteaaton ® 8ac Page 2 2
- .
City/Staler/ :Portlagd,OR 97113 additional lnimeattoa byte HiloiTabia tnany of flat above
Additional inspection(I-he lab) _ 36. 31 hr
Phone:(302)314.1181 fisx;( ) Imeatiganda(1 hrt®in) ` 90.00/ter_• -
Email:solarpdatffie,cam Indiana 7E.isulu
— - Inspections fa*Lich no#ee it
CCB Lit.: 199188 I Electrical Lin.: c923 3uprv.Lit.: 487$$ exialSedy toed(opt; 90.00/st
ELECTRICAL muter Suprv.Electrician signature,required:
FEES
Subtotal
Print nano Kilt Rood . I Date: 03/08/2019 In Ram Review Requited(2S%a afpesmit fee):
,/ State sutrharge(12%of penni fee);
Authorized signature �� G TOTAL PERMIT FEE:
Print name: Kite Rood Date; 03/08l2019 Tins p�application espirs if a permit is not obtained within 150
-
dais after it has been accepted u complete
Plumbing Permit Applicatipn, h t.
Building Fixturesaiiimilmemzumis
/iAR IF; 2020 Received
City of Tigard Permitxo.: "`
13125 SW Hall Blvd.,Tigard,OR 97gg6 -r I Davy' ����7 ���
C1i- I,Uh�f�D Plan Review
Phone: 503.718.2439 Fax: 503, 17amey: Other Permit No:
Inspection Line: 503.639.4175 ING DIVISION _
'2I c;A R❑ Internet: www.ti and-or. ov Late Ready/By: Iles: I SI See Pagel for
g g Notified/Method: Supplemental Information _
TYPE OF WORK FEE' SCHEDULE
:i New construction ❑Demolition For specialInformarion use checklist
Description I Qty. I Es. J Total
❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
g 1-and 2-family dwelling 0 CommerciaVindustrial SFR(2)bath 437,78
SFR(3)bath 500.32
❑Accessory building Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other.
Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Jab site address: l�-1 `to fb-n4 ;� Catch basin or area drain I8.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2
Suite/bldgfapt.no.: f Project name:Roshak Ridge Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connecter 18.76
Sanitary sewer(no.linear ft.:-__) Page 2
Storm sewer(no linear ft.: ) Page 2
Water service(no.linear ft.:i) Page 2
Subdivision:Roshak Ridge 1 Lot no.: 12. Fixture or items
Tax map/parcel no.: Backiow preventer 31.27
p �� ,DEESSCRIPTION OF WORK +� ., Backwater valve 12.51
Q of` '►rvi tC 4o msT Lti+1'-oQz t� Dishwasher
washer 25.02
Dishwasher 25.62
Drinking fountain 23.02
'
Ejectors/sump 25.02
12 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name Polygon Will,LLC Fixture/seWer cap 25,02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St,,Ste 510 Garbage di
City/State/ZIP:Vancouver,WA 99660 a gosa1 25.02
Hose bib 25.02
(
Phone 360)69:5.7700 Fax:( ) Dee maker 12.51
El APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLII,LLC Me )gas(value:$ ) Page 2
Primer
Contact name Tooia Morris I2.51
. --- Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 910
Sink/basin/lavatory 25.02
City/State/ZIP; Vancouver,WA 9$660 Solar units(potable water) 62.54
Phone:(360)693.7700 Fax::(360)693.4442 Tub/shower/showerjan 12.51
B-mail:permitanbmlttaleipolygonhomes,coin lineal -- 25.02
CONTRACTOR %laclos 23.02
Water heater 37 32
Business name:G lit B Plumbing dr Sons Inc - Water piptng/D1W 56.29
Address:P.O,Boa 92 Other: 23.02
City/State/ZIP:St.Paul,OR 97137 _ subtotal
y
Phone:(503)563.1417 Fax:(971)7274170 Minimum permit fee: $72.50
CCS Lie.:104372 Plumbing Lin.no.:ph634 Plsn review (2S%ofpermit Ise)
;. State surcharge(12'%of permit fee)
Authorized signature: jy( ,� TOTAL PERMIT FEE _�
Print name:Steve Fowler Date:04/08/2019 Thispermit application expires if a permit lenot obtained within 160 days
after it Ws been accepted es complete.
`Fee methodology set by 1Yi-County Buildia■Industry Service Board.
t;\BWdieg1PermitstPLMU-PermitApp.dac 10/01/09 440.46 I6T(I O/02/C:OMIWEB)
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: Mc c?}-o1C1- -2513
Site Address: (y 3551 sW tLQ&hrl
Project Name: Pp*ygc �o R ik R1c�Io Lot #: \�
(New dwddl]in =subdivision name;Addition or Alte tion=last name of owner)
Planning Review
Proposal: Nevs,/
' -Verify address/suite#active in Accela. rkIn River Terrace: D. No X Yes,River Terrace Review Addendum
Site Plan Elements: YfProsion Control
3K3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper M$etained trees with drip line and tree protection measures
��D'rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FH!7
'4orth arrow .aUtility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number3idewalk/driveway approach
Applicant information(name and phone number) VILocation of wells/septic systems
Cot dimensions and building setback dimensions Street tree size,type and location
lf\ASquare footage of buildings to be demolished , Street names
(existing structures on site Comer 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? No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Is No
XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: 0 Yes,applicant was notified No Applied For. n 0 Yes 0 No,stop intake
Land Use Case#: SUSSCAS't)C,CQl 4 Zoning: R-"12
AK Required Setbacks: Front: S Rear: 3 Side: 3 Street Side: 1V 1h Garage: 3
Building Height: Max. Height Ni /pt Actual Height: t 20
Landscape Area: 20 % 't, Lot Coverage Max: $D
Entrance If Set back no mor than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows 11 Minim 12% f area of all street-facing facades
Garage 11 arage i oor is ehind -dest street-facing wall 0 Yes 0 No,one of the following is met.
■ 1 or ext ds n r than 5'from wall and there is a covered porch extending beyond garage.
10 I.or ex ds e than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
II Gara:- .oor -dth is ❑ 2'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ overe porch 0 Recessed entrance 0 Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fires gles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding ❑ Window trim ❑ Window recess 0 Wmdow projection ❑ Balcony
Xf Visual Clearance �Urban Forestry Plan
Sensitive Lands: 0 Yes ,c No Type:
.rgC Conditions met prior to issuance of building permit
Notes:
Approved By Planning: Q Date: B q
Revisions (after Building Submittal o y) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fors\BldgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: a I21s1\C1
Site Plans: # 3
Building Plans: # '3
Building Permit#: Enter building permit# above. _/
Workflow Routing: Planning Engineering C"Permit Coordinator L�J Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: [Y Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
CVBuilding. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ` Lti_/.— Date: 5 I I vcA
Engineering Review q
... lSlope at building pad: ST O
Conditions"Met"prior to issuance of building permit
0"Easements (encroachments)per engineering conditions of approval and plat
ca'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: 0 Yes B No
LIDA Facility on lot: 0 Yes Er No
Final Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ((,(fit_ 141 Date: (2-'11/7
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: _
Revision Notice 3: Date Sent to Applicant:
0/DC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: [Q'Yes ❑ N/A
Parks SDC: Yes ❑ /A
VLIDA ❑ Yes LE N/A
K to Issue Permit
Approved by Permit Coordinator: ATV'Date: -4/t9
1:1Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
71 qi . . COMMUNITY DEVRI OPMENT DEPARTMENT
T I G ARD River Terrace Building Permit Review Addendum
`"' MW.naN�wareeve-a :ew,nx:are::+cLer..xa�v. derr3sa — _�, `., .�.
Building Permit #: mS-t•2,•j\q_ (`zi\'),
Site Address: 14357 SvJ I IOg'hn /we-
Project Name: Pbl GfOr 12CJ6Y oLle, 52.4 Lot #: 12
(New dwelling=subTsion name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards?gYes ❑ 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 0
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: '21-1`10
3. Entrances:At least one entrance must meet both of the following standards:
° Max. 8 ft. setback from longest street- facing wall ,�Pazauel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Icy es ❑ No
If yes,all the following apply: 'b4 25 sq.ft. min.
One street facing entry igt 12 ft.max.roof above floor of porch
g 5 ft. depth min. .Ikf30%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. deepecessed entry area min. 5 ft.wide x 2 ft. deep
`Wall 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 ',Gable,hip or gambrel roof design
O 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. 2 I/i"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot. /� p I !,
Setbacks: — a Ire-i Loadcd
No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. f o(Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ 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)N l h - a`I.p 'f (bM ckd
O 12-foot-wide garage door " W 0 40%max. of street facade
O 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Q&/(^ Date: S 1 Z 2)/19
IABoildiog\For. BIdgPamrtRvw_RES_RT_121417.docx