Permit CITY OF TIGARD MASTER PERMIT
.114,
a . q COMMUNITY DEVELOPMENT Permit#: MST2019-00285
T ft; AR 1J1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2020
Parcel: 2S107AA02300
Jurisdiction: Tigard
Site address: 14352 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 23
Project: Polygon at Roshak Ridge, Lot 23
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms; 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1645 sf Value: $221,815.84 Rear: 0
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
0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain; 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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 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 1645
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
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,165.05
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
h00�R"�52-001-0090., t-You may obtain a copy of the rules or direct questions to OUNC by callingA503.232.1987 or 1.800.332.2344.
Issued By: C ` �(7 /' r-/� G'Permittee Signature: ici 7'G/C9770.'--./
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 LO—\---' QT-
Residential .(_: = ' FOR OFFICE I SE ONLY
R Cl Of Tigard and p Received
13125SW Hall Blvd.,Tigard,OR 9722 ED 2 6 2019 DateBy: �, A C.)r PermitNo�`—r^]���_(`( 1�
Plan Review ))p `. �Jv v��v
Il Phone: 503.718.2439 Fax: 503.5 Date/By. f l Pt A4 c Other Permtry � lQ 10{N�Cj
TIGARD Inspection Line: 503.639.4175 l I Y U r 1 R.2 fLJ Date Ready/By. J' Jam 0 See Page 2 for
o
Internet: www.tigard-or.gov �i4111 Ih lt... !'+0 f#C�tt°rf,l Notified/Method:3 2ej 4(72 Supplemental Information
"TYPE OF WORK REQUIRED DATA:1 AND 2-FAMILY DWELLII.,C ,,a
®New construction ❑Demolition Permit fees*arc based on the value of the work performed.
ll
❑Addition/alteration/replacement ❑Other: equipment,
Indicate value materials,(ro labord,
to the nearest and dollar)the of of
� labor,overhead, the profit for the
1I ' ,,k �� O Y O nor'* pp _
work indicated on this application.
arx ,::fin `—'�"*e4,u Q
® 1 and 2-family dwelling ❑Commercial/industrial Valuation: $ IV i V t 5
D Accessory building ❑Multi-family Number of bedrooms: u
0 Master builder 0 Other: Number of bathrooms: r�
k " L Total number of floors:.
i _, 1��RMA TIOIS 1^T,-"t�A"I"IN �(��
Job site address: 1 `� ,/ ` cy( 1 7 Iw6 I� `/(I IQ) New dwelling area:)lQ ( square feet ,`
City/State/ZIP:Tigard,OR 97224 ✓`J J Garage/carport area: (11 square feet 1/2_,Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: l square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
� 2 ,:z; =E,DM'iERCLAL-UST 1.71ECKLIST.
Subdivision:Polygon at Roshak Ridge Lot no. W 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: $
Existing building area: square feet
New building area: square feet
® PROPERTY ov%NER 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)693-4442 New:
sti � " CANT ❑ CONTACT PERSON B1 I I D J7EE S*
Business name:Polygon WLH LLC
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 _
Amount received:
Phone:(360)695-7700 Fax::(360)693-4442
E-mail: permitsnbmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYS1 STEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 1i'illiam 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: $201.60
Authorized signature. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda in Date: *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 613T(lI//C1
COM/WEB)
Mechanical Permit Applica FOR OFFICE USE ONLY
City of Tigard ffECEIVED Received
g Date/By: Permit No.:A 7 ,C, (�j'
13125 SW Hall Blvd.,Tigard,0 97223 J W To
Phone: 503.718.2439 Fax: 503:59$J&60 2 2020 Plan Review Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jane. Ef See Page 2for
Internet www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
T> DIVISION COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
IS)New construction 0 Addition/alteration/replacement
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES
41-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
11 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 14352 SW 169th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldgJapt.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),
hi-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Roshak Ridge Lot no.: 23 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
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 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)695-7700 Fax:( ) Attic/crawlspace fans 23.32
tEl APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC
Fuel piping:
S14.15 for first four;54.03 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
Range
E-mail:permitsubmittalia palygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address:18004 NE 72nd Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date: 3/23/20
I:'Bu1disg\Permita'MEC_PermisApp-040113.doc 4404617r(II e2HAM/wEB)
RECEIVED
Electrical Permit Application ',oil:ol I icz t rovi i -- f
City of Tigard MAR 1 6 2020
`, / I3125 SW Hail Blvd,Tigard,OR 97223 •.. amilimi Pamif z Sla[7/c" 7�.
`i Phone: 503.718.2439 Fac 503.598.19 TY CrOF TI ARD Pl'°Rm`w
Inspection Line: 503.639.4175 BUILDING DIVISION I1el.tedPermrea:
r1c:,no Internet www.tigard-or-gov �"bdr• ram" H&e ant l for
Inf
NO��M� Supplemental Information
TYPE OF:WOR$=:;:I: r •
••®Newconatmction ., <.��:_• .?..:: ; .'?Xl (c��4V.>.'�'. '}'':: .. . - .
❑Addition/alteration/replacement Please check all that apply(submit/sets ofplans w/�checked);•
❑Demolition0 other Servix or feeder400 amps or more ❑Building over three stories
0 Marinas end boatyards.
• d:,„>`c.a `.k.i.: ::•s::;:'.,:.:OttitGORY.-QR:CONS'1'RbCTION,:....;,:-';:- ' where 10,000 amps it 15e available fault current
volt or 0 Floating buildings-
® 1-and 2-family dwelling 0 Commercialfmdustrial ❑Accessoryr building less to pawl,or exceeds 14,000 ❑Commercial-use agrion aaal
❑Multi-family 0 Master builder 0 Other:' amps for as other installation buildings.
❑Fire pump, ❑Installation of 150 KVA or
:AL':, .JOB STT4.''Qa*'piudATTON A W bOCAT.[014:-.a• J :• ❑Emergeaxysystem. larger separately cleaved
0 Addition o5asw motor load of system,
Job#: Job site address: 1435 'Z•. kiss�'rN (y VO
COty/State/LIP: (� 100HP or mare.
El
A^-6-,-13•,••1-3"
Tigard,OR 97224 Six or more reeideatiel units. ocnrpmuy,
❑Haltt•am rncrlidea- dRegzmona vahkk parka.
SuitelbldgJapt#: - 1 Project name:Polygon At Roshak Ridge ❑Haardws hex atinn, 0 Supply voltage for more than
•
Cross streat/direc Lions to job site: ❑Se 600 or aware. 600 voln mminet
FEE SCIEESE11Lg•..::.-- -
Dessdettoa • I Qh. 1 Bach I Toot j •
New residential single-or multi-family dwelling unit
Subdivision:Polygon at Roshak Ridge I Lot#: Includes attached garage.
Tact map/parcel#: 1,000 sq.ft or less 168.54 4
Fa.add'/500 sq.ft.or portion 33.92 1
AESORIPTTON OF-WORK. ' •. :.: . • Limited energy,residential
1A.�X O.-' A• \Je 4.oR. Cnn MST26(r4-co'@ti 'abwesq.a� 75.00 2
Limited energy.�ti->lon7y 75.00 2
residential(with above sq.S)
D.See RenewableEnerggy. 0:PAOPERit,OtQ-t..: 1•..• .- (D --DINANT. Page s
Services or feeders installation,alteration,and/or relocation
Name:William Lyon Homes,Inc 200 amps or less 100.70 2
Address 703 Broadway St Snits 510 201 amps to 400 amps 13336 2
• City/State/ZIP:Vancouver,WA 98660 401 mops to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone(360)695-7700 I Fax(360)693-4442 Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 5936 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,67D,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 16834 2
•:.�APPLICANT . ❑ CONTACT PERSON A BranePaohfor circuitsrh-new,alteration,or extension,per panel
rm rfd wee,
Business name:William Lyon Homes,Inc above service err feeder fur,
each branchcirrsdt 7.42 2
Contact name:Nichole Thorpe - B.Fee for branch Circuits without
Address:703 Broadway St Suite 510 0C or feederfast
branch circuit 56.18 2
City/State2JP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone(360)695-7700Miscellaneous(service or feeder not included)
I Fax::(360)693-4442 Each 1jm fsrorred or modular
Email:p �b ltagpolygonhomes.com dwelling service and/or feeder 67.84 2
CONTRACTORReconnect only - • 67.64 2
Pimp or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lig stiog 67.84 2
Address:3415 NE 44th Signal circuit(s)ea meted eoe� ❑ See Page 2
Panel,alteration,or extensiona8 2
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
J Additional inspection(1 hrmia) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(I in min) ' 90.00/hr
•
From/ aolarpdx rnewm Industrial plant(Ihrm� 78.18/lir
Inspections for which no fee is
Ca Lie; 1991.88 Electrical Lia 6j: c923 Suprv.Lic.: 487 srecacally listed(;5brnrin)_ 90.00lhr
Suprv.Electrician signature,requirex ELECTRICAL'pp r Ma
Subtotal:
Print name Bile Rood I Date: 03/08/2019 ❑Plan Review Required(25%of pm nit fee):
State suteharge(12%of permit fee)•
Amhotizedsignafxvc: �'� TOTALPERMIT'FHE:
[Print name: Rile Rood I Date 03/08/201919 I This permit appnaaoa esptra Ifaparmitis net e l dIIw aye u1 er ca d as marobtainpleta d within 180
Plumbing Permit APPliefttEL
EIVE
Building Fixtures FOR OFFICE USE ONl Y
City of Tigard MAR 2 4 2020 Received /�
i a 13125 SW Hall Blvd.,Tigard,Ol L r Syr Daffy Permit Non T /C/-0 oath
Phone: 503.7182439 Fax: 50 {� r LIGAnL, Plan Review
laupn.tionLine: 503.639.417.E !1 il 0 j S'n�` Date/By: Other Permit No.:
(�(�
TIGARD �•- Date ReadyfBy: NM: HSee Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE OF WORK FEE* SCHEDULE
El New construction ❑Demolition For special information use checklist
Description j Qty. I Ea. ] Total
❑Addition/alteration/replacement ID Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 411-Multi-fanuly SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14352 SW 169th Ave. Catch basin or area drain 18.76
Deywell,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 Lot no.: 23 Fixture or item:
Tax map/parcel no.: Backflow preventer - 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 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
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12,51
® APPLICANT 0 CONTACT PERSON Interceptor/greasetrap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Ionia Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittais@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DW V 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)
���� State surcharge(12%of permit fee)
Authorized signature: C TOTAL PERMIT FEE
Print name:Steve Fowler - Date: 3/23/20 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,
1:1BuadmgTermitsFLMU-PermilApp,dec 10/0IN9 440.4616T(ION2/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C .
TIGARD Building Permit Review — Residential
e
Building Permit #: STa-01Q'C.:,() Sc.)
Site Address: /'-, 3 2 -s7AD /Le ci A e
Project Name: fIVAmoari - P-Ac 604 -e Lot #: 23
ew.: �. g=subdivision name;Addition or Alterationst name of owner)
Planning Review
Pro osal: /-e/L) ,s?F
Bill Verify address/suite#active in Accela. VJ In River T e: ❑ No N, Yes,River Terrace Review Addendum
Sit Plan Elements: jirA.Er.lion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper ■ + tamed trees with drip line and tree protection measures
II awn to scale(standard architect or engineer scale) !F.otprint of new structure (including decks)and Ft+,
15 .rth arrow I 1 'ty locations&easements(required for new and additions)
T5S.,ire address,project or subdivision name and lot number G Sidewalk/driveway approach
sdry[Splicant information(name and phone number) CO.,cation of wells/septic systems
Lot dimensions and building setback dimensions Or,, eet tree size,type and location
t kV`.,,uare footage of buildings to be demolished AdrSCreet names
MI. :sting structures on site Corner elevations(2'contours if more than 4'diffe tial)
•• .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? r Yes 01
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?I3 Yes lTdNo
Clean Water Services—Service Provider Lett�ot platted prior to 9/10/1995):
quired: ❑ Y s,applicant was notified Er No Received: El Yes ❑ No
Public Facih_tip( Improvement(PFI) Permit: /
/Required: �'Yes,applicant was notified ❑ No Applied For: (� Yes ❑ o, top intake
Vkdnd Use Case#: �vl 6IS-- OD9O� 1� Zoning: 4642 �)
I / equired Setbacks: Front: Rear: Side: Street Side: l Garage: �7
ding Height: Max. Height: Actual H ' h :
Landscape Area: 0 0 % Lot Coverage Max:
Entrance t back no more than 8'from street-facing wall . \ Parallel to street or offset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is b ' widest street-facing wall ❑ Yes ❑ No,o e following is met:
❑ Door extends no mor 5'from wall and there is a covered extending beyond garage.
❑ Door extends no more than 5' r all and there ' sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ 12'or less o ss of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ entrance ❑ W t ❑ I'Roof cave ❑ Roof offset
❑ Fire shin Lap Siding ❑ Roof pitch ❑ Ga ,or gambrel roof ❑ Dormer
cent siding p Window trim ❑ Window recess ❑ V in rojection ❑ Balcony
Visual Clearance Y Urban Forestry an
�\1 l:ensitive Lands: ❑ Yes lZNo Type:
n Conditions met prior to issuance of building permit
No s:
Approved By Planning: Date: �"l/C—l) /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_0228I9.docx
Building Permit Submittal
Original Submittal Date: \ \\q
Site Plans: # ?.)
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: I2/Planning [ 'Engineering [Permit Coordinator 2-"Building
Workflow Sign-off: N'Sign-off for Planning(include notes from planning review)
Route Application Documents: Q' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
C 'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: —4 t IS \9
Engineering Review
Q"-Slope at building pad: eZ
❑ Conditions "Met"prior to issuance of building permit H/'
CYEasements (encroachments)per engineering conditions of approval and plat
La-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C No
Assess Water Quantity Fee in-lieu: 0 Yes E No
LIDA Facility on lot: ❑ Yes E1/No
g'Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E Approved by Engineering: Tau^✓s! Date: 7/1 S"//�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved D Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ 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:
4DC Fees Entered: Wash Co Trans Dev Tax: eYes d/A
Tigard Trans SDC: [H,,_'�Yes N/A
E Y
Parks SDC: es /A
LIDA 0 Yes N/A
�YOK to Issue Permit h, if 45/ iq
pPby
Approved Permit Coordinator: Date:
I
1:\Building\Forms\BldgPermitRvw_RES_0228 I9.doc x
City of Tigard
111111 COMMUNITY DEVELOPMENT DEPARTMENT
C .
TTGARD River Terrace Building Permit Review Addendum
Building Permit #: ws-t- -cmc_00'4.q5
Site Address: / .gc ,gic) /le 3-1A ,%e
Project Name: b .0771- Et , a Lot #: c-O'
(Nevi iKc dluig=subdivision name;Addition or Alteration j t name of owner)
Planning Review of River Terrace Plan Distyict Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? Yes E 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.
Porch min deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ 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: /' 1 D
D
3. E, trances: At least one entrance must meet both of the follo g standards:
i Max. 8 ft. setback from longe 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 yes,all the following apply: 5 sq.ft.min.
iildi It ne street facing entry ft.max. roof above floor of porch}
5 ft. depth min. 30%min.porch roof coverage
4. etailed 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
O jYrlall offset min. 16 inches 0 Dormer min.4 ft.wide
® Roof eave min. 12 inch projection 0yloof offset min. of 2 ft.
O Roof shingles either tile or wood $ ble,hip or gambrel roof design
O Roof pitch oriented south min. 500 sq. ft. A�J I orizontal lap siding min. 3-7 inches wide
ID Accent siding min. 40% of street facade Window trim min. 2 1/2"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%or less of street facade
a es and Carports: May face the front or sid \oViie on a corner lot.
Setbacks: \
No closer to front or si ' e,than longest street-facing wall. 0 Yes 0 . No (Check one):
❑ May extend up to 5 ft.if there is a ed front porch and oes not extend beyond the front porch.
O May extend up to 5 ft.where the garage is part o-story building and there is a window at the second story
above the garage that faces the street . area of 12 s .
Width: (Check one)
❑ 12-foo - " e garage door 0 40%max. of street facade
max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Illftenk. — Date: .-/f 6-1/
hBuildiog\Forms\BIdgPs mitRvw_RES_RT_121417.docx