Permit N. IQCITY OF TIGARD MASTER PERMIT
.2 ' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00214
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06108/2020
Parcel: 2S107AA01400
Jurisdiction: Tigard
Site address: 14391 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 14
Project Polygon at Roshak Ridge, Lot 14
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1869 at 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
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Twos 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 Tema Srvc/Feeders 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: 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 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
n I f/e"7A��
Issued By: a�"v' Permittee Signature: 411/ `9-11‘'L 7 C 770"/
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 Vi
Residential -E Al f ID, FOR OFFICE ISEONLI
- City of Tigard F Received 1� ' 11a Syr Date/By b Permit No t\{�t)^V-- 01( —C ) w
13125 SW Hall Blvd.,Tigard,OR 97223 f•E..tj 2 6 2019
Plan Rev ew J v v t a LJ 1 l C eJ r
Phone: 503.718.2439 Fax: 503.598.1960 y ksI ti (� other Permit
DateR : I / �'`cP�or W
T 1 G A R D Inspection Line: 503.639.4175 E 1 y`) ( Date Ready/By n Ja ® Sec Page 2 for
Internet: www.tigard-or.gov 27/2C Z1,fit Ile �;pv.�,.-� a Notified/Method �z Supplemental Information
j71--1'9-ft I i`J-1-4
TYPE-4 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
❑ Addrtion/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRIIC'I'ION work indicated on this application.
El1-and 2-family dwelling ElCommercial/industrial Valuation: $ 7l�;1 a1 I
El Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 3
JOB SIIF, 1NF ORMA'f1ON AND LOCATION Total number offloors:1 2.3a
(40
Job site address: ` S\A3 14) k .PIS u Q) New dwelling area: ` (0( square feet SSS
City/State/ZIP:Tigard,OR 97224 ! b Garage/carport area:`GI 2"'1 square feet I t 7t(
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area:yef,L square feet ti•-td
Cross streeddirections to job site: Deck area: square feet
Other structure area: square feet
'., - 41 WA:ICOMMERC'.LtL-I;SE CIIECK1.IS1
Subdivision:Polygon at Roshak Ridge Lot no.: 111 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 WORK work indicated on this application.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
GEI PROPERTY OWNER', ❑ TENANT Number of stories:
_Name:Polygon WLII 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:
® APPLICANT 1 ❑ CONTACT PERSON WILDING PERMIT FEES*
Business name:Polygon WLH LLC (Pteaurejer ta¢ee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
Address:703 Broadway St Ste 510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
i Phone:(360)695-7700 Fax::(360)693-4442 Amount received:
PHOTOVOLTAIC.SOLAR P
E-mail:permitsubmittals@polygonhomes.com #1 STEM FEES*
" n,-,,'v-: - > r . F7'-n- Commercial and residential prescriptive installation of
=j�-"* '` "" �,( . �,, it = s .y = ""° r-1451c 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: $201.60
Authorized signa -tell','''‘‘ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda :avin Date: G -- l� `Fee methodology set by Tri-County Building Industry
49 —
{ Service Board.
C\Building\Permits1BUP-RESPennitApp.doe 02/24/2011 440 613T(11/ /COM/WEB)
Mechanical Permit Applica ' a —., FOR OFFICE USE ONLY
City of Tigard Received ��
,s " Date/By: Permit
13125 SW Hall Blvd.,Tigard,OR 97223
•
a Phone: 503.718.2439 Fax: 503.598.1960 ,l U N 1 9 2019 Plan Review
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 ,, „i_ ,t Date Ready/By: Jens: El See Page 2 for
Internet: www.tigard-or.gov C t Y 0(' i 1t7,a-ir;3. Notified/Method:
Supplemental Information
3UJL??NG ni1f1Pir o,,
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES
Et 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:
Airconditioning
Job site address: ti+„T 1' SW t t 46.75
Furnaacece100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/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.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue PAS*2-0(9- OOZ1' fireplace[for water heater or gas 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ 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
® APPLICANT ❑ CONTACT PERSON Other. 23.32
Business name:PolygonWLH,LLC Fuel piping:
$14.15 for first four;$4.03 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:permitsubmittals@polygonhomes.com
polygonhomes.com Barbecue
6r CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address: 18004 NE 72"d 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 tic.: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:04/08/2019
Electrical Permit Applicati FOR OFFICE USE ONLY
City O Ti and Received �,,y /
f g Permit#:m�� tJrI—V C -i
I 13125 SW Hall Blvd.,Tigard,OR 97223��N 9 2019 Date/By:
g� Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/By: Related Permit#:
't WARD. Inspection Line: 503.639.4175 CITY t-y, + „ . Ready Date/By: furls: O See Page 2 for
Internet: www.tigard-or.gov .-ai �t��T1�V Notified/Method: I Supplemental Information
TYPE OFtW'Y N C�I`1{ICIC;r•.;
VICIC PLAN REVIEW
IS]New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps ar mare 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 ❑Floating buildings.
® 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ ❑Accessory building
amps for all other installations. buildings.
❑Multi-family D Master builder ❑Other: ❑Fire pump.P 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
'' q i Ski)
I, n TM ^ ❑100-Addition of new motor load of system.
Job#: Job site address: l w 1_�M1VS IL�a..wC, ]ooHP or more. ❑"A",•`E^, •1-2•','1.3••,
City/State/ZIP:Tigard,OR 97224 ['Six or more residential units. occupancy.
El Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Roshak Ridge 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I_Qty. I Each j Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Roshak Ridge Lot#: i 14 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion Z 33.92 I
DESCRIPTION OF WORK Limited energy,residential
't‘/t (with above sq.ft.) 75.00 2
V`���1 a OO� Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY:.OWNER 0 TENANT 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 snips to 599 amps 168.54 2
® APPLICANT El 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,
each branch circuit 7.42 2
Contact name:Jolene Smith B.Fee for branch circuits without
Address: 703 Broadway St,Ste.510 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'1 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:permltsubmlttals®polygonhomes.com Reconnect only 67_84
Z
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Portland Electric Sign or outline lighting 67.84 2
th Signal circuit(s)or limited-energy
Address: 1915 E 5 St.,Ste D panel,alteration,or extension. ❑ See Page 2 2
City/S[a[e/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)314-4945 Fax:( ) Investigation(I hr rain) 90.00/hr
Industrial plant(1 hr
Email:paul@portlandelectric.biz min) 78.18/hr Inspections for which no fee is
CCB Lic.: 194066 Electrical Lic.: C760 Suprv. Lit.... L31,0S specifically listed(V.!hr min) 90.00/hr
Suprv.Electrician signature,required: //�� ,,� ELECTRICAL PERMIT FEES
ate.„ Subtotal:
Print name: Alex Shalya Date: 04/08/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: it...k, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: MISHCHUK,SERA Y Date: 04/08/2019 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I.1Building\Permits\ELC PermitApp ELR_ERE.doe Rev 06/17/2015 440-4615T(I I/05/C0M/WEB
Plumbing Permit Application
Building Fixtures tzPt- ' E ' FOR OFFICE USE.ONLY
!PICity of Tigard JUN1 Received
,t9 Q I U Date/By: Permit No.:
13125 S W Hall Blvd.,Tigard,OR 97223 ��-( -��
i Phone: 503.718.2439 Fax: 503.598. 9 Plao Review
jJt,. Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 i ns 4 �( tl Date Read B E7 See Page 2 for
Internet: www.tigard-or.gov 3l-€IL�DiN 3 C}VIS:: Noti edMethod: f,au. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
•
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
tg I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: lA lot.\ 5 uo t to ,1fsaz, Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drab(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 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(ub,linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:Roshak Ridge I Lot no.: ‘Lt Fixture or item:
Tax map/parcel no.: Backflow preventer ( 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Y Y`SZ 20`�� C)02.!t-� Clothes washer ( 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 P5.0Y
Garbage disposal i 25.02
City/State/ZIP:Vancouver,WA 98660
Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 1 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Contact name:Tonja Morris Primer 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory GF 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/showerpan '7-- 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet '-6 25.02
Water heater t 37.52
Business name:G&B Plumbing&Sons Inc Water t ' DWV
p p 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 Lie, no.:pb634 Plan review (25%of pemut fee)
State surcharge(l2%of permit fee)
Authorized signature: I 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.
t9BuildingPermits_PLMU-PermitApp.doe I0,01 09 440-4616T(10i02.!COM,WEB)
City of Tigard
III ■ e COMMUNITY DEVELOPMENT DEPARTMENT
T r c n u D Building Permit Review — Residential
Building Permit #: C5-c-- �0,- (3ytL.1t
Site Address: ,1-1?)G l 9,N ltecetn Art)
Project Name: 'POI. YZOslrrx.le- R, Lot #: 1 y
(New d g=sub vision name;Addition or Alterati =last name of owner)
Planning Review
Proposal: Wag Gj /
,Verify address/suite#active in Accela. iErin River Terrace: ❑ No X Yes,River Terrace Review Addendum
Site Plan Elements: erosion Control
; copies of site plan on 8-1/2"x 11"or 11 x 17"paper fl lletained trees with drip line and tree protection measures
lir-Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
Torth arrow XLItility locations&easements(required for new and additions)
iitSite address,project or subdivision name and lot number Sidewalk/driveway approach
litApplicant information(name and phone number) YLocation of wells/septic systems
ALot dimensions and building setback dimensions XrStreet tree size,type and location
IriSquare footage of buildings to be demolished Street names
Yxisting structures on site 1 kComer elevations (2'contours if more than 4'differential)
arot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es 'o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Ye C No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
N. Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified Va. No Applied For: ❑ Yes ❑ No,stop intake
R. Land Use Case#: SJ 2. 15- 7-1 XI Zoning: 11-12—
sig Required Setbacks: Front: I Rear: SiStreet Side:q � 3l Side:, N'Pt Garage: e
Building Height: Max. Height: tJ I Pr Actual Height: t2jo
tyL Landscape Area: 2-C) % X Lot Coverage Max: aD
Entrance Set back n more th 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows • ' um 1 %of at of street-facing facades
Garage ge doo is be ' d , '4- t street-facing wall ❑ Yes ❑ No,one of the following is met:
Door end no . 5'from wall and there is a covered porch extending beyond garage.
❑ oor exten s n. ore an 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
❑ Gar o r wi is ❑ 12' +r less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following.
O Co red orch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset
❑ Fire s ' les ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding 0 Window trim 0 Window recess ❑ Window projection ❑ Balcony
Visual Clearance i<Urban Forestry Plan
"R Sensitive Lands: 0 Yes "gZ No Type:
ist Conditions met prior to issuance of building permit
Notes:
Z Approved By Planning: r,to �"., Date: 5124119
Revisions (after Building Submitta only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
C\Building\Forms\BldgPennitRvw REs 022819.docx
Building Permit Submittal
Original Submittal Date: : ill I IC;
Site Plans: #
Building Plans: #J
Building Permit#: g4 Enter building permit#above.
Workflow Routing: Pr Planning ❑ Engineering 0 Permit Coordinator 0 Building
Workflow Sign-off: Et Sign-off for Planning(include notes from planning review)
Route Application Documents: [r 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: S\ \q
Engineering Review 5,0 �0
41 Slope at building pad:
rConditions "Met"prior to issuance of building permit
,I Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Or No
Assess Water Quantity Fee in-lieu: 0 Yes et No
LIDA Facility on lot: 0 Yes zr No
Final Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:gr Approved by Engineering: _&14, Lt."‘ Date: Fj(2 /i7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 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:
vision Notice 3:
vDate Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: ['' Yes ❑ N/A
Tigard Trans SDC: Td' Yes 0 N/A
Parks SDC: Yes 0 N/A,/
LIDA 0 Yes I N/A
OK to Issue Permit Approved by Permit Coordinator: a Date: 3/glif
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
r
City of°Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
i III C
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: MS--c 2ruci- 00 YI1--*
Site Address: ‘.-‘3.c;ik Svc 1w81v1 Prred
Project Name: tut � htk Ry494 Lot #: 11.4
ew dw g=sub vision name;Addition or Alteratl _ =last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.7.):
Is the project subject to the plan district design standards?a-Yes 0 No
1.Articulation: a minimum of 1 element per each street-facing façade 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. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min.2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
X 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%
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45` from street,
' Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: X Yes 0 No
If yes,all the following apply: 25 sq.ft.min.
VOne street facing entry Dir12 ft.max.roof above floor of porch
tgr5 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 façades:
litCovered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
5eRoof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood iitt 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. 2 i/"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 façade
5. Garages and Carports:May face the front or side lot line on a corner lot. A
Setbacks:
No closer to r At or side lot line,than longest street-facing wall. 0 Yes 0 No. IfMIN
No kCheck one):
❑ Ma3l 4e d
❑ May xte d up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one) at LOCtikej
W
❑ 12- �dt- ' age door 0 40%max. of street facade
❑ 50°°f riiac. bf'street facade with 7 detailed design elements
Notes:
Approved By Planning: Date:5
1:\Building\Forms\BldgPermitRvw RES_RT_121417.docx