Permit CITY OF TIGARD MASTER PERMIT
111
COMMUNITY DEVELOPMENT Permit#: MST2019-00277
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2020
Parcel: 2S107AA01300
Jurisdiction: Tigard
Site address: 14379 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 13
Project: Polygon at Roshak Ridge, Lot 13
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Reaulred
Stories: 3 Bedrooms: 4 First: 1119 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1082 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2321 sf Value: $304,793.72 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: 100 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 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'I 500 sf: 4 201-400 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: NI Vaccuum System: N Garage Opener: N All
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2321
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 96660 2 Geo Tech Report Required
Prior To Pour
PHONE: 360-695-7700 PHONE: 380-895-7700
FAX:
Total Fees: $34,958.74
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 throu h OAR 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ /
Issued By: 952-0 Permittee Signature: d 0✓ �/6i LTC 77()A/'
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.
,
• ' E'uilding Permit Application LOT `r
Residential - 1 j,,..77.1l FOR OFFICE LSE ONLY
City of Tigard Received ,0 ^ C T Permit No.mS� �_ �`�
_ Date/By: Pit J
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 6 2019 flan Revue E 1 ��� SLR
Phone: 503.718.2439 Fax: 503.598.1960 DateBy. i 1 Other Perna Pk-k,
T I G A RD Inspection Line: 503.639.4175 el l 'I i..l t- l V- Date Ready/By ��(/ kris: El See Page 2 for
Internet: www_tigard-or.gov '�l Ill "'Oboe- "'f° Notified/Method3/ �� .�r� Supplemental Information
t 11'iL _' f
TYPE OF WORK REQUIRED DATA 1 ANC-FAMILY DM.ELLING
®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.
3b� ,1613
® 1-and 2-family dwelling ElCommercial/industriCommercial/industrialValuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB Siff INFORMATION .AND LOCATION Total number of floors: a a'7 L../l 3
Job site address: 1 LI -iQ\ � 1 lo K New dwelling area:"��� square feet /0 (07,
City/State/ZIP:Tigard,OR 97224 Garage/carport area: LIDO_ square feet /1I.r:j
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: ' square feet 'CI nI
Cross street/directions to job site: Deck area: square feet 7/�
Other structure area: square feet
REQUIRED DATA:COMMERCIAL.USE CHECKLIST_ 14.
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: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT Number of stories:
Name:Polygon WLIL 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:
EI APPLICANT 0 CONTACT PERSON BUILD1I �k r?"s rr',
Business name:Polygon WL13 LLC (Ptease��aehedu �'
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
9 't VOLTAIC SOLAR PANEL SYS"I'FM FEES*
F-mail: permitsubmittals@polygonhomes.com z „s.
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 lie.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
—
within� within 180 days after it has been accepted as complete.
Print name:Amanda Gavin Date: u 2G/ 19
*Fee methodology set by Tr-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESP itApp.doc 02/24/2011 440-46 3T(11/02/ OM/WEB)
Mechanical Permit AnnlicatiRECF\IFD l Ott Olz VICE U .I O\1.1
City of Tigard Received Penn'
N 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 16 2020 Platy Review
���-' ' 7 7
$ Phone: 503.718.2439 Fax: 503.598.1960 Plan te/By:tew Other Permit
Date/By:
t I&,Al.r, Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: NAL B Ste Page 2for
Internet: www.tigardor.gov BUILDING DIVISION Non6ed/Method: SepplemenralInformation
TYPE OF WORK- ; COlthIiERCIAL FEE' SCHEDULE 't1SitiikekartST
Mechanical permit fees'am based on the value of the work
®New construction 0 Addition/alteration/replaeement performed,Indite the value(rounded to the nearest dollar)of all
CI Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit.
CA7Etiit)tRY OF CONStRUCTION Value.S
' NESIDEf 114,EdOsI440.ISi l'Cs i§;1:E1:S'
Et I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For*pedal rn ownmion ear chechlhr.
Multi-family 0 Master builder 0 Other, Ihseripdon I Qty. Ea. 1 Total
JOB SITEINFORhIAfO15l AND LOCATION Hatlna/000linsu
Air conditioning 46.75
kb site address: 1 A VI °t I tot i' # NA. Furnace 100,000 BTU(ductsrvente) 46.73
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductr/vents) , 54.91
Heat ounce 61.06
Suite/bldg./apt no.: Project name:Roshak Ridge s
Duct work 23.33
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,susppended,etc. 46.75
Flue/vent for any of above 23,32
Other. 23.32
Subdivision:Rosbak Ridge Lot no.: i'j Other bud appliances:
Tax map/parcel no.: Water heater 23,32
15 C P;!l iV OF,WORK _ Oas 6ireplacellasen 33.39
,„ s- Flue vent for water heater or gas
O4n UtAix 4-eiQ AC) Pil VI 20 N ci —b 02-11 flreclace 23.32
Lou lighter(east , _ 23.32
Wood/pellet stove 33,39
Wood Curalace/instrt 23.32
Chimney/linerflue/vent 23.32
" PROPERTY O{VjYfitt' 0 TENANT Other.
" Environmental exhaust and wadi:inces 23.92
Name:Polygon WLH,LLC Range hood/other kitchen
eauipme(It 33.39
Address:703 Broadway Sur Ste.510 Clothes dryerezhalrst 33.39
City/State/ZIP Vancouver,WA 98660 Single-duet exhaust(bathrooms,
- toilet compartments.utility roosts) , 23.12
Phone:(360)695.7700 Fax:( ) Antrlcrawlspace fans _ 13.32
. - ® APPLICANT, - . t OiTACT PERSON Other: 23,32
Fuel pipings
Business name:PolYBea WLH,LLC - $14.13 for rat Not$4,0.3 r each ad4lnnaal-
Contact dame:Tonic Morris Filmset,,etc.
Address:703 Broadway St,Ste 510 Oaf heat puce.
- Walvsuspendediunit heater _
City/State/ZIP:Vancouver,WA 98660 __ Water hoaxer _
Phone:(360)d95.7700 Fax::(360)693.4442 Flreblaee -
E-mats:parmIteubmtttalatpolygoebome,.corn Nino__ _
flarhsuur --_ - -
- CONTRACTOR Clothes dryer(Pas)
business name:Apes Mr LLC Other: _
Address:18004141E 72"'Ave _ Subtotal �.
City/State/ZIP:Vancouver,WA 98686 Minimum peltalt fee(190.00)f
Plan review(23%orpennit fee)
Fhotte:(360)342.8109 Fis'(300)326.1769
State turchav(12+ls eEpetmit its)
CCB tic.:203034 TOTAL PERMIT FEE
_ This permit application expires ifs permit Is sot obtained within 160. i
days Aner It has beea Accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
I:LnuildlmtMnsc OlEc Perelman 040113.doe 440-46llDniinvenFvwFat
•
Electrical Permit Applicati �.� l�tp
City o Tigard ' � f �a (' (t Received /}� 7 t` Q `3 f g i� I.SV �UZtJ DateBy: Permit 47,/�� 1/9.-4",2_ /J
4 • 13125 SW Hall Blvd.,Tigard,OR 99 Plan Review <
Phone: 503.718.2439 Fax: 503.598.i Dato/ay Related Permit#:
Inspection Line: 503.639.4175 , R DateiB rude
Ti C A R I.) 1 "--"'" I� o f e O See ent l for
z Internet www.tigard-or.goV (i•� t I , -Jq Non6ed/Method: _ Supplemental Information
TYPE OF WORintilK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submits sets of plans w/nems checked)
Demolition El Other: where
Service or feeder 400 amps or more 0$uildmg over three stories.
where the available fault current ❑Hannan and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1,2 dwelling0 Accessory building less to gonad,or exceeds 14,000 ❑Commercial-use agriculNral
1-and 2-family ❑Commercial/industrial
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: Ohre pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION ANTS LOCATION ElEmetgetscy system- larger separately derived
Job#: f lob seer address: `y'�a ! ❑Addition of new motor load of system.
1 C 1006E or mote. "A","E«,"h 2""t•3"
City/State/ZIP:Tigard,OR 97224 CI Six or more residential units occupancy.
❑Halth-cue facilities. 0 Recreational vehicle parka.
Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge Ortazardous locations. D Supply voltage for more than
_❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
_Ocerrattw 1 4r1, 1. Lath I Metal 1 • 1
New residential Single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 15 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tex map/parcel#: psi add'1 Soo sq ft.or portion 33.92 I
DESCRIPTION OF WORK �' Limited energy,residential
ADM (with above so_ft.) 75.00 2
c" MST t 9-W2'11 Limited energy,multi-family 75.00
residential(with Obove Al ft.)
_•. PROPERTY ONT+ER J TENANT Renewable Energy CI See Pane 2
-- I Servieea or feeders hutaliationialterauoa,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/PIP:Vancouver,WA 96660 601 amps to 1,000 amps 301.04 2
Phone:(360)695.7700 Fax:(360)693-4442 Over 1.000 amps or volts ' 522.26 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 I 59.36 . 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampt to 400 amps 125.08 2
Owner signature: bate: 401 amps to 599 amps 168.54 2
APPLICANT ® CONTACT PERSON _Branch circuits-new alteeatlgn,gr extension,ter panel
A.Fee for branch circuits with
Rosiness name:William Lyon Homes,Inc. shave service or feeder fee, 7.42 2
each branch circuit
Contact name:Nichole Thorpe •is.Pee far branch circuits without
service or feeder fee,flrst
Address:703 Broadway St Suite 510 56.1 8 2
. .. _. branch circuit
City/State/PIP:Vancouver,WA 98660 Ilachadd'I branch circuit 7.42 2
Mtaeelhant*(ina(serviee or feedepat included)
Phone:(360)695.7700 Fax::(360)693.4442 Each manufactured or modular 67.84 2
Email:permltaubmittula(r polYgonhomes,coth dwailine servid arrataf£eager
Reconnect only 67.84 2x
a CONTRACTOR Pum)�t irrigation circle ~ 67,a4 2
Rosiness name:Alameda Electric 81gn or outline lighting J. 67,s4 v_ s ' 2
Address:3415 NE 44th -- ___ .. -- -_ __—_-_.�.- Signet eirsdit(s)or iimited•energy P® See Fa e 2 2
.d.. .. tenet.alteration,or oxtansion.__, g
City/State/PIP:Portland,OR 97213 ao additl i All atnee ion over allowable in any of the above
Additiahal Inspection(1 It min) __. 66.23/hr
Phone:( ) 19.2192 Pax:( ) mtnrestigatleh(i hrmip) _ - .0.00/hr
Email:solarpolt®me.com Industrial plalu(1 htmin) 7t.ta/hr
Inspections rot which he fee is
CCii Lie.: 199151 Electrical Lie.: c923 Suprv.Lie.: 48715 _,sgIficeilt'listed(A ter Min) 90.00/hr
- _ ELECTRICAL PERMIT FEES
9uptv�Llcetrieian signature,required: Y _ _ subtotal:
Print wane: Kilt Rood Date: 03/06/2019 a Plan Review kequired(25%of permit fee): -
State surcharge(12a/a ofpermit fee):
Authorized signature:, r' ?o7ALPERMI7 FEE
Date: o3rosno19 This permit application;apices if a permit V not obtained witbie 180
Print name: Kite Rood days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:WuildinaVermits1ELC_PenniiApp ELR_ERE.doc Rev 06/17/1015 440-4615T(iI/OS/COM/wE11
Plumbing Permit Application
Building Fixtures E E 4/E
Cityof Tigard Received
131 SW Bali Blvd.,Tigard,OR 9nMAR 1 6 2�20 Date/By: PermitNg S fly l��i.�� 7
• Phone: 503.718.2439 Fax: 503.59 Plan Review Other Permit No.:
- Inspection line: 503.639.4175UT 1 � DIVISION
mtrJBC
TttinliD RLlILDI 1C DIVI I N mtn Ready/By: See Paget for
Intetuet: www.tigan3 or.gov Notified Method: Supplemental Informadoe
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special Information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SPR(1)bath 312.70
tili 1-and 2-family dwelling 0 Comercial/industrial SFR(2)bath 437,78
rn
SFR(3)bath 500.32
0 Accessory building Multi-family +
EachEachadditional bath/Wuhan, 25.02
❑Master builder 0 Other. Fire sprinkler
sp sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: li145-it ' k ,+4 O Catch basin or area drain 18.761
City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
Footing drain(no,linear ft.: ) s Page 2
Suite/bldg./apt.no.: I Project name:Rosbak 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:Rosbak Ridge Lot rm.: `,� Fixture or item:
Tax map/parcel no.: Eackflow premier 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25,02
add,. tremtleR -133 tvervAgt-co T i Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 23,02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Pixtttm/aewercap 23.02
_-___ . Floor drain/tloor sink/hub 25.02
Address:703 Broadway St.,Sta S10 .
Garbage disposal 23A2
City/state/ZIP:Vancouver,WA 98360 Hose bib 25.02
Phone:(360)69S-7700 Fax:( ) Ice maker 12.31
® APPLICANT 0 CONTACT PERSON Interceptor/grease lisp 21.02
Business name:Polygon WLH,LLG Medical gas(value:S. ) Page 2
Prima 11.31
Contact name:Tonle Morrie --- --. ......
Roof drain(commercial) 12.51
Address:703 Broadway 3t,Ste SIO Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 9b660 Solar units(potable water) 62.54
Phone:(360)695.7700 Fat::(360)093-4442 Tah/shower/shower pan 12.$1
E-mail:permImsbmittabdtpotygonhomes.eom Dries 23.02
Wateraloaet 25.02
CONTRACTOR --- -
- Water haste 37.32
Business name:Ci do B Plumbing i Song Ina Water piping/DWv 36.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:SG Pain,OR 97137 Subtotal
Phone:(S03)06l4417 Fax:(971)7274170 Minitnath permit fee: S72.30
Plan review (23e%a of permit fee)
Ca,Lic.:I64372 Plumbing tic.no.;pb634 Slate surcharge(12%ofpermitfee)
Authorized signature: , y t VeQ,a� � TOTAL PERMTr FEE
Print name:Steve Fowler Date:04/08/2019 This permit applicatlee explrea if a permit is not obtained within 180 days
After It het bean Accepted as complete.
"Fee methodology set by Tr-County Building Industry Service Board.
I:113uildmgTermas\PLMU-PemitApp.doc 10/01/09 440-4616T(10/62/COM/WEe)
City of Tigard
III A COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
smos
Building Permit #: kNe\c.,--v2\CA_0 a`ATA
Site Address: 1l-1 1a SW l 1pf?rth
Project Name: C- Rc ict k R lcjOye Lot #: �3
(New dweJling= subdivision name;Addition or Alteration=last name of owner)
Planning Review �,� /
Proposal: NOV Y 1"
Verify address/suite# active in Accela. 121., In River Terr e: ❑ No DicYes,River Terrace Review Addendum
Site Plan Elements: rosion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper na,&etained trees with drip line and tree protection measures
>3)rawn to scale(standard architect or engineer scale) XFootprint of new structure(including decks) and FFE
Torth arrow ,Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
Xrlpplicant information(name and phone number) Ka4.ocation of wells/septic systems
lot dimensions and building setback dimensions treet tree size,type and location
Square footage of buildings to be demolished ltQStreet names
Vxisting structures on site Ntorner elevations(2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [19❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified lig No Applied For: ❑ Yes ❑ No,stop intake
►: Land Use Case#: 9...)e)2C* "C%[^i0 14 $ Zoning: K�A.2
47. Required Setbacks: Front: $ Rear: 3l Side: 31 Street Side:N'Pt Garage: Oir 3�
171. Building Height: Max. Height: N/A Actual Height ±2.(7
, Landscape Area: SO % Lot Coverage Max:
Entrance II Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows G Minim : 12%o are. .f all street-facing facades
Garage • arage ...r is b hin. est street-facing wall ❑ Yes ❑ No,one of the following is met:
■ D..r ext s n:, m.•e than 5'from wall and there is a covered porch extending beyond garage.
D..r ext ds n• mor: . 'from wall and there is a 12 sq ft.window above garage on 2°d floor.
❑ Gara_•- d.or wi is • or less 0 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ -red p rch ❑ Rece- ed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shin s ❑ Lap Si.' g ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
El Accent si g El Window trim ❑ Window recess ❑ Window projection ❑ Balcony
�$Visual Clearance %Urban Forestry Plan
Sensitive Lands: ❑ Yes No Type:
Condilt-ons et pn1Ar Ito iss fiance of Pull.'.•, permit I
No s: 1 Q1�iY�► N do ►.&i (�1'r- to /k, rya ISS✓.buR
Approved By Planning: 1 1 Date: 'IQ (9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Form\BldgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: .,.ksil\CI
Site Plans: # 3
Building Plans: # . j
Building Permit#: EEntteerbuildingpermit#above.
Workflow Routing [Planning 3 Engineering Er Permit Coordinator C Building
Workflow Sign-off: C' 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.
:Y.-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � --\,..,.',` Date: —4-I k d kq
Engineering Review
['Slope at building pad: ej'
❑ Conditions "Met"prior to issuance of building permit n/a-
R'-kasements (encroachments)per engineering conditions of approval and plat
(Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ErNo
Assess Water Quantity Fee in-lieu: 0 Yes [`'(No
LIDA Facility on lot: ❑ Yes ®'No
&final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Er-Approved by Engineering: l� .P __ ll Date: 940//9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ 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:
R vision Notice 3:0Date Sent to Applicant: �/
/SDC Fees Entered: Wash Co Trans Dev Tax: Uv Yes ❑ N/A
Tigard Trans SDC: [;/ys ❑ N/A
Parks SDC: [y' Yes ❑ IA
LIDA ClYes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms1BldgPermitRvw_RES_022819.doex
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G AR D River Terrace Building Permit Review Addendum
Building Permit #: MSS \ck_ j`- .--A---A-
Site Address: 1 319 SW Itogfin A\led
Project Name: Poi ov1 aRC6haK P., e Lot #: �3
(New d g=subdivision name;Addition or Alte on=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards?Igt 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.
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
V 0 0 .4 ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: P. 1 qO
3. Entrances:At least one entrance must meet both of the following standards:
- ..Max. 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: k Yes 0 No
If yes,all the following apply: 505 sq.ft. min.
'One street facing entry 12 ft.max. roof above floor of porch
L'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 façades:
)iiCovered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof cave min. 12 inch projection C.Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood .Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
0 Accent siding min. 40%of street façade Window trim min.2 1/i wide by 5/8"deep
0 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 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. '1I' tomcat
Setbacks: P'.�)
No closer t frog side lot line, than longest street-facing wall. 0 Yes 0 No. If No (Check one):
❑ May ext ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend uh 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) net.' l O,� a oU(
❑ 12 •• ti. 'de garage door Uww 0 40%max. of street façade
_ 0 50' t,i :St of street façade with 7 detailed design elements
Notes:
Approved By Planning: _2I f Date: 7-(0-�i
1 I: 3uildmg\Forms\BldgPamfRvw_RES_RT_1214 17.docx I