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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00464 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 19 2020 12:00AM T B t"A P T7 9 Parcel: 2S107AA07200 Jurisdiction: Tigard Site address: 14321 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 72 Project: Polygon at Roshak Ridge, Lot 72 Project Description: New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 105 sf Basement: sf Left: 0 Parking Spaces: Height: 25 Bathrooms: 3 Second: 646 sf Garage: 532 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1384 sf Value: $189,364.40 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 0 Storm Sewer: 100 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: 1 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: 2 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1384 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 Required Prior To Pour PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,112.20 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 AR 952 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: r 41,--C rf.-Q_1 Permittee Signature: ®vvi ,G-/ -j7O,✓ 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 k b C'C� P er v Residential RECEIVED FOR OFFICE USE ONLY Z 01 n Received Permit No.�A rq j.DO�.�.(4 City of Tigard FEB 2 J Date By: �� �� 1�lsl Lo III • Phone:SW Hall Blvd.,Tigard,OR 97223 Plan Review (412,0��J IeI'r_ rm JR2,'V q oo 315 503.718.2439 Fax: 503.598.191Zr!Y OF TIGARD DateBy: I Other Pe LVI ` TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: �9 �n,J �/J I runs: Vf See Paget for Internet: www.tigard-or.goy Nolified/Method: IJ/V'I/� "-'' Supplemental Information 6�')^11 L- 7' T,- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING J ®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. Valuation: $ t El I-and 2-family dwelling 0 Commercial/industrial }`�'�� ❑Accessory building 0 Multi-family Number of bedrooms: d- 1 #1, 3b r YD 0 Master builder ❑Other: Number of bathrooms: I 1 I(49 JOB SITE INFORMATION AND LOCATION Total number of floors:„; PISA Job site address: \4939I 51k) \l Q U . New dwelling area: 19,u square feet (Q. S City/State/ZIP:Tigard,OR 97224 Garage/carport area: S,, square feet l.o LI Le Suite/bldg./apt.no.: J 0$ Project name:Polygon at Roshak Ridge Covered porch area: square feet ` DS` Cross street/directions to Job site: Deck area: It square feet Other structure area: square feet REQUIRED DATA:COMt11ERCIAL-.FSE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.:1 Z 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 Sy' Valuation: $ 7 Existing building area: square feet New building area: square feet i t PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon WLH LLC Type of construction: `1. 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 0 CONTACT PERSON BUILDING PERMIT FEES* fPtvncr refer ta fee schednle 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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals(a�polygonhomes.com 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 Specially 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 si we: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. /[9 *Fee methodologyBoard. set by Tri-County Building Industry Print name:Amon avin Date: lJ f I:1Building1Permits\BLIP-RESPermitApp.doc 02/24/2011 440 613T(11/02/COM/WEB) Mechanical Permit ApplicatiQ'�ECEIVED FOR OFFICE USE ONLY City of Tigard Received 1J 1� Date/By: Permit No.: 57f^9/C1_©D 1k,, ! 13125 SW Hall Blvd.,Tigard,OR 97223 JUL. 2 8 t020 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Perron: r lt,.'G I., Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lads: See Page 2 for Internet: www.t gard-or.gov RIJILDING DIVISION Natified/Method: Supplemental Information _ - TYPE OF WORK - COMMERCIAL FE.E* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition D other mechanical materials,equipment,labor,overhead,and profit. Value: CATEGORY OF CONSTRUCTION RESIDENTIAL EQUTI'MENI'/SYSTEMS FEES* 1-and 2-familydwellingCommercial/industrialAccessory g For special information use checklist. ® D ❑ building I I Multi-family ❑Master builder D Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: - - Air conditioning 1 46.75 Job site address: 14321 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/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 bydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Oth Subdivision: Roshak Ridge Lot no.: 72er' 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 • ® PROPERTY OWNER � TENANT Other: 23.32 - -- . • Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 eqm 33.39 Clotheess d drryer 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 I] CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 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:permitsubmittals4tayl0rmOrriSOfl.COM Barbecue CONTRACTOR • Clothes dryer(gas) Business name:Pro Heating&Cooling Other: MECHANICAL P ERirIIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax ( ) State surcharge(12%of permit fee) CCB lie.:209001 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: i n. Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 7/27/20 Electrical Permit ApplicationRECEIVE - w, EU ° '- -4f $ - , ' " ty Receiv ' C125 Of Tigardlvd„ �y Date/Bed Permit al:/t1 9r,/) 0O f iloL - -. V 13125 5W Hail Blvd,Tigard OR 97223 JUL- �+ 2020 Plan Review Phone: 503.7182439 Fax 503.598.1960 Date/By: Related Permit#: F7'IG_',Rfl Inspection Line: 503.639.4175 CITY OF TIGARD xea3, .WB _ H See Page 2 for r. Internet www.tigatd-or.gov BUILDING DIVISIONNotisamiethod: Supplemental Information }.. -.. . • .. . TYPE OF:WORK:. 'i .. T ��,rrrpl1� ..: • � .. � � -4 - '.a�'::':•.: ::'... i "?'.PY -":`.'r:fp're:wJ•bt.�^+:;� .. •®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items rhrrtrnd): Q Demolition ❑Service or feeder 400 amps or more ❑Building over three stories Other. where the available fault current ❑Marinas and boat • yards. ?.;.,.;;>? .'g•'. :,?..j.. _.;:CAT,[:GORY._OF:COI'jSTRIICT)ON,�. .,.'=:i.�:.%.:�.,'-,-.'..-. • exceeds 10,000 amps at 150 vols Or O Floating buildings. ® 1-and 2-family dwelling 0 CommercialTmdustrial ❑Accessory building less to ground,or rzrrMs 14,000 ❑Commercial-use agricultural ❑Mast r builder amps for all other installations buildings. ❑Multi-family0 Other. ❑Fire ,. . �t�,.; pump. ❑lnstalla5onof150KVAar ."'_'F..; JOB SITE TNF'ORMATiON7AND CCATI.OI ;' ❑Emergencysystem larger separately derived 7ob O. Job site address: 0 Addition of new motor load of system 14321 SW 169th Ave SOOFIP ca-more, ❑"A^,"E","12","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more cy. residential Waits. occupan . ❑Health-care facilities. CfRecreational vehicle pads. Suite/bldg./apt#. _ Project name:Polygon At Roshak Ridge ❑Bazardoes locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - • ..FEE SCHErAULE' :: Deroiptioa • I QtL.l Ears I Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 72 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 168.54 4 • Ea.add'1500 sq.It or portion _ 33.92 1 DESCRIPTION OF.WORK :. : ' _ Limited energy,residential (with above sq.ft) 75.00 2 -_ Limited eaeagy,multi-family 75.00 2 residential(with above sq.ft) " Renewable Energy 0 See Page 2 ®.P1tOPERt ,0'W ER .-I. '.' - - . 0 TFrt1ANT. ' • Services or feeders lustsIlationialteration,and/or relocation Name:William Lyon Routes,Inc. 200 amps or less _ 100.70 2 Address:703 Broadway St Suite 510 201 amps to 400 amps 13356 2 • City/State/ZIP:Vancouver,WA 98660 01 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2 Finai1: 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 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: • Date 401 amps to 599 amps 16854 2 - .1•APPLICANT . ElCONTACT-PERSON Branch circuits-new,alteration,or extension,per panel A Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 rail.branch circuit Contact name: Tonja Morris - B.Fee for brmch circuits without Address:703 Broadway St Suite 510 $brrannch ice circuit or feeder fCe'i rat 56.18 2 City/State!LLIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 I Fax:: 360 ( )693-4442 Each manufactured or modular 67.84 2 Email etmitsubmi dwelling,service and/or feeder p ttalsl aylormorrison.com Reconnect only 6714 2 CONTRACTOR orirri on circle • FOP � 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:3415 NE 44th El See Page 2 2 . panel alteration,or n tcatioa City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 br min) 6625/br Phone:(503)319-2192 Fax:( ) Investigation(1 heroin) • 90.00/br Fmsnl:solarpdx t®me.com Industrial plant(1 brffin) 78.18/br Inspections for which no fee is CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lie.: 4871S specifically listed( la min) ' ELECTille•AT•PERMIT REFS Suprv.Electrician signature,required: Subtotal Print name: %ile Rood Date: 7/27/20 0 Plan Review Required(25%of permit fee): State surcharge(12%of pewit fee): Authorized signature: (J��' l. TOTALPSRMTPFEi: i �.. �^ This permit ennarvHne er line rr a a.mar......as..1..a..:-.2...taut Plumbing Permit Application Building Fixtures RECEIVE• II)It 01I1( I- I `I I/N11 Cityof Tigard Q Received g O O2o Penatt No.: ) t qq Date By: /`'(S 7'2 1�l fl� /b II • 13125 SW Hall Blvd.,Tigard,OR 97223 JUL. G ePlan Review Phone: 503.718.2439 Fax: 503.598 1960 Other Permit No.: Inspection Line: 503.639.4175 �ITY OF TIGARD Date/By: T I G A It 11 P (• Date Ready/By: Jura: 61 See Page 2 for Internet: www.tigard-or.gov DIVIsl0,'' >-Ili NotifiedlMethod: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special inforrnaifon 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 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory buildingMulti-family SFR(3)bath 500.32 0 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: 14321 SW 169th Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(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(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: , Lot no.: 72 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 0 TENANT Expansion tank 12-51 Name:Polygon Homes WLH LLC Fixture/sew'ercap 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:( 360 693-4442 Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grensr trap 25.02 Business name:Polygon Homes WLH LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St., Ste 510 Sink/basin/lavatory 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 Urinal 25.02 E-mail: permitsubmittals@taylormorrison.com Water closet 25.02 Wolcott CONTRACTOR Water heater 37.52 Business name:Walcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal Phone:(503-567-1781 Fax:(503- 67-9891 Minimum permit fee: $72.50 CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: "; .3 -� ..- TOTAL PERMIT FEE Print name:Cliff Bowman Date: 7/28/20 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology in by Tri-County Building Industry Service Board. 1:lBuitdingWermitsTLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) - A - City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: N(ST2019-Oo 4(014 Site Address: /ll_ / 'c ( ) 14° j /�//" Project Name: Pd, ,if �,1 �t�X ,�' Lot #: X Air t g=subdivision name;Addition or Alteration= fct/lame of owner) Planning Review ./L 3/2e 2- = Pro +osal: !l/C.61) - -- Aceif �/2-0`J 6„E-etc- 7v ce J1r✓ Ez PCrE_' ►2 Verify address/suite#active in Accela. I,C-I In River T-• . e: ❑ No P Yes,River Terrace Review Addendum Sit Plan Elements: 'V Er•sion Control Wili),,copies of site plan on 8-1/2"x 11"or 11 x 17"paper by tamed trees with drip line and tree protection measures 7� rawn to scale (standard architect or engineer scale) 4 otprint of new structure(including decks)and FFE rth arrow Hal.'•'ty locations&easements(required for new and additions) Id Si address,project or subdivision name and lot number Si.-walk/driveway approach .licant information(name and phone number) slli- ation of wells/septic systems Ig,j dimensions and building setback dimensions Y.,Weet tree size,type and location Ikki,41, :re footage of buildings to be demolished inkieet names Il t :sting structures on site (Comer elevations(2'contours if more than 4'diffe tial) !a Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? es ❑ im•ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes Iallo 111 lean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: 0 Yes,applicant was notified No Received: 0 Yes 0 No V. Public Faciliti Improvement(PFI) Permit Vquired: f t Yes,applicant was notified 0 No Applied For: IZels 0 No,stop intake ',and Use Case#: Rl/.62.®i = 1d 0#, 4 Coning -� �� equired Setbacks: Front: e3 Rear: I Side: 0 Street Side: Garage: 3 l ii1ding Height: Max. Height: 1� �' Actual H ®//Landscape Area: 2 O % P Lot Coverage Max: Vo Entrance ii .- back no more than 8'from street-facing wall 0 Parallel to sir-- •r offset 45 degrees or less Windows 0 Minim °0 of area of all street-facing facades Garage ❑ Garage door is be't• : . dest street-facing wall r es 0 No,one of the following is met: O Door extends no more +.. 5'from wall . . . ere is a covered porch extending beyond garage. O Door extends no more than 5'fro.• and there is a 12 sq ft.window above garage on 2°d floor. 0 Garage door width is 0 1 ' o ess 0 50°o • - s of facade 0 60%or less and includes 7 of following: ❑ Covered pox • ill Recessed entrance 0 Wall o - ❑ 1'Roof eave 0 Roof offset 0 Fire •:, g es 0 Lap Siding 0 Roof pitch Cl Gab -, . or gambrel roof 0 Dormer i ccent siding Window trim 0 Window recess 0 Wm.. . .rojection 0 Balcony ►i' Vi ual Clearance Urban Forestry P I0.' ensitive Lands: 0 Yes VO'No Type: Fa Conditions met prior to issuance of building permit Not Approved By P1 nning: — -_-- / Date: Revisions (after B Iding Submittal only) o R iewer Date Revision 1: Approved 0 Not Approved ,�, 1-1 —2al4 Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building Worms\BldgPennitRvw_RES_022819.docx Building Permit Submittal ,' 4 Original Submittal Date: (Y2-z6 lg Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit#above. Workflow Routing: [ Planning LYEngineering ® Permit Coordinator ['Building Workflow Sign-off: I' 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. 2-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / By Permit Technician: �, //i%it/ Date: 12�2(o4g 4111111111MIONEMIIIM&:__ Engineering Review LV Slope at building pad: Zd 0 Conditions "Met"prior to issuancen of building permit 4,. Elk-Easements (encroachments)per engineering conditions of approval and plat t Water Quality/Quantity Facility: �/ Assess Water Quality Fee in-lieu: ❑ Yes Lk o Assess Water Quantity Fee in-lieu: 0 Yes 611 No LIDA Facility on lot: 0 Yes LfNo de Final Plat Recorded: O NOT Approved by Engineering: Date: Notes: L Approved by Engineering: Date: L Z Zee? Revisions (after�Bu ding Submittal only) er Date Revision 1: ll�'Approved 0 Not Approved `�_�✓' yZe/e-42 Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit O Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant: Rvision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: W ❑ N/A Parks SDC: �❑ A LIDA 0 Yes rE N/A 40K to Issue Permit /� �� Approved by Permit Coordinator: /� Date: lI 42/424° I:\Build ng\Forms\BldgFermitRvw_RES_022819.docx . .-- . City of Tigard I"ill I e COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /213.2/ aQ /&94 /9Ye-- Project Name: PO/ , ,h SAL 4/�✓✓✓ Lot #: �9� (New davit; .. =subdivision name;Addition or Alteration=las of owner) Planning Review of River Terrace Plan Dist ct Design Standards```" (18.640.070.L): Is the project subject to the plan district design standards? V Yes 0 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 . deep Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft.,Eft de 2. Eyes on the street: a minimum of 12%of each street facin facade must include windows or entrance doors. Percentage Shown: i ter: , 0J� tlie> , i.2 Ola 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longes 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 rs,all the following apply: sq.ft.min. Vfrane street facing entry ft.max. roof above floor of porch Vi 5 ft. depth min. 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ overed porch min. 5 ft wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep 1 all offset min. 16 inches Dybortner min. 4 ft.wide VJ Roof eave min. 12 inch projection f6. Ufa offset min. of 2 ftRC ❑ Roof shingles either tile or wood `Ip Gable,hip or gambrel roof design' ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade Window trim min.2 1/2"wide by 5/8"deep fiS ❑ 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 facade . es and Carports:May face the front or sidelgt)' a on a corner lot. Setbacks: No closer to front or side lot , longest street-facing wall. ❑ Ye o. If No (Check one): ❑ May extend up to 5 ft.if there is a covere orch a age does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is p o-s 'ding and there is a window at the second story above the garage that faces the street min. area of 12 sq.ft. Width: (Check one) ❑ 12-foo - ' garage door 0 40%max. of street facade %max. of street facade with 7 detailed design elements Notes: Approved By Planning: -�— — / - Date: 3 I:\Building\Forms\BIdgPermitRvw_RES RT_1214 17.do x FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 31111 _. 4 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ]r1La10 -ra8tJG DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: I DN_i A JAN 13 2020 1����5 CITY OF TIGARD `- elm 1 \—TlVw BUILDING DIVISION o COMPANY: ` ,1 -A-�GC PHONE: ply --$Ito- -1&317 By: 4512, — RE: (I1 i% ^t�t5`' fl69 li_-.--.-) r rzot9- oby(0i Site Address) ___ ��,��.�tt nn l�y r� s (Permit Number) 46 (Project name or subdivision name and lot number) 'mil I L.3134oe, 13 "{1v(01 ATTACHED ARE THE FOLLOWING ITEMS: 46 8 Copies: Description: Copies: Description: Additional set(s) of plans. 5 Revisions: —?1,03t- Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: (Z.e t5 per. -Co Cow �{�3i FORO FICE USE ONLY NI- Fees Routed to Permit Tec ' 'an: Date: ( /.,L OWInitials:Due: ❑Yes No Fee Desc ti4n:p Amount v0Na $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms1TransmittaILetter-Revisions 061316.doc r 1\1ST01C1-(1'-t(i)Li LEGEND: 11-02.1 SW ((Carib/W '.... ......--- RECEI V Er' ss SANITARY SEWER Pacific Community JAN 1 3 2020 SD STORM DRAIN Design —w WATER LINE CITY OF TIGARD 12564 SW Main Street 3 PLANNING/ENGINEERING OO • MANHOLE [g503-9ard,94R 9 824 ■ CATCH BASIN DATE: 01/09/2020 STREET LIGHT REVISIONS STRAW WATTLE PERIMETER NO. DATE DESCRIPTION 4 CICOCX Ito _ o I o o 1___� EROSION CONTROL - - - - �_ - - - - _= - iL 1- Wit- = _ = ¢ - � - - - - - �_ ROWHOME MIN. SETBACK SUMMARY < z x x-x ) < z * PORCH SETBACK: 8' RECEIVED / TT 1STORM BUILDING SETBACK: 12' S SW GOLD COAST TERRACE S. 'r♦ LATERAL SS SIDE SETBACK: 0' /3' JAN 1 3 2020 (PRIVATE ALLEY) v / SANITARY CITY OF TIGARD 5t I I SD SD �✓ . ERA[D ---� SIDE FACING STREET:— PUBLIC STREET: 8' BUILDING DIVISION — 3.0' N AO- M i _M ALLEY/PRIVATE STREET: 3' yP jl'� 01 279.8 5'0' ,, �279.8 19.1' S 1, GARAGE SETBACK: r o�"I4111P ALLEY/PRIVATE STREET: 3'-5' o_ ___ . _ _9.0 , 0 \ �2800- =9 REAR SETBACK: 0' GARAGE I I A �:. J r 72 R 5.0' I TRAC_L \ - N 1 6 — 280 BUILDING: ... ; o ' .: . 281 281- — LOT COVERAGE: 2R3 - - - - m zi -_— - . 73 _Es9 0 — I I� POLYGON 75 2R 74- -. - - _ w - - 284- - _ - �. Q L 282 282; LOT AREA: 1,360 SF — — ZR5— _ FFE: 290.0 - , _ F 1 I AT ROSHAK 286 — — GFF: 279.9 - i n ,, 1 ( BUILDING FOOTPRINT: 676 SF 3 — — — — —2 288 — —L__ 4 _6.7 e l 283 — ' — \I r�� za3 283 RIDGE o _o- - 07 -_ ? n _ I�_PORCH 1 / I 8 ji COVERED PORCH: 96 SF d — — — —T _ 287 13.5_ — — sr 284 284 — — _i— 8 T it '' , ' _ / CANTILEVER LIVING SPACE: 31 SF 6 ��L — 286 ��l, �° 24.1' �® I ::TR:ATbo TAM\ 2855Ali2 . E LOT 72 6.1711VISION : 0 SF PLOT PLAN a P.U.E. o ,— •` ` ��/ CLEARANCE- TOTAL COVERAGE: 803 SF WATER TRIANGLE a PLANT (1) STREET TREE: METER N - JUNE SNOW DOGWOOD / 59.0 % SS CORNUS CONTROVERSA ' ZBS..„, ss Scl IMPERVIOUS AREA: 958 SF 5 I �{SW 169TH AVENUE L. i - SD . / I SD /ISD / IX ...ISD/ S \_ 1/ U O 0 N POLYGON NORTHWEST (360) 695-7700 0395-010 O. 2S1W7 CITY OF TIGARD PROJECT NO.: CONSTRUCTION % REVIEWED BY: CONSTRC CIMH LOT 72 R-12, SMALL) Approved IV.. Planning SCALE CASEFILE(S): POLYGON AT ROSHAK RIDGE Date: _ - L . 10 ° -o 0. PDR 2015-00002 initials: C . _ z PDR 2016-00002-00006 14321 SW 169T H AVENUE ""°"=20 FEET