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Permit CITY OF TIGARD MASTER PERMIT ` '• a-. COMMUNITY DEVELOPMENT Permit#: MST2019-00467 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 19 2020 12:00AM Parcel: 2S107AA07500 Jurisdiction: Tigard Site address: 14351 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 75 Project: Polygon at Roshak Ridge, Lot 75 Project Description: New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 562 sf Garage: 430 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $165,181.45 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywall-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 i 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 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: PHONE: 360-695-7700 FAX: Total Fees: $24,549.33 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 0 952-001-0 90.� .[ 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: 605- " mar Permittee Signature: G/� ,L'j "/ 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 Residential RECEIVED FOR OFFICE USE ONLY FEB 2 5 Z019 Received City of Tigard DateBy: /Z, (oJ/r S Permit N44ST2Oi 1 t.tb7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n 'e a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ?.(".F7 Other Pemt � �� CITY OF TIGARD1,... ® See Page2tor Inspection Line: 503.639.4175 Date ReadyBy: ,{/� TIGAItD Internet: www.tigard-or.gov BUILDING DIVISION Nolified/Method: 7/�� K Supplemental Information E�''74/4-- re rt),TI.- TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING J ®New construction 0 Demolition Permit fees*are based on the value of the work performed. J Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replace Went ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. - El1-and 2-family dwelling ElCommercial/industrial Valuation: $ 11 O in-7 �p 0 Accessory building 0 Multi-family Number of bedrooms: 1 (p lS 1 p(. /S 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 16s 1 Job site address: t q 27' ""1 1�64-1-L 1. ) New dwelling area t square feet S 1�Z { City/State/ZIP:Tigard,OR 97224 Garage/carport area: I square feet Z Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 91 Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: is 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 N. ® PROPERTY OWNER 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: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Please refer m fee schednte} Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax: :(360)693-4442 E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaie 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: $201.60 Authorized signature: _� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1 *Fee methodology set by Tri-County Building Industry Print name:Amanda Gavin Date; a j Service Board. I:\Building\Permits\BUP-RES ermitApp.doc 02/24/2011 440 61r�7 3T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard NECEIVED Received O , �j Date/By: Permit N**7-7.w/ -00 Z14G L '! 13125 S W Hall Blvd.,Tigard,OR 97223 A Plan Review H Phone: 503.718.2439 Fax: 503.598.1960ipg JUL 2 202° Date/By: Other Permit: li Ki/.is l i Inspection Line: 503.639.4175 TIGARD Date ReadY/BY' t"r15° H See Page 2 for Internet: www.tigard-or.gov CITY OF NatibedlMethod: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL,EEE* SC1'fi,')ULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMSFEES* tg 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist I j Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total I JOB SITE INFORMATION AND LOCATION Heating/cooling: — Air conditioning I 46.75 Job site address: 14351 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 Suite/bldg./apt.no.: Project name: Roshak Ridge Heat pump 61.06 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 Other: 23.32 Subdivision: Roshak Ridge Lot no.: 75 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 equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 bathrooms, City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ElAPPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,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/suspendedhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace E-mail:permitsubmittalsetaylOrmOrrISOfi.COM Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other MECHANICAL PERMIT 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 0,- days after it has been accepted as complete, Authorized signature: "`'Q'' u` �' ' Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 7/27/20 Electrical Permit Applicatio EIVE® :ifi Y �EC .Ir kus ' _ ; :' City of Tigard ,� j[_ 2 8 2020 Received Yam"'a: c v Dan Rev c 1312ssw11auBva h l5 c 2c! 1 �0 1(,0 l 7 Tigard OR 97223 Plan Review ��� Phone: so3.ngsa39 Fax 503.598.1Y OF TIGARD »aver Related Permit a: Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDateBy rails t3 BaPa e2for Tf Gd r Internet www.tigard-0r.gov NotiSed/Merhod: g I Supplemental Information TYPE OF.WORK -'.=,;. .. . ;r; r':.. - . El New construction ❑Addition/alteration/replanemea)t Please check all that apply(submit/sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories.❑Demolition ❑Other: • where the available fault current ❑Marinas and boatyards. ,. . .. CATS•i- GO RY.OF- . .. . _ .CONSTRUCTIO •. ::,.r' . N ..r,.��•�•..,. . •, .. . ... exceeds 10,000 amps at 150 molts or ❑Floating buildings. ® 1-and 2-family dwelling 0 Commercial/mdustrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations buildings. ❑Multi-family 0 Master0 Other:builder ❑ e. Fire pump, CI Installation of 150 KVA or .i .-4+s,. JOB Sit'N_i,.'IT 'ORMA3TON"AN'D'LOCATIOPf;:.'' ❑Emergency'ty*m larger separately derived ❑Addition of new motor load of system Job# Job site address: 14351 SW 169th Ave 100BP cs more ❑"A","E","12","1-3", City/State/ZIP:Tigard,OR 97224 0 Six ormore residential Waits occupancy. ❑Aealth care facrhties. (]'Recreational vehicle per. Suite/bldgJapt#: - Project name:Polygon At Roshak Ridge 0 Eazanlous locations. ❑Supply voltage for more than • 0 Service or fader 600 amps or more. 600 volts nominal- Cross street/directions to job site: ..FEE SCHYlitiLE• Drxiianw • I Qty 1 Faeh I Total I New residential single-or multi-family dwelling unit, Subdivision:Polygon at Roshak Ridge Lot#: 75 Includes attached garage. Tax map/parcel# 1,000 sq.ft. less 168.54 4 Ea add'l500so.f.or portion 3392 1 DESCRIPTION OF'WORK :. : • . - Limited energy,residential (with above sq.ft.) 75 2 Limited energy,multi-family residential(with above sq.ft) 75'00 2 Renewable Energy Q Page 2 e ®.PROP) ii S,O'WNTER- ❑ TENANT. Services or feeders instalationialteration,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 20034 2 City/State/ZIP:Vancouver,WA 98660 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 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 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 amps to 599 amps 168.54 2 •-..� APPLICANT• • ❑ CONTACT PERSON •• Branch circuits-new,alteration or extension ;v panel A Fee for brash circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 earl brmrh circuit Contact name: Tonja Morris B.Fee for branch circuits without Address:703 Broadway St Suite 510 service branch circuis f t err first 5618 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Mis cellaneons(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Eachmamufachued or modular ?mail'permitsubmittals®aylormorrison.com dwelling,service and/or feeder fi7.84 2 CONTRACTOR Reconnect only 67.84 2 . - Pump or irrigation circle 67.84 2 Business name.Alameda Electric Sign or outline lighting 67.84 2y Address 3415 NE 44th Signal eircuit(s)or limited-energy panel altexatioxi or extension ❑ See Page 2 2 City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 br min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 brmin) 90.00/hr • Email:solarpdx@me.com Iadustrialplaff(Ihrrajn) 78.18/hr Inspections forwhichno fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 specffically listed(Ulu min) - Suprv.Electrician signature,required ELECTRICAL PERhIIT FEES Subtotal Print name Kile Rood , . Date: 7/27/20 0 Plan Review Required(25%of permit fee): • State surcharge(12%of pennit fee): Authorized signature ,,,t---r TOTAL PERMS FEE: I _, -_.. _ ./ -'- ��—, This hermit anniirsrfinn ernlr"e rf a na..nSH.....a.za_c-_•�u_e_.en Plumbing Permit Application Building Fixtures C ` I irR t)FFIt 1. I SI. 0N1.1 RECEIVE City of Tigard V G Received • 13125 SW Hall Blvd.,Tigard,OR 97223 . . qq y Date/By: pe r"tt NO'"M S( /c�QD GCS Phone: 503.718.2439 Fax: 503.598.19603U... P 8 2J20 Plan Review Date/By: Other Permit No.: 1 I G A R D Inspection Line: 503.639.4175 De¢Ready!By: Jura: fd See Page 2 far Internet: www.tigard-or.gov CITY OF 71GARD Notified/Method: Supplemental Information IN U TYPE OF WOR>a3t)ILDDIVISIO I'‘ FEE SCHEDULE tP,l New construction 0 Demolition For special information use checklist Description 1 Qty. j Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14351 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.: 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: I Lot no.: 75 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 la PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon Homes 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:( 3q0 693-4442 Ice maker 12.51 Pi APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name:polygon Homes WLH LLC 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::(360 593-4442 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:Ott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal Phone:(503-667-1781 Fax:( 503-067-9891 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: / _ 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 set by Tri-County Building Industry Service Board. 1:lBuilding\Pttmrts\Pt.NN-PermitApp.doc 10/01/09 440-6616T(10/02iCOMJWEB) City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT r 1 c A It D Building Permit Review — Residential Building Permit #: MST z,b 0- D 0!'(07 Site Address: AMC/ at ) /& lit /91.ce , Project Name: Pd Ai •n d:2-1- PO<A l' Er.'. ' Lot #: 71 — (New IV g=subdivision name;Addition or Alteration= •t ame of owner) Planning Review I/3/2-6 2-0 Pr. osal: !l/4J 5Q,9— "'El//S SA !2ey l�'/ Z-/C 7-0 C'OZz 77 f e TA Verify address/suite#active in Accela. cti In River Te. . e: ❑ No ®/Yes, River Terrace Review Addendum Sit Plan Elements: 'I Er.sion Control • !/J3.copies of site plan on 8-1/2"x 11"or 11 x 17"paper I% • tamed trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) A ypotprint of new structure(including decks)and FFE IQ orth arrow !Hill:.'ty locations&easements(required for new and additions) P.'66:3.t.e address,project or subdivision name and lot number PI Si.-walk/driveway approach .licant information(name and phone number) Ill'., ation of wells/septic systems >• . dimensions and building setback dimensions ' eet tree size,type and location �1 : e footage of buildings to be demolished beet names 11V 'sting structures on site V1 Comer elevations(2'contours if more than 4'diff tial) 74 Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac c? SGI'es ❑>6 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shownq.„ 7Yes 1 No 111? lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitipilmprovement(PFI) Permit quired: V Yes,applicant was notified ❑ No Applied For: Ye/s 0 No,stop intake and Use Case#: 0� 1c_h a oning: / Land Setbacks: Front_a_ Rear: Side: G� Street Side: - Garage: 3 Vilding Height: Max. Height: 13 I.' Actual H �' htr.^-�oC dscape Area: �0 % .P Lot Coverage Max: e Entrance Iii .- back no more than 8'from street-facing wall ❑ Parallel to str-- .r offset 45 degrees or less Windows 0 Minim . °o of area of all street-facing facades Garage ❑ Garage door is be-11 _ ..'dest street-facing wall vir 1 . es ❑ No,one of the following is met: ❑ Door extends no more . :.. 5'from wall . • . ere is a covered porch extending beyond garage. ❑ Door extends no more than 5' '21 and there is a 12 sq ft.window above garage on 2"d floor. ❑ Garage door width is ❑ 1 ' : ess ❑ 50°o . - s of facade 0 60%or less and includes 7 of following: ❑ Covered por • i Recessed entrance ❑ Wall o -- 0 1'Roof eave ❑ Roof offset ❑ Fire g es ❑ Lap Siding ❑ Roof pitch ❑ Ga• -, -.. or gambrel roof El Dormer ccent siding Window trim 0 Window recess ❑ Win.. . ojection ❑ Balcony dic .Vi ual Clearance Urban Forestry P�' 12 i*ps ensitive Lands: ❑ Yes Ll}'No Type: F Conditions met prior to issuance of building permit Not ` Approved By Planning: -------=,----- Date: J Revisions (after B ding Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved ( � i—t i-?t�,i Revision 2: 0 Approved 0 Not Approved "r Revision 3: 0 Approved 0 Not Approved l:\Building\Forms\BldgPernitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: O2-2('-,20/9 Site Plans: # L3 Building Plans: # 3 Building Permit#: 2 Enter building permit#above. Workflow Routing: ll Planning I Engineering 0-Permit Coordinator Et-Building Workflow Sign-off: E 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. PI Building. original permit application, site plans,building plans,engineer and beam calculations a•i st details,if applicable, etc. Notes: By Permit Technician: i % ;� / Date: 12/� 4 F Engineering Review Ly' Slope at building pad: 2©.,z, O y/'Conditions "Met"prior to issuance of building permit Lk/Easements (encroachments)per engineering conditions of approval and plat [Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yeslo Assess Water Quantity Fee in-lieu: ❑ Yes [ 'No LIDA Facility on lot: ❑ Yes [ No lir-Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:te 9 I� Approved by Engineering: �,/'J Date: /7Z-7, ' Revisions (after B).iiidling Submittal only) C R Date Revision 1: Ld Approved 0 Not Approved �2 2Gt' Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 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: Re 'on Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: P4es ❑ N/A Tigard Trans SDC: 12'Yes 0 N/A Parks SDC: 8s 0 N A LIDA 0 Yes /A OK to Issue Permit `J7 (7 7 Approved by Permit Coordinator: Date: d I:\Building\Forms'B1dgPermitRvw_RES_022819.docx f • City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: A 1, / 2G0 /& Project Name: Pvl p - fC f !- ' Lot #: 7 (New dw� l f subdivision name;Addition or Alteration=las 41 e of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?VYes 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.,6ft de 0 2. Eyes on the street: a minimum of 12% of each street facin facade must include windows or entrance doors. Percentage Shown: �j�AJT. , eJp r 72e, ) l3 °/% 1•1trances: At least one entrance must meet both of the follo g standards: ax. 8 ft. setback from longer 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 yts,all the following apply 1 26 sq.ft.min. ne street facing entry ft.max.roof above floor of porch IZ 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: O overed porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep V/Wall offset min. 16 inches > ❑ oorner min. 4 ft.wide VJ Roof eave min. 12 inch projection ' ,Roof offset min. of 2 ftfe ❑ Roof shingles either tile or wood 'ICJ Gable,hip or gambrel roof design' ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ElAccent siding min.40%of street façade Window trim min.2 1/2'wide by 5/8" deep fTS ❑ 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 . t es and Carports:May face the front or sidelalpon 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. O May extend up to 5 ft.where the garage is p o-s o ' 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 façade with 7 detailed design elements Notes: Approved ByPlanning: =l' Date: .D PP �-�_ I:\Building\Forms\B1dgPewitRvw_RES_RT_121417.docx 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 w Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A t.ii af0 Paenl5ra b N G DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: I DNJ Ps f\ JAN 13 2020 I 1 1 IOSZ,*� S CITY OF TIGARD �UC-t� �_ _ _� BUILDING DIVISION COMPANY: `� 1�yx�, PHONE: 9O —SU 10--1 -- , By: RE: (4321 -I % 6 /(V9 / / �y Site Address) � \ �'� t �`�r db��0 Li r� (-VT _ -7- (Permit Number) ��5 (Project name or subdivision name and lot number) u i Lbl rjCt 13 1 r4'1 ATTACHED ARE THE FOLLOWING ITEMS: y� 8 Copies: Description: Copies: Description: Additional set(s) of plans. 5 Revisions: Rlp\-.�bdn 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: 9.z-vvgC -Rave., Off._ -co C.ou (2 { FOILO FICE USE ONLY /�/� Routed to Permit Techni Date: I r(,1 �p0 Initials: I'► Fees Due: ❑Yes to Fee Desc HT : Amount Due: � 1 E.) $ ) ,1 Special Instructions: Reprint Permit(per PE): ❑ Yeso ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc tvf3r2DP- 00%1 14351 SW 1100, Alt. RECEIVED LEGEND: —ss SANITARY SEWER Pacific JAN 1 3 2020 SD STORM DRAIN Community Design CITY OF TIGARD —w WATER LINE 12564 SW Main Street PLANNING/ENGINEERING * • MANHOLE Tigard,OR 97223 ITI 503-941-9484 ■ CATCH BASIN DATE: 01/09/2020 .0+ STREET LIGHT REVISIONS 6 o(- of o o� L o o'` STRAW WATTLE PERIMETER N0. DATE DESCRIPTION �I J — J —71 EROSION CONTROL — — — — �J-- - - - �—_� - - - - -�— _ 77,7 ,. ,R _ —4 , ,,r _ ROWHOME MIN. SETBACK SUMMARY ( l Z S_S `! me . _.-- I h . PORCH SETBACK: 8' v, SW GOLD COAST TERRACE — BUILDING SETBACK: 12' RECEIVED ss STORM p RIVATE ALLEY) O SIDE SETBACK: 0' /3 JAN 13 2020 LATERAL SANITARY SIDE FACING STREET: CITY OF TIGARD SD SD /SD LATERAL S SD PUBLIC STREET: 8' BUILDING DIVISION / / I I 3.0 �^ M ^^ ^® ALLEY/PRIVATE STREET: 3' • P.U.E. 1n �so.2— -5.0 "' 280.0 N N GARAGE SETBACK: u '^ 15.3' 2 ' ALLEY/PRIVATE STREET: 3'-5' aiiragra u E � .� �.®®. -- s.--- < _ - - REAR SETBACK: 0' a — - I`: ' 9.0' L.r1 Si ; _I 1 I o 1 t GARAGE I ' 1 I o 1 BUILDING: . 1 '! LOT COVERAGE: a 77 �ZBo I 76 K8B 1 _ 75 !— ,'I 74 73 li 72 — 2— __= -- - - - _�\ '280 POLYGON 281— — _ _ _ w __289— 1 866 SFt _ _ — — LOT AREA: 866 SF N - —828s-1 _ — - FFE:290.3 _ _ --- AT ROSHAK 282 _ _- GFF:280.2 — — _ .4- BUILDING FOOTPRINT: 567 SF u88 — - - - - N N , I RIDGE o — _ — _ , COVERED PORCH: 68 SF 6 — i_ i --1288 -- �i 14 PORCH e -13_ Cl- o ❑--. I p — ,. CANTILEVER LIVING SPACE: 10 SF — -287- 8.T — "` ��"��� �' ' � `� COVERED PATIO: 0 SF 15.3' !'. ..' ' r 286.0 / iffir SIDEWALK I 6.0' 285.8 . DECK AREA: 0 SF PLOT PLAN P.U.E.ce , [� `� TOTAL COVERAGE: 645 SF o � 0 WATER /// T METER/ PLANT (1) STREET TREE: -- 74.5 % a: — ss I SS ss s' JUNE SNOW DOGWOOD / IMPERVIOUS AREA: 748 SF �8a I CORNUS CONTROVERSA ci SW 169TH AVENUE 1 1 I > > .- cn I cn I I cn l I / cn I I rn tig5- U a 0 N 03 POLYGON NORTHWEST (360) 695-77000 o C CITY OF TIGARD 2 V 1 W7 ApprovedPROJECT ND.: 395-010 by Planning TYPE: CONSTRUCTION REVIEWED BY: CMH LOT 75 (R-12, SMALL) Date: H �rl.o SCALE a CASEFILE(S): PDR201500002 POLYGON AT ROSHAK RIDGE Initials: C� z PDR 2016-00002-00006 14351 SW 169TH AVENUE 1 INCH=20 FEET