Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00468
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 19 2020 12:00AM
TIC.;A K 0Parcel: 2S107AA07600
Jurisdiction: Tigard
Site address: 14355 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 76
Project: Polygon at Roshak Ridge, Lot 76
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 105 sf Basement: 0 sf Left: 0 Parking Spaces: 0
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 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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.'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 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 Report Required
Prior To Pour
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $24,979.70
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 0 952-0011Qq,�,0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.6000.332.2344.
Issued By: �� %� UC'v"`i-r/gy Permittee Signature: 04// /9- ,64/(G9-T70.0
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
City of Tigard FEB 2 5 2019 ReceivedB Permit Na. ''I �
Date/By: P Z�2b 2fiiaJ'ST'—" ZO I����4(pg
_ -e Phone:SW Hall Blvd.,Tigard,OR 97223 Plan Rev ew l IcoImo Other pe (`tt I g 09_.�33,4
503.718.2439 Fax: 503.598.196011.Y OF TIGARD DateBy: Il lY °7JUt.
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: D. J� runs ® See Paget for
Internet: www'.tigard-orgov Notified/Method. d 7/1...e xy Supplemental Information
rill q-u._ 77 T04-
WORN REQUIRED DATA:I-AND2-FAMILY DWELLING
3
®New cons ruction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement TYPE OF ❑ Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION VI
Valuation: $
0 I-and 2-family dwelling El Commercial/industrial
C �� ��
El Accessory building El Multi-familyNumber of bedrooms: �,
0 Master builder ❑ Other: Number of bathrooms: `Al l(„e
JOB SITE INFORMATION AND LOCATION' Total number of floors:2
Job site address: 1�0 SS 3 110( nj(/> New dwelling area: I J✓Q square feet �33
City/State/ZIP:Tigard,OR 97224 tt`uuu��` Garage/carport area:9 1 square feet UiLikp
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 1'bS—
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.: 1(n Permit fees*are based on the value of the work performed.
Tax map/parcel no.: T 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 SEA Valuation: S
Existing building area: square feet
New building area: square feet
EI 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:
V
O EI APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
\ {Please refer to fee schedule)
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
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
Phone:(360)695-7700 Fax: :(360)693-4442
E-mail:petmtitsubmittals a polygonhomes.cum PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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: $201.60
Authorized signatur This permit application expires if a permit is not obtained
1 1 within 180 days after it has been accepted as complete.
a-�/ I� *Fee methodology set by Tri County Building Industry
Print name:Amanda avin Date:O,
Service Board.
I:1Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
Received s��r
City of Tigard RECEIVED PemitNo.:
't 13125 SW Hall Blvd.,Tigard,OR 97223 Date/Bev I 15� (�-[jJ`��pg
11 Phone: 503.718.2439 Fax: 503.598.1960 i 2 8 2020 plan Review
: ' L 2 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: kris: PI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK - COMMERCIAL FEE* SCHEDULE— USE CHECKLIST'
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning j 46.75
Job site address: 14355 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.aptno.: Project name: Roshak Ridge Ductwork 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.: 76 Other 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY 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
Fuel piping
Business name:Polygon WLH LLC $14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Gas
Address:703 Broadway St.,Ste 510 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-rnail:permitsubmittalsCtaylormorriSOD.corn Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICALPE RMIT 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: "'te a'' u' " • Fee methodolo set byIli-Coup BuildingIndustry Ili-County Service Board
Print name:Elia Duran Date: 7/27/20
r
Electrical Permit Application RECEIVE f =:. , >J�o rliz ` -t
City of Tigard A IL 2 8 2020 ed Permit if:
13125 SW Ball Blvd,Tigard OR 97223 PDacR ,ow S 7�j......60`J(oc?
' Phone: 503.7182439 Fax: 503.598.1960CITY OF TIGARD Date/By RelatedPermitt:
tic.tab Inspection Line: 5033.6��4175 BUILDING DIVISION >addyDa r I El See Page 2for
Internet www.
Supplemental Information
:-•' '.•.'. TYPE OF:WORK ,..'::. { • • -< • l {*-fyik
®New construction 0 P:ddititm/alteration/replaccment Please cheek s0 that apply(submit b sets of plans wfitcros checked); (-
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories
• . . :. 'f.�v_, _. • where the available fault current ❑Marinas and boatyards.
%�.j. .:;,'•.-:;- ..•.:.F..;. ,.:C.A1EGORY..OF:CONSTRUCTtON,•.z.:.i-`1•. •'::• I,.::. ."„ -. . •ac,•ds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
s for all other installations
0 Master builder P� buildings.
❑Multi-family
' �O��' ❑ be pump. El Installation of 150 ICVA or
lsa;, . . .JOB 411�::INFORIYIA3YOPrAND`t:OGi-TIO} - 0 Emergemy syskm• larger separately derived
lob# Job site address: ❑Addition of new motor load of system
14355 SW 169th Ave ]DOSE or more ❑"A^,"E","t-2","1-3^,
City/StaM/DP:Tigard,OR 97224 0 Six or more residential occupancy.
.
❑Healthcare facilities. ❑ ern-rational vehicle parks.
Suite/bldg./apt#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or mom. 600 volts nominal
•
Cross street/directions to job site: "xRh. SCHEDULE
neseripaa I Qtr. I Each I Total j •
Subdivision:Polygon at Roshak Incllwudeess residential gar or multi-family dwelling unit.
y$ RidgeLot#: 76 garage.
1,000 sq.8.or less 168.54 4
Tax map/parr-el#: _
Ea aeld'1500 sq.11.or portion 33.92 1
• ' DESCRIPTION OF'WORK' Limited energy,residential
(with above sq.ft.) 75.00 2
-
Limited energy,multi-family—
75.00 2
residential(with above sq.ft) _
• RenewableEnergy ❑.See P g '
0.PItOPERn,..0-W E.H.— . . . . 0 TENANT. Services or feeders ins tallation,alteration,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 13356 2
401 amps to 600 amps _ 200.34 2
• City/State/ZIP:Vancouver,WA 98660 bill amps to 1,000 amps 301.04 2
Phone(360)695-7700 Fax(360)693-4442 Over 1,000 snips or volts 552.26 2
Finas7; 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 16854 2
' :12):APPLICANT ' ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A Fee for branch circuits with
Business name:William Lyon Homes,Inc. above se vice or feeder fee, 7.42 2
each braotL cirenit
Contact name: Tonja Morris . B.Fee for branch circuits without
Address:703 Broadway St Suite 510 service or
branch circsiuitt fee,feat 56.18 2
City/StatdzlF:Vancouver,WA 98660 Bath add]branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 I Par:(360)693-4442 Each manufactured or modular
Email:permitsubmittals@aylormorrison.com
dwelling service aodlor feeder 67.84 2
CONTRACTOR Reconnect only 67.84 2
Pump oriaigationcircle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal circuit(s)or limited-energy
panel,alteration,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 hr min) 6625/hr
Phone:(503)319-2192 Fax( ) Investigatirm(1 brmin) 90.00/lir
Frnv11:solarpdz@me.com Industrial plant(Ilnmin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4874 syeei5cally listed 04 1a min)
• ' EI.ECTitiCAL'PERMIT PEES
Suprv.Electrician signature,required:
Subtotal
Print name: Kile Rood Date: 7/27/20 ❑Plan Review Required(25%of permit fee):
•
{ State surcharge(12%of permit fee):
Authorized signature: (G� TOTAL PERMIT FEE:
( — __ _ -� _ -—•
—� This Hermit annaratia mn n a.n aie if a •••••a, .,.a..i.._u_a*lax_ n ax_. n
Plumbing Permit Application
Building Fixtures RECEIVE 7 lOIt Omit I. I Nl. ()NI ,
City of Tigard Raeived Per
mit No.:I't 5 i 72(�j"
■ 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 8 202G Date/By: {3[ _/��'
Phone: 503.718.2439 Fax: 503.598.1960TY Plan Review
CI OF TIGARL Date 6y: other Permit No,
Inspection Line: 503.639.4175 r"`_ pate Ready/By: mrs:
I (CARD BUILDING DIVISI�_•. dy. y: H See Page 2for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
(A New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-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 buildingSFR(3)bath 500.32
0 Multi-family
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: 14355 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.: 76 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Polygon 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:( 380 693-4442 Ice maker 12.51
• la APPLICANT 0 CONTACT PERSON Interceptor/grease 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
E-mail:permitsubmittals@taylormorrison.com Urinal 25.02
Water closet 25.02
Wolcott CONTRACTOR Water heater 37.52
Business name:Waleett 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-$67-1781 Fax:( 503-667-9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee)
At" 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 Igo days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I'V3°ilding\Permits\PLMIJ-PermilApp.doc 10/01/09 4404616T(IO/O2/COM/WEB)
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
i 71 e
T l c n o Building Permit Review — Residential
Building Permit #: 4S'24 o _oo 7
Site Address: L//S S 'c'G( .) /&c i9v ,
Project Name: '0/,er ,7) ,Q.� ,�'' }'",e/ Lot #:
(New . 11 g=subdivision name;Addition or Alteration= ame of owner)
Planning Review //.3At' Z-c) =
Pry osal: .0.AJ /8-E°S62S neefl 2)&'_,r 7'0 G['1/riZe S A'izi
O Verify address/suite#active in Accela. ILl In Rivet T-. - ❑ No Ild Yes,River Terrace Review Addendum
Sitr,,Plan Elements: '4Er.sion Control
I)..copies of site plan on 8-1/2"x 11"or 11 x 17"paper 111 . rained trees with drip line and tree protection measures
I yawn to scale(standard architect or engineer scale) 2 otprint of new structure(including decks)and N'l'h
orth arrow VI ity locations&easements(required for new and additions)
t' Si..te address,project or subdivision name and lot number Si.ewalk/driveway approach
..licant information(name and phone number) B.V., ation of wells/septic systems
L . dimensions and building setback dimensions i� et tree size,type and location
kl t. ; - footage of buildings to be demolished 1\L'Xeet names
tulle:sting structures on site 'Comer elevations (2'contours if more than 4'diff tial)
!/Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? trGl'es ❑l41d
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes VNo
16] lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): , t'
equtred: ❑ Yes,applicant was notified No Received: 0 Yes ❑ No
Public Faciliti,iImprovement(PFI) Permit:
yiequired: f t Yes,applicant was notified CINo Applied For: Yes 0 No,stop intake
Ire/Land Use Case#: gl/f�.2 0/S=/Boning 0.b)
v/kequired Setbacks: Front e3 Rear: Side: 0 Street Side: Garage: 3
iilding Height: Max. Height: 1v �' Actual H
®//Landscape Area: Is2 0 % . Lot Coverage Max:
Entrance 111 _- back no more than 8'from street-facing wall ❑ Parallel to str-_ .r offset 45 degrees or less
Windows ❑ Minim °°of area of all street-facing facadeso�
Garage ❑ Garage door is bell._ .'dest street-facing wall C. es ❑ No,one of the following is met:
❑ Door extends no more ..:.. ' from wall . . ere is a covered porch extending beyond garage.
O Door extends no more than 5' fr. •ri and there is a 12 sq ft.window above garage on 2°c1 floor.
❑ Garage door width is ❑ 1 ' : ess ❑ 50°° . - s of facade ❑ 60%or less and includes 7 of following:
❑ Covered porc• i Recessed entrance 0 Wall o -- ❑ 1'Roof eave ❑ Roof offset
❑ Fire g es 0 Lap Siding ❑ Roof pitch 0 Ga. -, • . or gambrel roof ❑ Dormer
ccent siding Window trim ❑ Window recess ❑ Win.. .rojection 0 Balcony
►1r Vi ual Clearance Urban Forestry P f
,, We.ensitiveLands: ❑ Yes rE'No Type:
V- Conditions met prior to issuance of building permit
Not
Approved By Planning: -- „ Date:
Revisions (after B ding Submittal only) eviewer Date
Revision 1: lld Approved ❑ Not Approved 1-1 lj "Lad
Revision 2: ❑ Approved ❑ Not Approved 11
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B ldgPermitRvw_RES_022819.docx
Building Permit Submittal /
Original Submittal Date: 02 2S ,2C�/9
Site Plans: # 'J�
Building Plans: # .3
Building Permit#: [ 'Enter building permit#above.
Workflow Routing: 2" Planning a Engineering I Permit Coordinator Er Building
Workflow Sign-off: [g" Sign-off for Planning(include notes from planning review)
Route Application Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Ii Building: original permit application,site plans,building plans,engineer and
beam calculations . ,. trust details,if applicable,etc.
Notes:
By Permit Technician: % �1 i'7.-
Date: /0-6.th
Engineering�,� Review
[ Slope at building pad: 2 e2A
O Conditions "Met"prior to issuance of building permitfr i9
IH'Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: 0 Yes "L�,/No
LIDA Facility on lot: 0 Yes L'7 No
IV-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:�
L9'te Approved by Engineering: Date: //2//2 d
Revisions (after Buylding Submittal only) ewer Date
Revision 1: VApproved 0 Not Approved - -��i `/ L/Zd
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
A.
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:
Re ion Notice 3: Date Sent to Applicant
SDC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A
Tigard Trans SDC: [ 0 N/A
Parks SDC: Yes �❑
'
LIDA 0 Yes LIN/A
/ Issue Permit 6(7"�� //y's.V
Approved by Permit Coordinator: Date: 1/10
1:\Building\Forms\BIdgPemtitRvw_RES_022819.docx
. .
City of Tigard
71 I COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: MS r2.o o- Q`l�''ff�/
O
1
Site Address: / 3Ste— /(09474 /51/L
Project Name: r) Lot #: 7(
(New dw =subdivision name;Addition or Alteration=1as n e of owner) II
Planning Review of River Terrace Plan Dis9ict Design Standards (18.640.070.L):
Is the project subject to the plan district design standards?V Yes ❑ 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 fit. deep Gabled dormer
QJ5 ft. deep min. 2ft,5 ft.wide min. 2 ft.,6f de
El
2.Eyes on the street: a minimum of 12%of each street facie facade must/J/include windows or entrance doors.
Percentage Shown: !l)T °Ip, 57�e? ) (A)
3. trances:At least one entrance must meet both of the folio 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 yCs, all the following apply: V)5 sq.ft. min.
ne street facing entry ft.max.roof above floor of porch
V 5 ft. depth min. 4%min. porch roof coverage
4.Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades:
❑ covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
V/ all offset min. 16 inchesPr ❑ oorner min. 4 ft.wide
Oil Roof eave min. 12 inch projection 't V,Roof offset min. of 2 ftf`Iy
O Roof shingles either tile or wood V Gable,hip or gambrel roof design f1>
❑ Roof pitch oriented south min. 500 sq. ft. Oflorizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street facade VI Window trim min. 2'/2"wide by 5/8"deep frS
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 facade
es and Carports:May face the front or side lal e on a corner lot.
Setbacks:
No closer to front or side lot , longest street-facing wall. 0 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 par 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)
O 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:l Building\Forms\BldgPermavw_RBS_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
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: vQ 10 Ac►Y C O 10 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
,� JAN 13 2020
FROM: I ONJ A �l p(Z,Q,A .S CITY OF TIGARD
COMPANY: ` wc-,a-iJ BUILDING DIVISION
PHONE: ',00 -St to-1%170 BY:
RE: -14355 169-n4 P irs77.a(4- e7046,41
Sit" a Address) (Permit Number)
ClStf#�rt� <i.'6 CoLo-r s 1700 /VP
(Project name or subdivision name and lot number) Ltsidi t3 �r1
•S
ATTACHED ARE THE FOLLOWING ITEMS: yC• 8 t/
Copies: Description: Copies: Description:
Additional set(s)of plans. 3 Revisions: Vt.&r'"c:i1o.."
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...EatFt DECK -Co C.oU -—
FO OFFICE USE ONLY
Routed to Permit Technic : Date: k 1,1 7,0'/,b Initials: r l l
Fees Due: El Yes �, • • Fee Desc hptio : Amount Due: _
irof
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
1:1Building\Forms\TransmittalLetter-Revisions_0613 I 6.doc
M97161ci- Dn1-1(pe t1-1 SVJ IVO fl - .
LEGEND:
RECEIVED —ss SANITARY SEWER Pacific
—so STORM DRAIN Community
JAN 1 3 2020 —w— WATER LINE Design
12564 SW Main Street
CITY OF TIGARD ® •• MANHOLE Tigard,OR 97223
[f]503-941-9484
PLANNING/ENGINEERING ■ CATCH BASIN DATE: Di iDeizozo
+ STREET LIGHT REVISIONS
I I � ��o STRAW WATTLE PERIMETER NO. DATE DESCRIPTION
II— -L-- —_ __-- J L — - EROSION CONTROL
ANATISEDJ
t- ROWHOME MIN. SETBACK SUMMARY
— — — C _ — -_-_ RECEIVED
o PORCH SETBACK: 8'
BUILDING
12'
E I —I I - SIDE SETBACK: 0' /3' JAN 13 2020
S6 -SANITARY ss
LATERAL ss STORM - SW GOLD COAST TERRACE — CITY OF TIGARD
— SD LATERAL /1) S (PRIVATE A SLEY) SIDE FACING STREET: BUILDING DIVISION
PUBLIC STREET: 8'
ALLEY/PRIVATE STREET: 3'
.3.0' N GARAGE SETBACK:
P.U.E.j u o 5.0' 280.2
- 1 280.3� "24 1' •+ \ t ALLEY/PRIVATE STREET: 3'-5'
- - �>®a,� < 1 V-7 , -- ss. REAR SETBACK: 0'
E. = -
co
eN \ r GARAGE IL
N II
,l
ci ` \ ` A BUILDING:
a • EBB i i LOT COVERAGE:
. 76 — — — __ — POLYGON
— — - —__ LOT AREA: 1,361 SF 287�— 77 _ II 1,361 SF _75 - �� 74- -~— 73 -
- — —
w - - 28284- - - Y_ = -- — , _�.-_ ' — _ — AT ROSHAK
—285 — , - FFE:290.4 —
3 - - _286- i S - + — — .- BUILDING FOOTPRINT: 676 SF
-o - - - - 287- i , GFF: 280.3 - N RIDGE
I` - - - - - -28R I —I -+
�, 289=-- —i I, N . COVERED PORCH: 96 SF
- — — —� v- PORCH .5 r �= o a o — iL CANTILEVER LIVING SPACE: 31 SF
— i - 13.5' _- - _ -
8.7'- -
o ee ��•• �287- I ,�al_ — �! — — — COVERED PATIO: 0 SF
24.1' \ LOT 76
6.0' 286.3 / " 1 ((((286.0 SIDEWALK f DECK AREA: 0 SF PLOT PLAN
P.U.E. L$e TOTAL COVERAGE: 803 SF
0. PLANT (1) STREET TREE: ` ' WATER �� 59.0 %
Y
o JUNE SNOW DOGWOOD / METER 28s
i CORNUS CONTROVERSA -SS - SS I SS SS IMPERVIOUS AREA: 960 SF
`_O
i I , I -. bl I SW 169TH AVENUE
—> II I
v
0
c
POLYGON NORTHWEST (360) 695-7700
0 �/ C /� 395-010
0 C CITY 1 OF TIGARD TYPE:
Na CONSTRUCTION
0 2S1 W7 REVIEWED BY: CMH
LOT 76 (R-12, SMALL) Approved by Planning SCALE
casEFILE(s): POLYGON AT ROSHAK RIDGE
Date: I-13--W.,0 010
0
PDR2015-00002 ?nitialS: _ Sc.-__ 1 INCH=zoFEET
.a. PDR 2016-00002-00006 14355 SW 169TH AVENUE
z