Permit 11
CITY OF TIGARD MASTER PERMIT
R _ '> COMMUNITY DEVELOPMENT Permit#: MST2019-00152
FtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2020
Parcel: 2S107AA13000
Jurisdiction: Tigard
Site address: 16853 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 130
Project: Polygon at Roshak Ridge, Lot 130
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2078 sf Value: $270,151.90 Rear: 10
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
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: 2 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'I 500 at 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL•RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2078
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 Geo Tech Required Prior To
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Pour
2 1 Hour Fire Rated Eaves
3 Ersn Cntrl 503-639-4175
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $34,260.27
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR952-0010090. You may
y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-0
Issued By: Q1Nt lUL. t��Y/�` Permittee Signature: on a tCro34 l lbr
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Application v ..---• c)
�7—• l
......... . ..... ..... ..
Residential RECEIVED FOR OFFICE USE ONLY
- City of Tigard FEB 0 6 2019 Rem,ea t} al i ' �T MSTa.(;\G-W5a,
DateBye: Permit No.
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review q gyp, _
Phone: 503.718.2439 Fax: 503.598. OF TIGARD _Dane Rey y 2 I 1 / ► otherPerm'Cy3Z �-Q
Inspection Line: 503.639.4175 Date Ready/By: // Juris: 61 See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION xotised/MetLod:$r/y /� — Supplemental Information
TYPE OF WORK REQUIRED DATA:I. AND 2-FAMILY DWELLING
®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 4 I ��
El Accessory building ❑Multi-family Number of bedrooms: 3 vJ
0Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: � ZU, l S
Job site address: t6 S5 S y S in I In Q C S� s - New dwelling area: jo"16 square feet LI' C)
City/State/ZIP: e)011,,71 ahNlO1'v)_ —j,_ l Garage/carportarea: � '6 square feet ¶(9
Suite/bldg./apt no.: r f/Project name:Polygon at Roshak Ridge Covered porch area: t�/ square feet
Cross street/directions to job site: Deck area: _ o square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.:(jJ 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.
N em) c
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer:o fee schedule)
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
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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 98660Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)65-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.6r
CCB lic.:207247
— Total fee due upon application: $201
Authorized signature: This permit application expires if a permit is not obte
within 180 days after it has been accepted as comp"
Print name:Amanda Ga in Date: .95 CI *Fee methodology set by Tri-County Building Industr
1 Service Board.
kihn I:tBuilding\Pemrits1BUP-RESPermitApp-doc 02/24/2011 440-4613T(11/02/COM/WEB)
, _ Mechanical Permit Application , FOR OFFICE USE ONLY
City of Tigard tGEIVED ReDaceived
• 13125 SW Hall Blvd.,Tigard,OR 97223 y Permit No 57���/ ��/
g Phone: 503.718.2439 Fax: 503.598.1960 APR 2 Plan Review 2019 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 1e Date Ready/By: Jutis: 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF '�'lGARD Notified/Method: Supplemental Information
E-31 llI i-. s. is r'IG, .(7 , ir-
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical pen nit fees*are based on the value of the work
®New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
IN.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatingicooling:
�/� Air conditioning 46.75
Ito site address: � 7J sW NSI /ice E VV 14�ST ST 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
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.: 1 50
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/inser 23.32
Chimney/liner/flue/vent 23.32
Oth
® PROPERTY OWNERS 23.32
❑ TENANT 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
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 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/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address: 18004 NE 72'4 Ave Subtotal
City/State/ZIP:Vancouver,WA 98686
Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
j
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
I:\BuildwgPPermits\MEC_PermitApp_040 I l3.doc 440-4617f(I I/02/COM/WEB)
Electrical Permit ApplicatiolI EC E I V E D FOR OFFICE USE ONLY
Received "—CO
CityofTigard pA ❑ y Date/B : Permit#:�/45 7+
111111 w 13125 SW Hall Blvd.,Tigard,OR 97223MAR 1 7 2020 Plait Review , �'
a Phone: 503.718.2439 Fax: 503.598.1« Dal. t : Related Permit#:
Inspection Line: 503.639.4175 ,��r� i I�4Fi'O Ready Date/By: /uric: ® See Page 2 for
T I G A R D �i nt n nn� . c,
Internet: www.tigard-oegov +�+i...I_ ti.:, : �,.,r.,, flN Notified/Method: Supplemental information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 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 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 l-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SiTE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 16853 Sunshine Coast St. l00HP or more. ❑"A "E","l-z',"l-3',
City/State/ZIP: ElSix or more residential units. occupancy.
O Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than
O Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qiv. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Roshak Ridge Lot#:130 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea add'I 500 sq.ft.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.)
Renewable Energy 0 See Page 2
] PROPERTY OWNER El TENANT
. Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2
Address: 703 Broadway St., Ste 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylorrnorrison.com relocation
Owner installation:This installation is being made on property that I own which is not _200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WLH, LLC above service or feeder fee, 742 2
each Contact name: Tonja Morris Feeor branch circuits
B.Fee for branch circuits without
seAddress: 703 BroadwaySt., Ste 510 branche circuito feederfee,first
branch 56.18 2
City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2
Email: permitsubmittals@taylormorrison.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 1915 E 5th St., Ste D panel,alteration,or extension.
City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:paul@portlandelectric.biz
Inspections for which no fee is 90.00/hr
CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 specifically listed(1 hr min)
;., ;,. ELECTRICAL PERMIT FEES" "'
Suprv.Electrician signature,required: x Ate. Subtotal.
Print name: Alex Shalya Da e: 3/17/20 ❑Plan Review Required(25%of permit fee):
,,/0� r1 Q ,, �� L State surcharge(12%of permit fee):
Authorized signature: �J iGJ� Ir I 1.Ailt IL(MR. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Sergey Mishchuk Date:3/17/20 days after it has been accepted as complete.
* Number of inspections allowed per permit_
I:\Building'PennitsiELC_PenmtApp ELR_ERE.doc Rev 06/17/2015 440-4615T(1 l/05/COM/WEB
Plumbing Permit Application
Building Fixtures RCE 1 ---,
E1 ',,,: ,,4 Illmimmirmimm
City of Tigard
13125 SW Ilan Blvd.,
11 ORprd,SS 97114R 1 7 2020
Phone: 503.718.2439 Fax: 503.5?IiIKI0f-•;r: 7 e':', Other Noun No:
,`,i' :)
Inspection Line 503.639.4175 ‘-` ' ' '•-' . ',,, • Received
Date/By.
Plea Review
Dataftbo.
',toilet: wwweigazd.Dr.vav BUILDING DIV,..3:c,,1 It,Itngetdreta Permit No../73-r,20,,?...ucosa_.
kthiz RI See Page 1 for
Supplemental Informatioa
TYPE OF WORK FEE* SCHEDULE
181 New construction El Demolition For spedal reformation-Me checklist
Description I Qty. I Ea. I Total
0 Additionialteration/replacement 0 Other New 1-2-fiterlly dwelling'(includes 100 ft.for each utility_connectionl
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
IX I.and 2-family dwelling D CommercialAndustrial SFR(2)bath 43?.78
SFR(3)bath 500.32
0 Accessory building Multi-family
Each additional batWkiteben 25.02
0 Master builder El Other.
Foe sprinkler( sq.I) Page 2
JOB SITE INFORMATION AND LOCATION Site etWtles:
Catch basin or area drain
Job site address: 16853 Sunshine Coast St. 18.76
Drywall,leach line,or trench drain 18,76
City/StaterLIP:Tigard,OR 97224
--I Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name Roshak Ridge
_ Manufactured bane utilities 50.03
Cross stosettdinsctions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:___.) Page 2
Storm sewer(no.linear ft.: 1 Page 2
Water service(no.linear ft:_.) Page 2
Subdivision: Roshak Ridge Lot no.: 1 30 Maize or Item:
Backflow privates 31.27 Tax nap/parcel no.: ...
Backwater valve 12.51
DESCRTIPTION OF WORK
anther*taw 25.02
Dishwasher 25.02
Drinking fountain 25.02
Electors/sump 25.02
Ed PROPERTY OWNER 0 TENANT &punka tank 12.51
Fixtureisewer cap 25.02
Nam=Polygon WM,LIC
Floor drain(florirsisdorbub 25.02
Address:703 Broadway St.,Ste SIO
Carbone disposal 25.02
City/State/22P:Vancouver,WA 90660 Hose bib 25.02
Phone:(360)695-7700 Fax ( ) Ice maker 12.51
3 APPLICANT 0 CONTACT PERSON Intraceptorigrease trap 25.02
Medical gas(value:$ ) Page 2
/Justness name:.Polygon WLFL LLC
Primer 12.31
Contact name:Tonle Morrie '
Roof drain(committal) 12 51
Address:703 Broadway St.,Ste MO Sinklbasialavatory 25.02
City/State/ZIP:Vancouver,VliA 98660 Solar unite(potable water) 62.54
Phone:(360)651-7700 , Fax::(360)693-4441 Toblabovonlabower pan 12.51
Urinal 2542
Smut peradnabooktalribelynonbanies.coas
Water closet 25.02
i CONTRACTOR
1 Water heater 37.52
ir '
&lams name Z0e° '
14/ 4 Water Opine:MN 56.29
al-';"'.. ' f
Addreac /i) ,434,1r , ,-5,,, , Other 25.02
City/State/UP: i'ot hey '7 •it ?Al I
Phone:# '-/-) 2•5i474ra q Fax Minimum permit fee: 572.50
Phut review (25%of permit fee)
cal Lic., /i0)q. c.no. jumbiAg .
Sone surcharge(12%of perm fee)
Authorized signet= , .....z.' .........? roTAL PERMIT FEE
Ptian Won:Ste1.81111111Retwe 1 ft /14, . Dale: 3/17/2 0 I This wait'potion**sapless ifs permit is sot obtained TAME ISO dsys
OW II be bum manned 111I complete.
"Fee methodolor set by TO-County Building leeway Service Boot
LAB•8641PtroARLIPALLPermitAFpdot WINS 440-46161-(10107JCO5&,WElli)
Nit .
City of Tigard
1" COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: mcT 2-01q- oc i
Site Address: 16gs3 Sw .gJwit,kt C40,4\- 0,
Project Name: Polyjan a� I;alLJ f.i74 e Lot #: 130
(New d elling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
P�rryosal: F
Pi Verify address/suite#active in Accela. 111 In River Terrace: IDL�7 No Yes,River Terrace Review Addendum
Siteylan Elements: El ra osion Control
PI .pies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
fi I awn to scale(standard architect or engineer scale) Ei l ootprint of new structure(including decks) and FFE
D .rth arrow IW_�Itility locations&easements(required for new and additions)
L"1
ddress,project or subdivision name and lot number Sidewalk/driveway approach
licant information(name and phone number) JR,', .cation of wells/septic systems
Lid'Lot dimensions and building setback dimensions U■. et tree size,type and location
j •.. e footage of buildings to be demolished to y.eet names
t .sting structures on site VCorner elevations (2'contours if more than 4'differential)
l5 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? s ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ❑No
EllClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Lr 0,,,�, ,,,,�1-I,
R quired: ❑ Yes,applicant was notified 0 No Received: ❑ Yes ❑ No f l
tl
Public Facilities Improvement(PFI) Permit:
quired: Yes,applicanty� was notified ❑ No Applieded For: pP..Yes ❑ No,stop intake
Rl and Use Case#: YVK0ls-"(ODU L Lid' Zoning: I�-IL "
equired Setbacks: Front: 12-7 Rear: 10 Side: 3 Street Side: k4- Garage: ld
l -ding Height: Max. Height: — Actual Height: 2$,25
Landscape Area: Ze % LET S L,ot Coverage Max: R`O
,,• ntrance 0 Set back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degrees or less
J ijv, Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
11
It\ ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
Zllrn►ci, ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade 0 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess 0 Window projection ❑ Balcony
i isual Clearance jUrban Forestry Plan 1
LAY Sensitive Lands: L�1 Yes 0 No Type: Mist Crn i'0r)Li0'w� S Kaki c(d.��1-I)D
eConditions het prior to issuance of b dingy, ermit 1
les: ,,etidlYtl^t t4 (A- rub gror ,' �.1 ,ftif^ht NuLela-
pproved By Planning: Ii tt + Date: LI-Z 2 '1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: a,lk t lG
Site Plans: #
Building Plans: #
Building Permit#: i Entter building permit# above.
Workflow Routing: RE Planning [(Engineering Er-Permit CoordinatorEr-Building
Workflow Sign-off: 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.
/Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: L.\ \q
Engineering Review �f
.S'Slope at building pad: ,� GCS
'Conditions "Met"prior to issuance of building permit
p- Easements (encroachments)per engineering conditions of approval and plat
J2--Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: D Yes ar No
.Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,Approved by Engineering: Date: VI
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ 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:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: a Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes Ni N/A
ZOK to Issue Permit
Approved by Permit Coordinator: v" -dL Date: 9/a31 l
1:\Building\Forms\BldgPemutRvw_RES_022819.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
IIIIIMI
1 IGARD River Terrace Building Permit Review Addendum
Building Permit #: 1`(\c,T 3-01C\- C>C`l a.
Site Address: 16g53 S\^/ C,Asktiv Carol A.
Project Name: NIT, a! �,Kk,� ►2�y2- Lot #: 130
(New'welling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distrr"ct Design Standards (18.640.070.I):
Is the project subject to the plan district design standards? YYes ❑ 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.
Porch miit. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a
p
ft. deep min. 2ft.,5 ft.wide min.2 ft.,Eft.wide
Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 'SS/
7trances:At least one entrance must meet both of the follog standards:
ax. 8 ft. setback from longest street- facing wall V Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: 0 Yes ❑ No
If yps,all the following apply: R6S sq.ft. min.
One street facing entry 1, ft.max.roof above floor of porch
[15 ft. depth min. 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of she following elements on all street-facing facades:
®/ overed porch min. 5 ft.wide x 5 ft. deep [ Recessed entry area nun. 5 ft.wide x 2 ft. deep
Pg all offset min. 16 inches 0 Dormer min. 4 ft.wide
['Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood Ltd'Gable,hip or gambrel roof design
❑ Rpof pitch oriented south min. 500 sq. ft. ❑ I Iorizontal lap siding min. 3-7 inches wide
IVIAccent siding min. 40%of street facade lUYWindow trim min. 2'/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. ❑ Yes LJ No. If No (Check one):
❑pry extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
Iy
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑1.2-foot-wide garage door El 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 1404. C-1" Date: I-tt-11
I:\Building\Fo"ns\BldgPermiIRvw_RES_RT_1214 17.doco