Permit CITY OF TIGARD MASTER PERMIT
Ili
s a COMMUNITY DEVELOPMENT Permit#: MST2019-00247
T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2021
Parcel: 2S107AA13500
Jurisdiction: Tigard
Site address: 16759 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 135
Project: Polygon at Roshak Ridge, Lot 135
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Reauired
Stories: 2 Bedrooms: 5 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2914 sf Value: $367,342.50 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 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: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 0 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: 5 201-40D 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 2914
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
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,419.70
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: kkci
vUnDe w y` Permittee Signature: t C acip ica ;oi-k
Cal 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application L 1 `75
Residential F t- a i le$ , FOR OFFICE USE ONLY
City of Tigard RDeacteBe� 1�I 5��►G ST C2i�\4CSJ2l,1�
y Permit No.
II le 13125 SW Hall Blvd.,Tigard,OR 97223 l" :g 2 6 2019 Plan Rev ew (4, I
a Phone: 503.718.2439 Fax: 503.598.1960 DateBy: lotIl i 4iNtik
Other Perm\` �_�\�3
Inspection Line: 503.639.4175 ( Date Ready/By: lush: ® See Page 2 for
TIGARD Internet: www.tigard-orgav +: Notified/Method: 1 Supplemental Information
/e It1 Zrt . 90 - Lit1r3,1- 774✓.
TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 30i342
® 1-and 2-family dwelling IDCommercial/industrial
❑Accessory building 0 Multi-family Number of bedroomsG
❑Master builder ❑Other: Number of bathrooms: Q
JOB SITE INFORMATION AND LOCATION Total number of floors: g_ 33 !`^��V
Job site address: t(015° siAi ,,,kA.v c h j (Qom- New dwelling area: square feet hc(o
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet va lk$
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet
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.: 725 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
® 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 ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business (Please refer to fee schedule)
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
E-mail:permitsubmittalspolygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYS I EM 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 98661 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693 4442 State surcharge(12%ofpermit fee): $21.60
CCB tic.:207247Ad Total fee due upon application: $201.60
Authorized sigA . This permit application expires if a permit is not obtained
^ ' within 180 days after it has been accepted as complete.
Print name:Amanda,'.avin , Date:Q 7 d f *Fee methodology set by Tri-County Building industry
jjj 11 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11 02/COM/WEB)
Mechanical Permit Appli iqn ,. '-3 ` FOR OFFICE USE ONLY
Received
City of Tigard Re Date/By: Permit No.>�����a_
III
- • 13125 SW Hall Blvd.,Tigard,OR 97223 2 6 2019
Plan Review
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 i 1( ;ll-1 i� Date Read/B Turis:
Internet: www.ti ardor. ov L1I I Jr 1'" y y S See Page2for
g g 1 Notified/Method: Supplemental information
.yl ti. ""IIn� ���). i�- PP
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
O Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
W-1�� t1 .0 SV\VkSI � �/� t r'-_ Air 1t00,000ng ' 46.75
Job site address: �"-I Furnace 100,000 BTU(ducts/vents) i 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:Polygon at 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 i 23.32
Other: 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: I?)c--- 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 I 33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 5 23.32
Phone:(360)695-7700 Fax:(360)693-4442 Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH LLC Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name:Amanda Gavin 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:*BD 4rC iC t Other:
� � � MECHANICAL PERMIT FEES*
Address: NW A'CC.i*.1� Subtotal
'` .` 4=__p OV Minimum permit fee($90.00)
City/State/ZIP: Y'n \`7�Wy��
Phone: n 1,%0. O ( ) Plan review(25%of permit fee)
( ) a Fax: State surcharge(12%of permit fee)
CCB lic.: 00014, TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized si attire: JJ * Fee methodology set by Tri-County Building Industry Service Board
' I
Print name:Amanda Date: `'/`f
I9Building\Pam its\MEC—PermitApp-0401B.doc 44�7T(11rov OM/WEB)
Electrical Permit Applicatiri FOR OFFICE USE ONLY
City of Tigard FEB 2 u 2019 Received {�n ,/� im
illi
Date/By: Permit tI:MS� 1�—V V �
13125 SW Hall Blvd.,Tigard,OR 9722 I's Plan Review
: e Phone: 503.718.2439 Fax: 503.5e346Y1 LI I 11(``° „_" Related Permit 11:
Inspection Line: 503.639.4175 t�l t j i( 1 N(, l„IV l S. t„-)t� Date/By:
Ready Date/By: Janis: I to See Page 2 for
TI G A R D Internet www.tigard-or.gov 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):
❑Service or feeder 400 amps or more ❑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 ❑Floating buildings.
Ell-and 2-family dwelling ElCommercial/industrial ElAccessory building
less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-famil y ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND/LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: I i1 Vil \W eV J�C�'A2,(ettc— ' ❑100H Addition mf ore.motor load of system.
J J V J VtPrt 100HP or more. ❑`•A" "B" `•1.2""1-3„
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
2
Subdivision:Polygon at Roshak Ridge Lot#: I'lc-- Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion y 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 ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon 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:(360)693-4442 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 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,per panel
A.Fee for branch circuits with
Business name: Polygon WLH LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Amanda Gavin B.Fee for branch circuits without
seAddress:703 BroadwaySt.Ste 510 branchane it feederitfee,first 56.18 2
circuit
City/State/ZIP:Vancouver WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(630)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: TBD li, re4..\Ot" ENedeor I(A 1 Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: fJ q,S e.• �J'" ,.i !5C L D panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: r1t.'t�►�1V� (��� q&� Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(SW) "IS,N4.- &4 CM.. Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: P Mb(o p Electrical Lie.: Cl(00 Suprv.Lie.: met Z,ps" specifically listed('./z hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,r 'red: Subtotal:
Print name: ockg.X , Date: fall '3O ZV 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized sign ea.,.
TOTAL PERMIT FEE:
2 This permit application expires if a permit is not obtained within 180
Print name: Amanda vin Date:g p�/pi days after it has been accepted as complete.
Number of inspections allowed per permit.
I.\Buitdmg\Permits&ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46I5T(I l/05/COM/WEB
Plumbing Permit Application t , __ . . ..
Building Fixtures tl "'' t ' FOR OFFICE USE ONLY
- City of Tigard �'t.0 2019 Received
Date/By: No. ST' t`G'M �._
e 13125 SW Hall Blvd.,Tigard,OR 97223
1114 Plan Review
Phone: 503.718.2439 Fax: 503.598 1960 •_- 4)F;4\!-i`,i Date/By: Other Permit No.:
Inspection Line: 503.639.4175
TIGARD Internet: wti�rvtctigard-or. Date Ready/By: Juris: ® See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New t-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
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: I(l 5 Ok S A ) Q 111/1t" In l/1,t (t J ('`('J(� Catch basin or area drain 18.76
v` J l/� v tJ v`/V V�X �W vJ Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Polygon at 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:Polygon at Roshak Ridge Lot no.: 135 Fixture or item:
Tax map/parcel no.: Backflow preventer ' 3 L27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon 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:(360)693-4442 Ice maker 12.51
El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Amanda Gavin
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@polygonhomcs.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:MID G-it P\vm{a g Sans �r+C in WV
Q � n S Water P�tP g� 56.29
Address: Po vb% CI 1 CI Other: 25.02
City/State/ZIP: SSt. Si) QT al rbl Subtotal
Phone:(gpty) iyo V- 14 11 Fax:( ) Minimum permit fee: $72.50
I Plan review (25%of permit fee)
CCB Lic.: V$y51 Z Plumbing Lic.no.:VD "9,
`� State surcharge(12%of permit fee)
Authorized signa • TOTAL PERMIT FEE
Print name:Aman vin Date: �.J�-// This permit application expires if a permit is not obtained within 180 days
/9'�/ l� after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l:lauilding\Permits\PLMU-PennitApp.do< 10/01/09 440.4616T(10/02/COM/WEB)
a.
City of Tigard
I COMMUNITY DEVELOPMENT DEPARTMENT
111
T I c Az Building Permit Review - Residential
Building Permit #: M�x--p\(A_ 0::)' -
Site Address: ‘161 9 SW Sunsh►n-G Coos+ Est:
Project Name: POL on C.. ReShq,k. 'R' Lot #: 135
(New d e l ig=su vision name;Addition or Altera on=last name of owner)
Planning Review
Proposal: 1.Jev4 sf-12.-
A.Verify address/suite #active in Accela. ' I.. In River Terrace: ❑ No ji< Yes, River Terrace Review Addendum
Site Plan Elements: ).Erosion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper (t.etained trees with drip line and tree protection measures
brawn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and FFE
6$North arrow Utility locations&easements(required for new and additions)
„RSite address,project or subdivision name and lot number 1I Sidewalk/driveway approach
pplicant information(name and phone number) (1®Location of wells/septic systems
' lot dimensions and building setback dimensions Street tree size,type and location
rgra.Square footage of buildings to be demolished treet names
V' Existing structures on site 'Corner elevations (2'contours if more than 4'differential)
lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Mei CKNo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ICUs
VI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 'g No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified l No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: S)Ia2-Oi5'—OOC)C D Zoning: R-12-
Required Setbacks: Front: ei Rear: IQ Side: $t Street Side: e Garage: 20
`fg"Building Height: Max. Height: N/A Actual Height: 'Zq
Landscape Area: 2.P % V Lot Coverage Max: e
Entrance • Set back n. more than 8'from street-facing wall El Parallel to street or offset 45 degrees or less
Windows • ',', urn 0'%of are of all stree• facing facades
Garage • e, age do. is behin widest str--' facing wall ❑ Yes ❑ No,one of the following is met
• Door extends o more th. .rom wall and there is a covered porch extending beyond garage.
❑ boo.extends o more th. ' . . wall and there is a 12 sq ft.window above garage on 22d floor.
❑ Garage .o.r width- ❑ 1 ' . ess El 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Co G ed por ❑ Re.-ssed en ance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ La Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent si ' ❑ Window trim ❑ Window recess Cl Window projection ❑ Balcony
410 Visual Clearance X� Urban Forestry Plan
.r .Sensitive Lands: �1 Yes CIl No Type: 1 vakue Ir1 Joi-iOl+"
Nt"Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:'Building\Forms\BldgPetmitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: . ..‘.. .j I
Site Plans: #
Building Plans: # .,/
Building Permit#: R Enter building permit#above.
Workflow Routing: [.Planning C Engineering ["Permit Coordinator I /Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Er/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: \111 k 1,p1
Engineering Review
elope at building pad: Z s
Conditions "Met"prior to issuance of building permit
yasements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: D Yes l" No
Assess Water Quantity Fee in-lieu: ❑ Yes Z' No
LIDA Facility on lot: D Yes /7] No
V) Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Y Approved by Engineering: /_64.__ Date: (e//67/7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 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:
Revision Notice 3: Date Sent to Applicant:
l
{YJ SDC Fees Entered: Wash Co Trans Dev Tax: 4 Yes ❑ N/A
Tigard Trans SDC: [� s ❑ N/
Parks SDC: Yes ❑ A
LIDA ❑ Yes N/A
OK to Issue Permit 44-0 7
Approved by Permit Coordinator: D ate.
L\Building\Forms'\BldgPermitRvw_RES_0228I9.docx
• ^ a
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
.
T 1 c A►:D River Terrace Building Permit Review Addendum
Building Permit #: KS -CQ2t-L{T.
Site Address: lt0'15G1 SDI SA1nShtvie- C,tx+S-V- Sc.
Project Name: t,t4t1 a . RoslieedL P-Idtcy Lot #: \'�S
(New dweeding=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ISLYes 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 ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ 0 ❑
F
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: i LTp l s:
3. Entrances:At least one entrance must meet both of the following standards:
'Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yes, all the following apply: 25 sq.ft. min.
gOne street facing entry 12 ft.max. roof above floor of porch
�5 ft. depth min. St30%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
%Wall offset min. 16 inches F gDormer min.4 ft.wide g
Vi Roof eave min. 12 inch projection ?Is ❑ Roof offset min. of 2 ft.
0 Roof shingles either tile or wood Gable,hip or gambrel roof design F S
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
Accent siding min. 40%of street facade g .Window trim min. 2 1/2"wide by 5/8" deep 1 S
O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft deep with inside access 0 Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall.Z Yes 0 No. If No (Check one):
❑ May 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
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
O 12-foot-wide garage door , °40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: —___— Date:
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