Permit It RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action 71 JAN 2 9 2020
GrfY OF TIGARD
T 1( A R 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-ong9IDI NG UNISION
TO: CITY OF TIGARD
Building Division € R
13125 SW Hall Blvd.,Tigard,OR 97223 /zo A '7
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigar -or.gov
FROM: ❑ Owner I fr1 Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Totlatit) 14 s W IA—I t LL C
Mailing Address: 1,02 S . 1 S Si 0
City/State/Zip: VIZA.'.6V`.VLft. , 1io f ckt 660
Phone No.: 8,0 0- ucA 5 - 1-100
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
,Y CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: m51" 2011— coins, • ��_�`` t-, '- . 3
Site Address or Parcel#: 1�y 2�§` �$ OL 3 CIA 5'C 12A-e-CZ
Project Name: r-P (tM - \1•43
0. ki•O C�CQ- p,,�� 5
Subdivision Name: Lot#: �0-1- 11\
EXPLANATION: (--4Q5 k..,rNNA L kiN k t 1.4 1 IN-WO 40 t 4 SQ CI--
.,
Signature: Date: 1 12c.t 2a
Print Name: 011 o rr't S
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
P 1/ r-s Nr07 /SSfi sA
,e e't zs n /SSGC- — /3 L.rpx0 de-rd Ce/.-1 �t-E 7 EZ•
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date // y B
Refund Processed: Date/0 4. By 4/ Invoice Processed: Date 2/r/7,0 By VW
Permit Canceled: Date2 hi 'Zf) By 'arcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_ 2051'8.doc
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V
li.
- Building Permit Application IL c� \ 3 ` 1
residential1..{�` �� � FOR OFFICE USE ONLY
& 4," f 11,„I Eew
ill . 13125 SW Hall Blvd. Tigard,OR 97223 FEB 072 019 ���-�� C
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Perini AN1\ _ , LA
TIGARD Inspection Line: 0 03.639.4175 � �I-. I �, Date ReadyBy:` Iuris H See Page 2 for
Internet: www.tigard-or.gov V r Notified/Method: �/f S Supplemental Information
BUILDING ')!VISION
TYPE OF WORK REQUIRED DATA:1-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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 0.s"(7 Yz.
El 1-and 2-family dwelling 0 Commercial industrial Valuation: $ it
ElAccessory building El Multi-familyNumber of bedrooms: 2
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 9) 1C 27
Job site address: I -(] l7, 5 k) (.1 0 �0L(,uu( � v`(,Du New dwelling area: 1 square feet (i63
City/State/ZIP:Tigarlld,OR 97224 Garage/carport area: square feet ("Lite
Suite/bldg./apt.no.: 5 Project name:Polygon at Roshak Ridge Covered porch area: square feet l K
Cross street/directions to job site: Deck area: square feet
COAAC
Other struc re area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: I 01 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
$; ' Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SFA Valuation: $
to,:
if. Existing building area: square feet
New building area: square feet
gip,''' ® PROPERTY OWNER ❑ TENANT Number of stories:
' Name:Polygon WLH LLC
� yg Type of construction:
11 Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
fi
•�tl. Phone:(360)695-7700 Fax:(360)693-4442
# New:
;, ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC
(Please refer to 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(a�polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: $201.60
Authorized sign re. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Aman Gavin Date: di *Fee methodology set by Tri-County Building Industry
I�� Service Board.
l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 13 T(1 1/0 2/COM/WEB)
Mechanical Permit Applica r� FOR OFFICE USE ONLY
City of Tigard rea,v � D Received
Date/By:
Permit No.t(\< �A_jac,�
't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review . VV -
t. Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 9 20I9
^� DateBy: Other Permit:
YI{ertisl? Inspection Line: 503.639.4175 DateReady/By: Juds:
Internet: www.tigard-or.gov �` OF y +y See Page Supplemental2 for
����V� fICAI�� Notified/Method: Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/'SYSTEMS FEES*
21 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
1 j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 142,,?, //++� LD nn ,,,�,^� Air conditioning ( 46.75
l�U �_�l)ttST �elz-R 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.:S 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
Other. 23.32
Subdivision:Roshak Ridge Lot no.:in_
Other fuel appliances:
Tax map/parcel no.: Water heater _ 23.32
, DESCRIPTION OF.WORK Gas fireplace/insert 33.39
N a_Opt
Q Flue vent for water heater or gas
m� L.t MST'1 l -1(2) 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 t 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust t 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ 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 Si,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
e'.. 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
DA,. b days after it has been accepted as complete.
Authorized signature: Wf� 'a'�' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
RE-C
Electrical Permit Application ER
° roll OFFICE USE ONLY
• '
City of Tigard Received JUL 2 2 2019 Date/B : Permit#:t.S . ikci_%oh t
'I 13125 SW Hall Blvd.,Tigard,OR 97223
•_ Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1ng�p Date/B
TIGARD Inspection 503.639.4175 ti rl r 1 tbri`` .' Ready Date/By: H See Page 2 for
P BUILDING D { 7uris:
Internet: www.tigard-or.gov 4 IR! " '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:CONSTRUCTION1 exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder
❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE:•INFORMATION-AND'LOCATION 0 Emergency system. larger separately derived
2 s `` �O� �✓2P ❑Addition of new motor load of system.
Job#: Job site address: (t{ 'LZ W Qn�C 1(�{1�L IOOHP or more. ❑"A","E","1-2 "1-3",
W 0 Six or more residential units. occupancy.
City/State/LIP:Tigard,OR 97224 ❑Recreational vehicle 0 Health-care facilities. parks.
Suite/bldg./apt.#: - I Project name:Polygon At Roshak Ridge ❑Harardous locations. ❑Supply voltage for more than
ElService or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: FEE SCHEDULE
Description I Qtr. 1 Each I Total j +
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge I Lot#: ( Di Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add')500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
On O dn� (with above sq.ft.)
75.00 2
�� mST Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER-`. I 0 TENANT. Services or feeders installation,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 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 I 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 El CONTACT.PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Nichole Thorpe B.Fee for branch circuits without
Address:703 Broadway St Suite 510 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: : (360)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:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal circuit(s)or limited-energy ID See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr
•
Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871/S specifically listed('Vs hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee):
f State surcharge(12%of permit fee):
Authorized signature: ,(<c f. TOTAL PERMIT FEE:
/// I This permit application expires if a permit is not obtained within 180
Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete.
Plumbing Permit Applic
BuildingFixtures FOR ry (� OFFICE USE ONLY
CI Of Tigard JUL 1 2O1J Received -�"i C
IlhCity
g Date/By: T 1� i.1 k� Ji Permit No.:
'i 13125 S W Hall Blvd.,Tigard,OR 97223. _ IT ��� `G���'lo
_ � � �PJ + ry Plan Review
Phone: 503.718.2439 Fax: 5 'AR D Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.411 OI! f l±+ql(. fl \!l InNI Date Ready/By: Loris: 0 See Paget for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ID Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ElAccessory building El Multi-familySFR(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: 'L,� (2 C..1 OC�JSS- '�'C_Q_(Z Catch basin or area drain 18.76
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.: 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:Roshak Ridge Lot no.: 101 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
C� J1S V�1 OV\ ? 2_ �"00la Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
./ PROPERTY OWNER ❑ 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:( ) Ice maker 12.51
►i APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
W Business name:Polygon LH,LLC g
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@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Alliance Plumbing Water piping/DWV 56.29
Address: 146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Robert Dishman Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
DBuildine\Perm its\PLMU-PernutAoo.doe 10/01/09 440-46I6T(I0/02/COM/WFR1
City of Tigard
IIIIN COMMUNITY DEVELOPMENT DEPARTMENT
p
TIGAx Building Permit Review — Residential
0 . . „t•'ift - AtA .A0,30%A 41,41.*..;-a.,4kei u-Az,At.,,.,.Aelm.,. .,<,.�t se_:w_:.,,,n,.s.,Y.,t y.,,x¢Ta`mt.,,
Building Permit #: MS-C 26\01- C&
Site Address: /L/ 2 7 `L) qoke. d---7---einzeo
Project Name: j7� , r l K►dq Lot #: /07—
ew d,�/ =subdivision name;Addition or Alteration= ,t�name of owner)
Planning Review •
Pro�sal: 10 -gPA—
IQ Verify address/suite# active in Accela. In River Terra e: ❑ No 117 Yes,River Terrace Review Addendum
Sit .Plan Elements: IIQEr•sion Control
Ad3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper �4 ained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) of new structure(including decks)and FFE
I orth arrow :i/otprint
1 ity locations&easements(required for new and additions)
12'Si address,project or subdivision name and lot number Sid•walk/driveway approach
VA.plicant information(name and phone number) ill 0,, ,tion of wells/septic systems
g it dimensions and building setback dimensions 01 �,.eet tree size,type and location
111 .4 uare footage of buildings to be demolished r► .eet names
111 sting structures on site J Corner elevations(2'contours if more than 4'diffee tial)
✓ et area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? AdYes 0impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes IIQNo
lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Jequired: ❑ Yes,applicant was notified 1L1 No Received: ❑ Yes ❑ No
a Public Faciliti i mprovement(PFI)Permit:
equired: ' Yes,applicant was notified ❑ No Applie For: Yes ❑ No, topintake
,,_,�
,��and Use Case#: . .?1, iC C Pr/Zoning:Zoning: — Pb
e uired Setbacks: Front: Rear: Side: Street c
q � _ Q Side: Garage: , o
IlGuilding Height: Max. Height: !v Actual He' ht: �'d S
01 Landscape Area: 4 0 % Lot Coverage Max:
Entrance et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minim ° of area of all street-facing facades
Garage ❑ Garage door is behin • t street-facing wall 3'I❑ Yes ❑ No t e following is met:
❑ Door extends no more than wall and there is a covere extending beyond garage.
❑ Door extends no more than 5'from wall an sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less /o or less of ac 60%or less and includes 7 of following:
❑ Covered porch essed entrance ❑ Wall offset ❑ 1' ve ❑ Roof offset
❑ Fire • s ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro ❑ Dormer
Accent siding Window trim ❑ Window recess ❑ Window projection
1Vi isual Clearance Urban Forestry 4 an
nl' ensitive, Lands: ❑ Yes 7. No Type:
!A Conditions met prior to issuance of building permit
N es: �
Approved By Planning: ____ �� Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: h.t let
Site Plans: # 3
Building Plans: # 3
Building Permit#: 2Enter building permit#above. —/
Workflow Routing: 2/Planning R R Engineering "Permit Coordinator L/ Building
Workflow Sign-off: 2/)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.
GI/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
Engineering Review 4 /
Slope at building pad: 0
.B Conditions "Met"prior to issuance of building permit
{D Easements (encroachments)per engineering conditions of approval and plat
lWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes -0'No
Assess Water Quantity Fee in-lieu: ❑ Yes a'No
LIDA Facility on lot: El Yes a No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,❑'Approved by Engineering: Date: 5— �9
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:
19/SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: Z. Yes ❑ N/A
Parks SDC: •B Yes ❑ /A
LIDA ❑ Yes I N/A
❑ OK to Issue Permit /X
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of f Tigard
111
4 COMMUNITY DEVELOPMENT DEPARTMENT
t
= ,hRD River Terrace Building Permit Review Addendum
Building Permit #: sS-r uQ_ `C(6.
Site Address: / 2 7 .)&)(��'�;� /d n? �- /jv
Project Name: Pe* 1- fi Lot #: /0(Newsubdivision name;Addition or Alteration ast name of owner)
Planning Review of River Terrace Plan Distr, t Design Standards (18.640.070.I.):
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 f. deep ft.idze(f min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
E ID
CI
2. Eyes o theYlsstreet: a minimum off112%o .each street facing facade must include windows or entrance doors.
Percentage Shown: _ > % le _ > 42 Ala
3. E trances:At least one entrance must meet both of the follo ' g standards:
1% Max. 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 ❑ No
If ,all the following apply: Ei5 sq.ft. min.
V55
ne street facing entry ft.max. roof above floor of porch
ft. depth min. 30%min.porch roof coverage
4. P etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
i i Covered porch min. 5 ft.wide x 5 ft. deep' ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ all offset min. 16 inches El pormer min. 4 ft.wide
Roof eave min. 12 inch projectiot -il---- of offset min. of 2 ft." �+
❑ Roof shingles either tile or wood able,hip or gambrel roof design.r.4-iF---
❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide'F,-1`
(Accent siding min. 40%of street facade IILf Window trim min. 2 '/2"wide by 5/8" deep F -
❑ fundow recess min. 3 inches for all street facing CIBay window min. 5 ft.wide by 2 ft. deep
Igifi Balcony min. 5 ft.wide x 3 ft. deep with inside access CIAttached 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:
Ncloser to front or side lot line,than longest street-facing wall. CI Yes No. If No (Check one):
Ef 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.
WW h: (Check one)
re 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:
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx