Permit RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
JAN 2 9 2020
Request for Permit Action ;rrY OF U
1 , GARD
;,` !t 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-° 4JENCa DIVISIONTO: CITY OF TIGARD
Building Division <r3
13125 SW Hall Blvd.,Tigard,OR 97223 - , ,
�/zn ,fit
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigar -or.gov
FROM: ❑ Owner T Applicant ❑ Contractor ❑ City Staff
Check(1)one
REFUND OR Name:
INVOICE TO: (Business or Individual) ?Obtjaaik)
g t , 1/ `' ' L r`
Mailing Address: 103 ` , Sck- .- SI
City/State/Zip: JQ.in.CiAkA R. !N (� ° ( 60
Phone No.: ' o O— (oak�j - 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
71 CANCEL/VOID PERMIT APPLICATION.
l 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#: m 31 20 14- WI , 1 q 9 $04., Z ,zizr3
Site Address or Parcel 25ti 404Akt0
Project Name: IrAM g visS C,
Subdivision Name: - p� OQ.. Lot#: I01- 11( P61.06 5
EXPLANATION: Q U0b M 1,% W 11-eV) At =1 V4 ¶ SO CI--
)
Signature: Date: 1 1 20
Print Name: p orris
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
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FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date / 2i B
Refund Processed: Dat /P/1if/9� By -r Invoice Processed: Date 3/i/'Z1j By�4' /
Permit Canceled: Date2�t /2o By •._eel Tag Added: Date By
I:\Building\Forms\RegPermitAction_205 doc
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Building Permit Application `
Residential R . ,f7"4‘,7F
, FOR OFFICE USE ONLY
City of Tigard Received /� -�^�,� ��\1(�Q
D g 'a�r,K S PermitNo.�S\OV`Ot_CL Ck 1
114 all 13125 SW Hall Blvd.,Tigard,OR 97223 F-9 0 7 2019 Plan Date/By: Q l / +�+
Plan Review 573 /t "l '�11��\5�,CI"V�I-1�
Phone: 503.718.2439 Fax: 503.598.1960 Other Perm
Inspection Line: 503.639.4175 1 , t - -i' Date Ready/By: Juris: 13 See Page 2 for
TIGARD �i 2 „sf i °1 k, a
Internet: www.tigard-orgov � ��s t t { g� � Notified/Method: f/e9ifF 5 77 Supplemental Information
TYPE OF WORK 9 REQUIRED DATA:I-ANI)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: $ '�1(l��"3
❑Accessory building ❑Multi-family Number of bedrooms: Z
❑Master builder El Number of bathrooms: I&77
JOB SITE INFORMATION AND LOCATION Total number of floors:'; tleit
Job site address: I q ( S1 A )E i Q(C& r 11ot e �'I (Q , New dwelling area: t`1� square feet
City/State/ZIP:Tigard,OR 97224 `� V vV' M Garage/carport area: Lfc( n square feet 5(0Z,
Suite/bldg./apt.no.: 1.. Project name:Polygon at Roshak Ridge Covered porch area square feet 947
Cross street/directions to job site: Deck area: Vg square feet
Other re re r�l of ( ' square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: O B 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 SF( Valuation: $
Existing building area: square feet
New building area: square feet
r
® PROPERTY OWNER 0 TENANT Number of stories:
fill Name:Polygon WLH LLC Type of construction:
Tarr Address:703 Broadway Street Ste 510 Occupancy groups:
4 City/State/ZIP:Vancouver,WA 98660 Existing:
I # Phone:(360)695-7700 Fax (360)693-�442 New:
S ® APPLICANT 0 CONTACT PERSON BUILDING PERNITf FEES*
;,0 Business name:Polygon WLH LLC (Pleaserejerm fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
s FLS plan review fee(if applicable):
9d `' Address:703 Broadway St.Ste 510
ait . Total fees due upon application:
sr s. 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 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: $201.60
Authorized si ture: -- — This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda yin Date: — (S/ (l//i *Fee methodology set by Tri-County Building Industry
C Service Board.
I:\Building\Permits\B P-RESPermitApp.doc 02/24/2011 440-4613T(ll/02/COM/WEB)
4
Mechanical Permit Applica> c7 I V FOR OFFICE USE ONLY
City2 ofW Tigard ReceivedtBy ( 4 UpitC\
'i 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 19 2019 DaPlan : Permit No
1111
Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date5ly. Other Permit:
yIti,tl ? Inspection Line: 503.639.4175 CITY OF TIGAR Date Ready/By: saris: RI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
1 �.JliV6� DIVISION
TYPE OF WORK COMMERCIAL FEE* SC.HEDULE;`— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIP *'
EQUIPMENT/SYSTEMS/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 Heat ing/coolin„:
1425� Air conditioning 1 46.75
Job site address: Go (A `" -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.: II O$ Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
DESCRIPTION OF WORK . Gas fireplace/insert 33.39
n`S,.0"WI",6o C 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
ElPROPERTY OWNER 0 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 l 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 7.. 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONACT PERSON
_ T 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: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 lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
A days after it has been accepted as complete.
Authorized signature: A a � �' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
.
Electrical Permit Applicati s s'' ECE IVE :n FOR OFFICE USE ONLY
City of Tigard J U L 2 2019 Received n (�'�
" 13125 SW Hall Blvd.,Tigard,OR 97223 2 Date/By: Permit#:MS� 1�`'1^ �-1`'1
111 Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.59 'Obi -:i DateBy:
Inspection Line: 503.639.4175 ! r�+ �I I 1 e-, Ready Date/By: Torts: 0 See Page 2 for
T1GAR.Do Internet: www.tigard-or.gov ��If� �`"�� Notified/Method: I Supplemental Information
TYPE OF WORK1-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.
0 Demolition El Other:
CATEGORY OF-CONSTRUCTION ewxceedsh10,000 amps atere te available t150 volts or El Floating buildings.current 0 Marinas and
boatyards.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
0 Multi-family ❑Master builder amps for all other installations. buildings.
❑ Od'er: ❑Fire pump. 0 Installation of 150 KVA or
- - JOB SITE:INFORMATION'AND'LOCATION. 0 Emergency system, larger separately derived
Job#: t({7,5(0
❑Addition of new motor load of system.
Job site address: Glb l� QP JT -r l00HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard, OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ET 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 SC1T71)ULE
Description I Qty. _I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot##: 10$ Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK'
Q)1 ` �����,�,�- t� Limited energy,residential
V\D \.142MY�S5 Th' —01)k-C 1 (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 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 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
Branch circuits-new,alteration,or extension,per panel® APPLICANT 0 CONTACT.PERSON
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
service or feeder fee,first
Address:703 Broadway St Suite 510 branch circuit 56.18 2
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
dwelling,service and/or feeder 67.84 2
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(I 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 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871/S specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature.
: ��.z TOTAL PERMIT FEE:
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 Application
-W`
Building Fixtures d , FOR OFFICE USE ONLY
City of Tigard J U L 1 7 2 019 Received --t k i ,�j permit No.M -� \
- 'I 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:v t 1 `/- S �Q- j 11
Plan Review 3
Phone: 503.718.2439 Fax 5®3li�I"s. d-961V II(l:?1'�3"7 .1+ Date/By: Other Permit No.:
D
TIGARD Inspection Line: 503.639.4175,t t p t t g"t'V I i, ? Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov J '••4- Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑Demolition For special information use checklist.
Description Qty. Ea. 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
❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ElAccessory building El 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: (4 2,5ty �O(A MAST "'C' at
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.: c3 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.: 119. . Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
C ki • Ion-op`ot� 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:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon 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@polygonhomes.com Urinal 25.02
a
CONTRACTOR Water closet 25.02
- -- -- Water heater 37.52
Business name:Alliance Plumbing Water g/1 m DWV 56.29
P p
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 Lie,: 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.
ti+BuildinelPermits\PLMMIU-PermitAoo.doc 10/01/09 440-4616T/I0/02/COM/WFR1
City of Tigard
IIIn COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review - Residential
Building Permit #: Nc--C , q- (m10,01
Site Address: l% c-4j -V10 670ke ad-- '7'ccaeg
Project Name: d , 'n L f /LL-� K4►d4,e Lot #: /O &
ew di,_ =subdivision name;Addition or Alteration= [name of owner)
Planning Review ���JJJ
Pro�sal: kW) -QF --
r Verify address/suite#active in Accela. UZI River Terra e: 0 No 02 Yes,River Terrace Review Addendum
Sit,Plan Elements: LhQEr.sion Control
6Q3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper � aired trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) G otprint of new structure(including decks)and FFE
orth arrow IIQI ity locations&easements(required for new and additions)
Si address,project or subdivision name and lot number Sid walk/driveway approach
VA.plicant information(name and phone number) non of wells/septic systems
►, •t dimensions and building setback dimensions eet tree size,type and location
/1' .'uare footage of buildings to be demolished eet names
it sting structures on site Corner elevations(2'contours if more than 4'diffe tial)
1/ .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? AdYes 0
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes IldNo
lean Water Services—Service Provider Letty(lot platted prior to 9/10/1995):
)(equired: ❑ Yes,applicant was notified YJ No Received: ❑ Yes ❑ No
Llo Public Facia/Improvement(PFI)Permit:
Lequired: s,applicant was notified ❑ No Applie For: Yes ❑ No, top intake
and Use Case#: �1J 1C—C)O J [ld" Zoning: — •2 P
g
equired Setbacks: Front: 0 Rear: _ Side: Street Side: garage: v c
l!Q :uilding Height: Max. Height: Actual He' ht: .. II, S
J Landscape Area: 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 ❑ 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 gambre ro ❑ Dormer
Accent siding . Window trim ❑ Window recess ❑ Window projection
WA,' isual Clearance It Urban Forestry 4 an
hi-0,ensitive Lands: ❑ Yes T No Type:
FA Conditions met prior to issuance of building permit
tipproved
By Planning: — Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPern itRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # 7j
Building Plans: #
Building Permit#: let Enter building permit# above.
Workflow Routing: R".Planning N'Engineering ['Permit Coordinator ["Building
Workflow Sign-off: ['Sign-off for Planning(include notes from planning review)
Route Application Documents: pfEngineering. (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: D))l
Engineering Review
Slope at building pad: a
Zr Conditions "Met"prior to issuance of building permit
FS Easements (encroachments)per engineering conditions of approval and plat
,r Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes „a No
LIDA Facility on lot: ❑ Yes $"No
XI-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
JZ Approved by Engineering: vv1 (4 IL. LA.) Date: S (2 /?
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 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:
Revis'.n Notice 3: Date Sent to Applicant:
Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: I"Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes C/N/A
❑ OK to Issue Permit ,
Approvedby Permit Coordinator: Date: </� /l9
I:\Building\Forms\BldgPermitRvw RES 022819.docx
City o,f'Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
*t 4 . 4Is
i, II 71 River Terrace Building Permit Review Addendum
Building Permit #: M 'I"2-Cj\q_00 AC\
Site Address: AO Cle �� /J 06 Tt?I GL
Project Name: peif - 4 r �K �'kj Lot #: /D e)
(Newt 4(
ng=subdivision name;Addition or Alteration ast name of owner)
Planning Review of River Terrace Plan Distr' t Design Standards (18.640.070.11):
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 CI
ft. de min.2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
12
VI
2. Eyes oh�theYlsstreet: a minimum of 12%70.each1� street facing facade must include windows or entrance doors.
Percentage Shown: _ r-= > le : l /.2 V i,
3. E trances:At least one entrance must meet both of the folio . g standards:
vi Parallel to street,angle no more than 45° from street,
Max. 8 ft. setback from longes street-facing wall
or open onto porch
Entrance opens to a porch: Yes ❑ No
If y ,all the following apply: �sq.ft. min.
�ne street facing entry ft.max.roof above floor of porch
ft. depth min. %min. porch roof coverage
4. P -tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
L► 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 ❑ pormer min. 4 ft.wide
Roof eave min. 12 inch projectioti - of offset min. of 2 ft.' �p
❑ Roof shingles either tile or wood able,hip or gambrel roof design.0-iF
❑ Roof pitch oriented south min. 500 sq. ft. £orizontal lap siding min. 3-7 inches wide..F4
(Accent siding min. 40%of street façade IIQ Window trim min. 2 '/z"wide by 5/8" deep r'`1---
❑7indow recess min. 3 inches for all street facing CIBay window min. 5 ft.wide by 2 ft. deep
Balcony min. 5 ft.wide x 3 ft. deep with inside accessf, 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:
Moser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
ay 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.
W i h: (Check one)
V. 12-foot-wide garage door ❑ 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date:
I:\Building\Forms\BldgPerm@ Rvw_RES_RT_1214 17.do cx