Permit i
City g ofTigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED
INili
Request for Permit Action JAN 2 9 2020
etTY OF TIGARD
1 I i_;A I I f 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-on
Asit.ONGDIVISION
ISlO
TO: CITY OF TIGARD
Building Division1 D
lki 13125 SW Hall Blvd.,Tigard,OR 97223
g 3 �/� ,cat
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigar -or.gov
FROM: n Owner I[�Applicant ❑ Contractor ❑ City Staff
Check(/)one
REFUND OR Name:INVOICE TO: (Business or Individual) TOCAjaiyA) r' n g W/ Lit LA-C-1
Mailing Address: 1O3 3 , 1 Sk. 51 O
City/State/Zip: Vaxti(',tSU`,1C<R, , IA) Pr on(p(oO
Phone No.: ip O' (pq 5 - 1-1 OO
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
,Fr CANCEL/VOID PERMIT APPLICATION.
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
n INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: In 5-1- Z01�t— pp , .1°Fg., 20 2 ,
Site Address or Parcel#: -t�� rwl'aJ$ Goa, CulAsT hR-4 ..
Project Name: r-R(,I N.. 003 C
0.1i.0` , off. p,�4 5
Subdivision Name: LLB (� Lot#: 101- t►\
EXPLANATION: 1{ Q-3Worn 1,�,�N a 4A I INe 4O '‘YNk" s SO }i-
4
Signature: Date: 1 126t\ ?.t)
Print Name: p11 Orr lS
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
PE-2/-1/ r-S /1lDT ISSCi tEZ
1e- 7D /sste_E — 16 ,Uf c0'r--7 ` 6
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date �/� B�
Refund Processed: Date/1/�j By 4dl Invoice Processed: Date 3 i '7�j By
Permit Canceled: Date2 hi/20 By u, '. cel Tag Added: Date By
I:\Building\Forms\RegPermitAction_I2051B.doc
BuildingPermit ApplicationSP. :�� .�' C�✓ - \sv \\c
......Residential ![ FOR OFFICE USE ONLY
City of Tigard Received
. g Date/By: 1 ` C,\�' Permit No.KX\c-7 ack f�Or
• 13125 SW Hall Blvd.,Tigard,OR 97223 FEB ® I 2 0�9 plan Review / ._Sr
`
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: I 1 Other PermgG_K,
TIGARD Inspection Line: 503.639.4175 '.A Y Or q R(,ARrD Date Ready/By: ` Juns: H See Page 2 for
Internet: www.tigard-or.gov Uf1., G DIVISION Notified/Method:7 a/,�+ S 7 Supplemental Information
TYPE OF WORK �13 V ! i 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Z I-and 2-family dwelling 0 Commercial/industrial Valuation: $ b '4Q 3)
❑Accessory building ❑Multi-family Number of bedrooms: �j (J
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: `41"1
Job site address: l(41/40 g'i v J(10 l (1IV0t4 jTP / 7�"Q,) New dwelling area: 1�1 square feet S&L,
City/State/ZIP:Tigard,OR 97224 ` ` Garage/carport area: square feet 9„2_
Suite/bldg./apt.no.: Co Project name:Polygon at Roshak Ridge Covered porch area: ,)K square feet Ca—'
Cross street/directions to job site: Deck aarre��a:�� �l` square feet `1
Other 5th7c1Tt 1'U' wit square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: 1 lU 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
i# New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
1 , Name:Polygon WLH LLC Type of construction:
Irl Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
i i
® 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@potygonhomes.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 lie.:207247
Total fee due upon application: $201.60
Authorized signatur� -
This permit application expires if a permit is not obtained
.....)--------- within 180 days after it has been accepted as complete.
Print name:Amand avin Date: l *Fee methodology set by Tri-County Buildirm Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applica FOI1 Of FILL USE ONLY
City of Tigard ECEIVE Received Permit No. ( r (�
Date/By: li 1 W
4
" 13125 SW Hall Blvd.,Tigard,OR 97223 i �� ULbL
t Phone: 503.718.2439 Fax: 503.598.1960J U N1 9 2019 Plan Review Other Permit:
Inspection Line: 503.639.4175 Date Re
Y 12iA It 1) Date Ready/By: furls:
Internet: www.tigard-or.govp� Fy See Page for
CITY OF ���7,J�n� Notified/Method: Supplemental
Information
Btl1LD!NIG fl!\/Idif t'
TYPE OF WORK. COMMERCIAL:FEE* SCHEDULE' USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS a PEES*
® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
I j Multi-family 0 Master builder ❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND.LOCATION Heating/cooling:
� `�F� Air conditioning I 46.75
Job site address: (42 Gout. I.,U40 Gog C T�� 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.: t`p Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�` DESCRIPTION OF.WORK Gas fireplace/insert 33.39
Flue ven
1` `S—V it)t \ — 00 2.0 2i firepla et for water heater or gas 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 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 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:
S14.15 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
&l days after it has been accepted as complete.
Authorized Signature: *• � '�' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
.._ .... ._ ... ...... .
4
Electrical Permit Applicati E 1•OR OFFICE USE ONLY
City of Tigard Received
. " Date/By: Permit#:MS—C^� ,a'^�
= 13125 SW Hall Blvd.,Tigard,OR 97223 UL 2 2 201� Plan Review w
Phone: 503.718.2439 Fax: 503.598.1960
L+ Date/By: Related Permit#:
TiGAItD Inspection Line: 503.639.4175 0 j dy t Ready Date/By: Joris: Ef See Page
o Internet: www.tigard-or.gov vl I 1 `✓� " '' 'r;'t"` Notified/Method: Supplemental Information
TYPE OF _.
• ":PLAN;REVIEW .
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition 0 Service or feeder 400 amps or snore 0 Building over three stories.
❑Other: where the available fault current
CATEGORY_OF:CONSTRUCTION boatyards.
Marines and boatya
' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder
❑ Other: ❑Fire pump, ❑Installation of 150 KVA or
J JOB SITE.INFORMATION:AND LOCATION; 0 Emergency system. larger separately derived
Job#: Job site address: «ZJ0 Or 1� a ,.s,n�.Cr ❑Additioo more.motor load of system,
vlJ `jJ� ` 100HP or more. ❑"A","E","1.2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. Er Recreational vehicle parks.
Suite/bldg./apt.#: - Project name:Polygon At Roshak Ridge 0 Hazardous locations. ElSupply 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
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: `,O Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add sq,ft.es or deportion 33.92 I
Z)\\ ^ q Limited energy,residential
,Nt. kJ'ex ,.. 2 6Y1 rSZ LNl 1 —O0',(�Z (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
El PROPERTY OWNER El TENANT
Renewable Energy ❑ See Page 2
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
City/State/ZIP:Vancouver,WA 98660 401 amps to 600 amps 200.34 2
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
El APPLICANT ❑ CONTACT.PERSON
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
each branch circuit 7.42 2
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
Phone:(360)695-7700Miscellaneous(service or feeder not included)
Fax: : (360)693-4442 Each manufactured or modular
Email:permitsubmittals@polygonhomes.com
dwelling,service and/or feeder 67.84 2
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
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 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(IA hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal:
Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ^e>� 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
Building Fixtures , ,,, E, °f FOR OFFICE USE ONLY
City of Tigard Received
ll 2 17 2�» Date/By: �,CA-,
,14 'e 13125 SW Hall Blvd.,Tigard,OR 9 `Q S\ PermitNo.N\c-�• .
. Plan Review
' I : . Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
., �., Date/By:
TIGARD Inspection Line: 503.639.4175 y y.
�✓���<��� TIGARD Date Ready/By: Juris: E! See Page 2 for
Internet: www.ti and-or. ov. ' : �! ,.__
g g �ul, ;omr, niuis, Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑Demolition For special information use checklist.
Description I Qty. Ea. Total
❑ Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(l)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑ Accessory building ® Multi-family -
Each additional bath/kitchen 25.02
❑ Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMA'FION AND LOCATION Site utilities:
Job site address: t 1.. -LAD l pi '�1'a R..2 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.: ,3 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.: I I D Fixture or item:
I Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
C\ r �\ ? ,0, Q�` b Clothes washer 25.02
,Vt!/� � ` r d2,40 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
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:Polygon WLH,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.
I:\Buildinu\Permits\PLMU-PermitAoo.doc 10/01/09 440-46I 6T(10/02/ChM/WP RI
City of Tigard
IIIC a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
a F4.4;,i id WiftmOt f: 'itC,i➢i::1„,a.o . ,,,IP f irl-rUtiiauw'Btr.,iitt.+rt4YktiC r a,iiTAtedb m:,t,hrf'kk tf+`d&Nit 5§d?its'ib1w4iihlitI 4.°iarSefiJt+l,s.4dEtit aat.Muds tzlim.)0i iifaartrlitiPt:
Building Permit #: +cS-jA01,_ dj
Site Address: mor-720ke ar.cY---- .- .1-e-P-02e_a_
Project Name: _,_,PQl e i n - it-4*J Lot #: //
ew d j,el_=subdivision name;Addition or Alteration= name of owner)
Planning Review
Pro sal: A)-eta -riq---
Id Verify address/suite#active in Accela. IX River Terra e: ❑ No ltd Yes,River Terrace Review Addendum
Sit Plan Elements: EEr•sion Control
4d3 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) G otprint of new structure (including decks)and FFE
orth arrow bd t ity locations&easements(required for new and additions)
'PrSi address,project or subdivision name and lot number Sid-walk/driveway approach
.plicant information(name and phone number) it `I,. ,tion of wells/septic systems
n .t dimensions and building setback dimensions 11 . eet tree size,type and location
11' uare footage of buildings to be demolished 1E •eet names
it sting structures on site J Corner elevations(2'contours if more than 4'diffee tial)
•t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? es ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes 11GNo
lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified 1a No Received: ❑ Yes ❑ No
CE Public Faciliti Improvement(PFI) Permit:
equired: I Yes,applicant was notified ❑ No Applie For: Vies ❑ No, top intake
VI/and Use Case#: . 7G/P Oi = Zoning: — ,..2.. Pb
e uired Setbacks: Front: � Rear: _ Side: � Street Side: Garage:rage: 2.
C
uilding Height: Max. Height: Actual He' ht: .1-1, S
NJ 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 ut ° of area of all street-facing facades
Garage ❑ Garage door is behin t street-facing wall 3 1 U 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 fac 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 r ❑ Dormer
Accent siding L Window trim ❑ Window recess ❑ Window projection
110 isual Clearance 1► Urban Forestry 6 an
kill ensitive Lands: ❑ Yes ilIA No Type:
rA 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 ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
L:\Building\Forms\BldgPern itRvw RES 022819.docx
Building Permit Submittal
Original Submittal Date: \"4-'1 q
Site Plans: #
Building Plans: #
Building Permit#: d Enter building permit# above.
Workflow Routing: Et/Planning R'Engineering Permit Coordinator El Building
Workflow Sign-off: Et/ Sign-off for Planning(include notes from planning review)
Route Application Documents: Et 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: J`--..� Date: ' t�''511q
Engineering Review
ea'Slope at building pad: 70
-CJ Conditions "Met"prior to issuance of building permit
,0" Easements (encroachments)per engineering conditions of approval and plat
2Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes -0'No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑" No
LIDA Facility on lot: ❑ Yes -Er No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,Approved by Engineering: /iLl,t k/L Lv; Date: ( 218lIT
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: //
Iiii )C Fees Entered: Wash Co Trans Dev Tax: L!'Yes ❑ N/A
Tigard Trans SDC: �d s ❑ N/A
Parks SDC: [ ' Yes ❑ A
LIDA ❑ Yes Za N/A
OK to Issue Permit
Approved byPermit Coordinator: MDate: 1 / ?
PP
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
.71 "I COMMUNITY DEVELOPMENT DEPARTMENT
C V,r.
1 River Terrace Building Permit Review Addendum
Building Permit #: 'MS-C 2'G\G- 000,
Site Address: / L2 2 0 ck) ( /d nit ile a
Project Name: Al il k f ast Lot #: ,J()
(Newyw _=subdivision name;Addition or Alteration name of owner)
Planning Review of River Terrace Plan Distr' t Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? lei 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.
Porch min. 5 f. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. de min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
111
ID
' V
lf
2. Eyes oi�the street: a minimum of 12%o .each street facing facade must include windows or entrance doors.
Percentage Shown: _ p 2 > le _ > 12 V�a
3. EE trances:At least one entrance must meet both of the folio • g standards:
vi Max. 8 ft. setback from longes street-facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If 71,all the following apply: �sq.ft. min.
Vne 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► Covered porch min. 5 ft.wide x 5 ft. deep'. 0 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 projection -4--- of offset min. of 2 ft.' ��++
CIRoof shingles either tile or wood able, hip or gambrel roof design-pl J--
❑ Roof pitch oriented south min. 500 sq. ft. ylorizontal lap siding min. 3-7 inches wide'F.4"
(Accent siding min. 40%of street facade' y,Q Window trim min.2 1/2"wide by 5/8" deep r-kr—
❑7indow 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 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:
Nloser to front or side lot line,than longest street facing wall. Cl/Closer No. If No(Check one):
yr 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)
VJ 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: ckSi/
I\Building\Forms'BidgPermitRvw_RES_RT_121417.docx