Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ft
Re0uest for Permit Acti
q on 1 0
1 1 oA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Polygon Homes WLH LLC
Mailing Address: 703 Broadway St., Ste 510
City/State/Zip: Vancouver, WA 98660
Phone No.: 360-695-7700
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
• 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#: MST2019-00442(SL3 2,0\C1 — 00 3\
Site Address or Parcel#: 16647 Sunshine Coast St
e
Project Name: Polygon at Roshak Ridge
9
Subdivision Name: Polygon at Roshak Ridge Lot#: 140
EXPLANATION: Plan renamed and updated
• -�,,�"
Signature: /d CL �'/Z 2A.G2 Date: 1/6/2021
Print Name: Tonja Morri
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date 1 /' 1/ By
Refund Processed: Date By Invoice Processed: Date //NN/x - By //V
Permit Canceled: Date/AI/2/ By AV Parcel Tag Added: Date r By
I:\Building\Forms\RegPermitActio1 .doc
Building Permit Application L 0 \ J 1 \--\-
Residential v FOR OFFICE USE ONLY
e"�q"J G} nI'J�
City of Tigard Received tz-II— I(i Permit No.:M81 `0( I-00411' .Date/By: { 77,
lig 0 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 6 2019 Nan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 P{ I R Mk' Other petifwR z o 0—pp 514.
TIGARD
Inspection Line: 503.639.4175 1 f # Date ReadyBy: Juris: 63 See Page 2 for
Internet: www.tigard-or.gov , Notified/Method: Supplemental Information
'TYPE OF WORK REQUIRED DATA:I-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.
tEl 1-and 2-family dwelling ElCommercial/industrial Valuation: S -)a,( q t; �
❑Accessory building El Multi-familyNumber of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 5
JOB SITE INFORMATION AND LOCATION Total number of floors:?..- IN S
Job site address: 1(1201 40
St J 1I6`c ' �/l Q ( 1)0 f 9r New dwelling area: spoig square feet \`s()
City/State/ZIP:Tigard,OR 97224 v r Garage/carport area:5 ) square feet It
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.: , 0 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
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:
Ei APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Pleas,refer to fee schedule)
Business 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
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
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: $201.60
Authorized signature: This permit application expires if a permit is not obtained
-- within 180 days after it has been accepted as complete.
/� *Fee methodology set by Tri-County Building Industry
�/
Print name:Amanda Gay' Date: p"/� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WE6� B)
Mechanical Permit Applicati. p FOR OFFICE USE ONLY
.
City of Tigard Received Permit No.: p L',h
Date/By: NI 6(1100`1-
lig . n 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 6 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 t I°
TIGARD Internet: www.ti and-or. ov Vfi Y Ur f lul l- t<:3 Date Ready/By: Juris: 0 See Page 2 for
g g p WISION Notified Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:(n 1 Air conditioning ' 46.75
Job site address: W(9�i S+/1l S U In /4 VV1 ) O o Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 `-� V r b l V` W l 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 23.32
\'I h Other: 23.32
Subdivision:Polygon at Roshak Ridge Lot no.: `'� f 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 ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH LLC Range hood/other kitchen
k
equipment 33.39
Address:703 Broadway St.Ste 510 Clothes dryer exhaust 1
33.39
City/State/ZIP:Vancouver WA 9860 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) J 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:
$14.15 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:TBD Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
dAlillays after it has been accepted as complete.
Authorized slgnatur' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda . • ', Date: e:11fd---2--1 j 9
Electrical Permit ApplicatioEe' ' ., ,
FOR OFFICE USE ONLY
Cl O Tl and Received Permit#: ` 0044z
- `� f g FEB 2 6 2019 Date/B : R—
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503 59 Aoi„ a Date/B : Related Permit#:
Inspection Line: 503.639.4175 I !I f w .1( �' Ready See Page 2 for
TIGARD p g g !II ll , rY t11?,Q '�w{ '`' Notified/Method: Juris: Supplemental Information
Internet: www.ti and-or. ov
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-familyless to ground,or exceeds 14,000 0 Commercial-use agricultural
dwelling 0Commercial/indusMal 0Accessory building amps for all other installations. buildings.
0 Multi-family ❑Master builder
0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION
�I ❑Emergency system. larger separately derived
Job#: Job site address: I(Q1o�S f)J 1 Y1(Y I l Y 11,CO(1tct ❑100H Addition of new motor load of system.
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. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon at Roshak Ridge ❑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.
Subdivision:Polygon at Roshak Ridge Lot#:� V Includes attached garage.
1,000 sq.ft.or less 2 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 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
El APPLICANT El 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
Address:703 Broadway branch St.Ste 510 service or feeder fee,first 56.18 2
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: :(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 Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signa,.re,required: Subtotal:
-
Print name: AR Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized : .'ire: ‘
This permit application expires if a permit is not obtained within 180
Print name: ' anda Gavin Date: /0 days after it has been accepted as complete.
* Number of inspections allowed per permit.
L/Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(l l/05/COM/WEB
Plumbing Permit Application
Building Fixtures '" ..,, .„ FOR OFFICE USE ONE)
City of Tigard Received A(f vi_00(4
- `I g 2 6 2019
Date/By:
Petmit No.i v`s (JU �2
a 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax 503.5 8 y Other Permit No.:
Inspection Line: 503.639.4175 � l�r � t 8)";` ,l Date/By:
Internet: www.tigazd-or TM" 1,. `' ` °"` , DateReadyBy: 1uris: RI See Page 2for
e Notified/Method. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONS'I RUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(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: I(p(9'f] 5 i �✓� S� W I I o ct Catch basin or area drain 18.76
v 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.: 1 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 1 Lot no.:( v� Fixture or item:
Tax map/parcel no.: Backflow preventer l 31.27
DESCRIPTION OF WORK Backwater valve ) 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
El PROPERTY OWNER I 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
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:permitsubmittalsnpolygonhomes.corn Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:TBD Water m
Pip I g WV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.: -
State surcharge(12%of permit fee)
Authorized sign e: TOTAL PERMIT FEE
Print name:Amand avin Date: P�/ This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I-\Building\Permits\PLMU-PermitApp doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
II
11111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cAR>a Building Permit Review — Residential
Building Permit #: 1/1 ZD19-'001/1/2
Site Address: 1WV- S'1„/ \,i4iti. GO- qrkei-
Project Name: POLYGON AT ROSHAK RIDGE Lot #: luta
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
P,_ro osal: NEW P.I PLAN SET# 3110 A I,
lV Verify address/suite#active in Accela. ® In River Terrace: El No ® Yes, River Terrace Review Addendum
Sit Plan Elements: LSE .Sion Control
L73 copies of site plan on 8-1/2"x 11"or 11 x 17"paper M ' ained trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) Ftprint of new structure(including decks) and FFE
rth arrow l i ty locations&easements(required for new and additions)
S address,project or subdivision name and lot number ' idewalk/driveway approach
[ t pplicant information(name and phone number) !/ . ation of wells/septic systems
lit dimensions and building setback dimensions T. treet tree size,type and location
are footage of buildings to be demolished [et names
sting structures on site Vorner 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? .Yes El No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YNo
® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Li 44r
iatitil tj
Required: ❑ Yes,applicant was notified . No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit: Lk
Required: . Yes,applicant was notified ❑ No Applied For: . Yes ❑ No,stop intake
® "and Use Case#: PDR2015-00002/ SUB2015-00004 [U Zoning: K-Iti (eO)
LI e uired Setbacks: Front: 12/8 Rear:
9 I 0 Side: ) Street Side: � Garage: Z 01 $uilding Height: Max. Height: Actual Height: 23,-S
[2/Landscape Area: 10 % Lot Coverage Max: SO
Entrance CI Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
'J Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
Slit ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
4 CI Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
A ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
',.._ ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony
sual Clearance Urban Forestry P
[ ' Sensitive Lands: El Yes VNo Type:
® Conditions met prior to issuance of building permit
Not s: Conditions to be met pri`�to buil g rmit.ssuance
DiApproved By Planning: Date: it--3-11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved Cl Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
... _-v w - .v _,
a
Building Permit Submittal
Original Submittal Date: 02/2G/9
Site Plans: # ..3
Building Plans: # '3
Building Permit#: [~-Enter building permit#above.
Workflow Routing: [r]' Planning [Engineering L --Permit Coordinator [-Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: 2'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
Q'Building: original permit application, site plans,building plans, engineer and
beam calculatio,_ and trust details,if applicable,etc.
Notes: /
By Permit Technician: , /,��%` Date: 13A07
Engineering Review
[7-Slope at building pad: 6-°/0
D-Conditions "Met"prior to issuance of building permit N/It
D --Easements (encroachments) per engineering conditions of approval and plat
LJ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes D No
LIDA Facility on lot: ❑ Yes Cr-No
Ckl~inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
approved by Engineering: Date: I Z/p/70
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:
V Fees Entered: Wash Co Trans Dev Tax: Ces ❑ N/A
Tigard Trans SDC: [��� ❑ N/A
Parks SDC: R' Yes ❑ N/A
RCZ-.-------
LIDA ❑ Yes ID/ /A
OK to Issue Permit /"?
Approved by Permit Coordinator: ,' ate: 12 '-
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
w
14City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: NAS( (,-00(V-1-Z
Site Address: \g6ctl- SW c,,,\ckkz, Gat+ S it
Project Name: Pala, k-- 114, 1c 1;.1c.. Lot #: (` ,0
(New Melling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis y ct Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? g 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 ft. deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide V
El El CI
2. Eyes on the street: a minimum of�f 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 13,6/'
3. Entrances:At least one entrance must meet both of the following standards:
L�/J Max. 8 ft. setback from longest street facing wall [4arallel to street,angle no more than 45° from street,
�/ or open onto porch
Entrance opens to a porch: LPd Yes ❑ No ��
If y s,all the following apply: l!4 25 sq.ft. min.
Int'Oye street facing entry I 2 ft. max. roof above floor of porch
1i'5 ft. depth min. 40%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
j
overed porch min. 5 ft.wide x 5 ft. deep RIRecessed entry area min. 5 ft.wide x 2 ft. deep
lit offset min. 16 inches ❑ Dormer min. 4 ft.wide
❑ Roof eave min. 12 inch projection ❑ RoofRo� offset min. of 2 ft.
El Roof shingles either tile or wood ak able,hip or gambrel roof design
❑ ' .of pitch oriented south min. 500 sq. ft. g41.3rizontal lap siding min. 3-7 inches wide
L Accent siding min.40%of street facadeindow trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft.deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks: _
No oser to front or side lot line,than longest street-facing wall. CI Yes [ No. If No (Check one):
vEIA 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)
❑ 12-foot-wide garage door ❑ 40%max. of street facade
0%max. of street facade with 7 detailed design elements
Notes:
il
Approved By Planning: . k Date: 12 1-h
1.\Building\Forms\BldgPermitRvw_RES_RT_121417.docx