Permit (133) CITY OF TIGARD MASTER PERMIT
aIll
COMMUNITY DEVELOPMENT Permit#: MST2016-00475
Date Issued: 01/30/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB05300
Jurisdiction: Tigard
Site address: 13156 SW APPLE GROVE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 53
Project: River Terrace Northwest, Lot 53
Project Description: New SF
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Yes
Dwelling Units: 1
Third: 0 sf Right: 3 Detectors:
Total: 1858 sf Value: $229,929.17 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
ATTN GAST,FRED VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves
109 E 13TH ST Required both sides
VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,530.04
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / yV L Permittee Signature: J47 9i', ✓�L %70Al
��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
BuikiingPermit Application
�lh /-
i< � RECEIVED ro��l8 OFFICE l 51 0Nl 1
City of Tigard D s /�/'D�/�o Petmrtl# t /�J�" q '
ilig 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 3 2016 Plan Review Other Perur -eth ., Y1�/6 19o3 / r
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. � ) � 1 C yJ
Date Ready/By. 7uris: 0:�page 2 for
T I c;:;I;i- Inspection Line: 503.639.4175 p CITY OF 'I i Ca t �-i C) Notified/Method: //2 Supplemental Information
Internet www.tigard or.gov BUILDING Lti V =Dill 4/(... ::'� 6-r
Permit fees*are based on the value of the work performed.
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
❑Addition/alteration/replacement ❑Other: . r ; tiwork indicated on this application.
' ?..-x� ^t..tF P ®' T f :' L - r^^-i r -a n.`' 9 C "J]$ /'rl'gL�j.�.7' �J
: -_ Val71at10II. j_\x1t
® m
1-and 2-family dwelling ❑ComerciaUmdustrial Number of bedrooms: q
❑Accessory building ❑Multi-family
Number of bathrooms 2
❑Master builder 0 Other:
er ' - 4t , ,z " ,
Total number of floors:amy\2
�r 0 9
.5 s
r fa L al.r l !_ ` , : . , w ,' `�
Job site address:tySGS p�� ,P'I•G / -// L . r� v vINew dwelling area: usquare feet
Garage/carport area: qb square feet
City/State/ZIP:Sherwood,OR 97140 �� �j � /�i��
Project name: .<�4 �," ' ` ' - rl% 3 Covered porch area ?� square feet
Suite/bldgJapt no.: J
Cross street directions to job site:
Deck area: ,I square feet
Other structure area 'r square feet
Subdivision: I Lot no.: ..5"- 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
_ )il ,j work indicated on this application.
A.,.- K .,..rz,o.,...__. ..a.S ` _ _ Valuation: S
New Single Family Detached Construction
Existing building area: square feet
New building area: square feet
,..._, -F�'7 -�� .4 _-� 5, t,- 4E Number of stories:
Name:Polygon WLH,LLC Type of construction
Address:109 E 136 StreetOccupancy groups:
City/StatefLJY:Vancouver,WA 98660 Existing:
Phone:(360)695 7700 Fax:(360)693.4442 New:
:
, = L - ,_,_.�.1e.,�,,,,-�f-�- z.,.F-, ,...--N.-,.,,. ,_� ,ham-�,a1,'-,,- --..-.7,7-7;,,,...
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109 E 13"Street Total fees due upon application:
City/State!IIP:Vancouver,WA 98660 Amount received
Phone:(360)695.7700 I Fax::(360)693.4442
Email maggie.gordon@polygonhomes corn Commercialof
E€ -_ z i. :;
Mechanical Permit Application t l)tt 1)111( 1. I •i-:t)NI.'i
City of Tigard Received
Date ur Pt.:nit Nt)et,7 /6 s al q1.5
l3 t25 SW HMI Blvd.,Tigard.OR 97223 Plan Review
' lis Phone: 503.718.2439 Fax: 503.598.1960 Date By: OtherPennit:
€ i ) Inspection Line: 503.639.4175 Date Readv='Fly: hair la See Page 2 for
Internet_ www tigard-or.gov Iaoaried�A hod- 5apptemmctt inforau6on
.W htechanical permit fees are based on the value of thee work
ISI New construction 0 Additionlalteraiiontreplacement performed,Indicate the value(rounded to the nearest dollar)of all
Demolition 0 Other: mechanical materials.equipment,labor,overhead.and profit.
Value 5
r' < 040,
El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speraihtformationuse checklist
Multi-family 0 Master builder 0 Other Description Qty- Ea. I Total
l 3k'i 14 1L fit S "3 e «P,0 Heating/cooling:
. g
JitEssite _. t..„. r_ 7. ,Th.-t° . . •. Mrconditionine 46.75
address: ''�a./) 5.0,...)\-1,QC� O\) 0�J \ Furnace 100,000 BTU(ducts/vents) 46.75
City/StatelZIP: �� ,��� I €
1OR Q Furnace 100.000+BTU(ductsivents) 54.91 I
Heat pump 61.06
Sctites'Iildg./apt.no.: Project name:River Terrace
Duct work 23.32
Cross street/directions to job site: Uy-dronic hot water system 2332
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type.not electric),
I in-wall.in-duct,suspended.etc. . , 46.75
Flue/vent for any of above 2132
Subdivision:River Terrace I Lot no.:�� lather: 2332
Other fuel appliaaees:
'
Tax map/parcel no.: Water heater 23.32
4- t t 7� ; hfireplacelinscst 3339
Gas
_�.. _.. -. __ ° Flue vent for waxer heater or gas
HVAC fireplace 23.32
Log lighter teas) 23.32 '
Wood/pellet stove: _ 33.39
Wood fireplacefrnsctt 23.32
Chimncyflinerfflneevent 23.32
'.': - 4_ , T a Other. _ ?3 32
Envfroement*I exhaust and ventilation:
Name:Polygon Range hoodiother kitchen `
. •
equipment 33.39
Address:109 E 13°SI Suite 21)0
Clothes dryer exhaust 3339
City/StatefZlP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
` toilet compartments.utility rooms) 23.32
Phone:(425)586-7700 Fax:,( ) Attic/eraWIspace faits 2332
€,, " � � :4. t " p k,t '' Other 2332
„� . MY
8ttsititss name:Apex Mr LLC Fuel piping:
S14.t5 for first kine,$4.03 for each additional
Contact name:Staci Hay Pomace.etre.
Address:2210 W.Main St.Suite 10 7-272 Gas heat pump
- Wallisuspended/unit heater W
City/State/GIP:Battle Ground,WA 98604 water heater
Phone:(360)3424109 t Fax: (360)326-1769 fireplace
Range
E-mail:staci pexairco.com Barbccue
..tXtr 0? 7 ' '«t- to t s . . clothes dryer(gas)'
Business came:Apex Air LLC Oder t
Address:220W.Main St.Suite 107-272 , Subtotal
City/State/ZIP:Rattle Ground,WA 98604 Minimum permit fee(590.00)
I Plan review(25%of permit fee)
Phone:(360)342-8109 Fax (36O)326-1769 State surcharge(12%of permit fee)
}
CCB lie.:203034 , . - TOTAL PERMIT FEE
ci.,...
Thispermit# trau es if a is not abtainrd within ISO
pptrca` expires permit/yt """ days alter it lumbers ampted as complete.
s ✓j • Pee methodology 4e€by Tri-County Building to ty Service Board _
Authorized sign �p y
IPrint name:Staci hay Date:1/2812016 I
I+Auildme.Pamits;MEC Pen+atApg 04a1 13 doe 440-46177'(€€i42.)Ct}iAre81
. ,
Electiffical Perfalit A:ialLicA&J.4
, . .
_ City gillgard D2wa., Nonitg: . . 75 °.
, 4 13 f 2$SW ROI Ilfvtf Tigard,OR 97221
Pim Revittv - _
• Phone:5O17112449 Fax: 501594.1960 kciatul Pemat P:
' -
(,,_, ko,spOttiOiliiii: 301.639,4175 Itody"Data/By: Auk PI Sao_ratal,r i
P ) Taiinet viliNv.tipni.oLeov Hatifitd/Afetbid: Soppiameotal taformatino
I
afkilf-OWIC -' ' 'n, '....57,PLA, ICREVIEVITni ',-,- /
C4 bitil''bizis`irhhtion 1:3 Adifition/alleration/replacentent masso.becklif thal IPPI1(sa'niit isgb 014-Poswiitcfas Eilicked,/:
Clanvieeor rod4-4aoaelp.or tom 1:10.11,fiNg over thme,,,,,;., f
o Demolition 0 Other: ' whft,t1,,whbbi.riblr..,..i ti ivfluisii awl begt,UrdL.
icrisp ., , , fit...410,000=11os at 154 xvits or I:I Olt:eating Itaildiap.
C. I-and 2-fandiv dwelling 0 CouunercialfiduAccessety buildstiial 0 ing I'll°or°‘.:tiikored,14P00 tiCommeretat-usedOeulttalr
'- amps for alt other Raton:aims. building,. 1
I El 1.4111fi-hfailY CI&rooter builder 0 Oilier
EiTho Pump:
./OE SITE INTO 11MI3161-'4 AND Loa-from Ei ..7,„,..,,
,
Jot it system.
100/4/p crirr,r
, 6 .,,, „
" LI"A".
pet up2mq.,
City/StatealP:Sit emood OR 97140
Elitermatioaal vehicle pmks.
suiteibmx/apt 4: j projoct mutt:
131:3ffeSixotar.....amor.ro rms.jidetititksial, mils,
Cjibminfous locations. i:i Svppty voltne tor mart gym
CI Stn4t*or&vie:1-600 amps or more. 68f)"iftsn°P6"31-
Cress steer/directions to Job site:
faMevislies • I O .r Earb I Tetel f . f
1 Lot 0:t53 :::ruies dnettandazieddpgrAngi-.::,..[Ii-hmily4weiring...it.
subdivtion:River Terrace
Tax inap/parc I: 1 000 so it.or less
. -
-,- EscizkryloN OF WORtI . _ _ 168.54 4
Ea addl 500 sq.ft or9oftloa 33.92
« . Limited energy,tosidenteal
'
CM bons ft 75.00 7
14°W Sing-It W000llY al aq' 4
Limited inemcmeiti-ramily
residential(with above sq.113
Eft TENA.NT ReWI
ne ble Energy El ScePage 2
' 1-', vitoPEIrry-otVi4I ID
14 o-I. u Services or/feeders installation alterafion,ana/or relocation ,f
-ame:..,..o.ygon eeomes 200 amps or less 10070 2
201 amps to 400 mops 13156 2
Address;109 E IP St
401 amps to 600 corms 20034 2
City/State/ZIP:Vancouver WA 98640
.
601 soma co 1200 amps- 3.014% 2
Phone:(360)655-7700 I Fax:( ) Over 1,000emPS or volts 552.26 2
Temporary services or feeders installation,a ltero tion,miler
.Eanail:
relocation
Owner installation:Tidsinstallation Is being made on properly that town which is riot 200 amps or less 59,36 1
Offended lot-sale,tease,rent or exchange,according to ORS 447,449,670,and 701, 201 mops to 400 amps 125.0s 2
89ilies Signature:
Date: . 4o1amps io 599 mops 16854 2
NIMICANT I ig oro
N.f.Acr it..risort 11ranch circuits-At%attention,or extension,per panel '
&Fee I-orb/until conolis los&
Busk=
name:Garner Electric Washington,LLC aboveserviceoriecder fee.
,.,„„,_,...„___,, - ., 7.42 2
.......,,.....afoul,
Contact namm Bill Daniels
0.Pee rot branch thrall If/thew
Address:6101 NE St 'ohns'Rd service or rmdcr ree,6 5638
*veil aeon 2
City/State/ZIP:Vancouver WA 98661 Each oddl branch circuit 7,42 2 .t.
Miscellaneous(service or reetier not includeri)
Phonm(253)320-1657 Fax::( )
Each manunictoced.or modular
Email:adankhogweusaxe, - dwelling,service andlor.feeder 6714 2
its:connect only 67.$4 2
CONTRACTOR , pujni,0,4m-ice- len circle 67,84 2
..,....
Business name:Garner Electric Washington,Lit.s., Sign or oalline llgilt/ag j 6/14 2
Seirroit()
Address:6101 NE St Johns 11d ignal sorlindted.energy I--I -
Pm%otteration,orextensiou, ce Page2 2
Each additionatinspection over allowable in any°ilk above
CIty/Statc/ZIP:Vancouver WA 98661
, Additional inspectiiin(1 hr min) 66.25/hi
Phone:(253)320-1657 Fax:( )
investigation(I brim:0 9020/hr ' I
Email:hdartitis@glymisa,rindustrial plaA(1 hr oda) 78_18/hr om
Inspectionshrwhielloo fee IS 90 oothr
COB Lie.: cuss I Electricsd.Lie.:208174 - " 1 Suprv.I-ic.:44965500eISmvily limed(55betnitt) '
,
surly Eicetlician signature,
required, I,oft,, / i he.„(.1.. , . Etz,,„,c".1,ERNirt lizEs "
..:
Subtotal:
Print risme:Joan P Albert - ' Date:&II'Ito 13 Plan Review Required(23%etircanit
-_-
. .
State mocha/8(12%ofpesitteAuhorized signature„ , . _
TOTALPELLVIIT FrM
TiospoThooppacatioo=pismire panut ts oar alumnae within 180 , I
PAIlt name:Bill1)aniels Date: k 1 Bci 1 Ito I d.yi.o ii bast...ia"ro.0"...
. - Nombe.rofiespetrions allowed perstosit ,
lalaularesemiloatt_etosanss nuk_latEses ars 04//713011 aio-isirntLescoetrwen
i 1
I
f
I :
r
Plumbing Permit Application
,k , i' `
Building Fixtures
City of Tigard N O V 3 2015 Received
_- 13125 SW Hal d.,Tigard,OR 97223 Y Permit No: �7a�/�'-. a,75
i Phone503.718.2439 Fax: 503.598.1960 a _, ', '`) DDatrJBR Other Pamir No.:
1 i _ ' Inspection Line: ? r' Ready/fir Julia: S1•rage 2 for
iInternet www.tigard-or. oj ' e x • lementai information
CI New c ishvction Demolition For special information use checklist
rn
Description I Qty. I Es. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection)
� rl '-z-7°-.,:.4 a Q ca �• SFR(1)bath
31270
,
I+4 1-and 2-family dwelling III Commercial/industrial SFR(2)bath 437.78
SFR.(3)bath 1 500.32
D Accessory building ❑Ivtniti-family
Each additional bath/kitchen 25.02
❑Master builder 0
. Other. Fire sprinlda�_sq.ft.) Page 2
�p "'"::" �a , r:a, 1:_� � �� : !itg: :tine site',aides,
Job site address: r.� Catch basin or area drain 18.76
' W ��' v J�T (kms Drywell,leach line,er trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.Iinear ft.: ) Page 2
Suite/bldgiapt.no.: I Project name:Northwest River Terrace 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 It: ) Page 2
Subdivision:Northwest River Ten-race ' Lot no::c Fixture or item:
Tax steel no.: Backflow preventer 31.27
maple
g 3: 1kwm8teiYalVe'
-tl.
��,..a t.�`2.v t ,,.� •` ,k `. 4 ti 3:3
12.51
04-C V C f 23;02
i Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
qy f .- , 5 12.51
rVL Land Holdhigs,LLC
Fizwtrlsewer rep 25.02
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: 85258 Hose bib 25.02
pftoallillill1160.2)694.4031Ice maker 12.51
.. v; "• . > ` 4...-0.r=a. » ,,t,s tor/gtease tit 23.02
Medical gas(value:S ) Page 2
Business name:William Lyon Hames,Inc
Primer 12.51
Contact name:Angela Grajewskl Roof drain(commercial) 1.2.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
CityState/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: l
Angela.Orai lyeonhomes.com U 25.02
. ,, hnieater 25:02
/! , 3752.
Business name: , ` 1 , .tr _lint,-" Watc pipmgfDW V 56.29
Address: Q.6. $.0, OtA, Oder: 25.02
City/State/ZIP; 5T, e 4v4 art. 'l i 1,31 subtotal
Phone: 3''`afid" 1411' Fax:(C{'7 Q. "IA I-4 fl Minimum permit fce:,$72 50
CCB Lie.: #1.13-1,2_, ` Plumbing Li.no. &q
Plan review (12%0 of permit ee)
�rj� State surcharge(12%of permit fee)
Authorized signature: Al: TOTAL PERMIT FEE
Print name: "i *+ '� l�jl�k Dater� I)' t) ThisP mR aPP ff a peanut is not obtained within i8a days
atter it bas bee*ac des complete;
*Fee methodology set by Tri-County Building industry Service Board.
i -PamitAppdoe 10/01/09 44O 4616T{HV02+CsOMTWE8)
illCity of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
111
T 1 c A RD Building Permit Review — Residential
Building Permit #: /7,5-7.-- 1-0/6 00 4 7
Site Address: 1'(%' SO) frpopk, rrAt.e T.-elf-race
Project Name: 121\1T,MtCp NiprhIMRt Lot #: bS
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 1\lN c
.R Verify site address/suite# exists and active in permit system.
,River Terrace Neighborhood: ❑ No tkyes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan niQ Existing structures on site
_ISite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
.)rawn to scale(standard architect or engineer scale) floor elevations
..*Torth arrow jJtility locations(required for new,may apply for additions)
rite address,project or subdivision name and lot number Wocation of wells/septic systems
'ipplicant information(name and phone number) Niexisting trees to be retained with drip line,and tree
of dimensions and building setback dimensions protection measures
of area,building coverage area,percentage of coverage and Xtreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) ,,, treet names
_ 'roperty corner elevations(2 foot contour lines if more than
4 foot differential)
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified VC No Applied For: ❑ Yes ❑ No,stop intake
-Land Use Case#: PQ . tS ---a.005
X. Zoning: R-12- c pas)
Required Setbacks: FrontRear 0 Side 3 Street Side N Garage
Landscape Requirement: 'O 00
INt"Lot Coverage Maximum:
\uilding Height: Maximum Height � Actual Height 6
Mk.,
-&-Visual Clearance Wl.,
Easements
Sensitive Lands: ❑ Yes X No Type
Urban Forestry Plan
Conditions_P"Met"prior to issuance of building permit
t> "�
Notes: t C 4(i 15 � O 1 I iry i 2, . pn Or IV tc e ,
Approved By Planning: �• '►/ �, i Date: p 0Revisions (after Building Submittal on Reviewer Date
Revision 1: GI Approved
❑ Not Approved
Revision 2: ❑ Approved
❑ Not Approved
Revision 3: GI Approve
d ❑ Not Approved
Building\Forms\BldgpermitRvw RES 091216.docx
s
Building Permit Submittal
Original Submittal Date: 2/
Site Plans: #
Building Plans: #
Building Permit#: 12--Enter building permit#above.
Workflow Routing: [ErPlanning [Engineering Permit Coordinator 42'13uilding
Workflow Sign-off: Er 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.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/ 444
By Permit Technician: r<4747,)-1-e---- Date: //
, .
� �. .w�
Engineering Review
Slope at building pad:
Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approve b Engineering: / Date:
Notes: s fu...1, .-4Z16lrjpr 7 dajogroeti „,f_ .
Approved by Engineering: 142.22 Date: //.z�fA
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
El Conditions "Met”prior to issuance of building permit
P
roved,NOT Released: WilDate: ////4'//4'
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:
r'SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: Yes CI
Parks SDC: Yes ❑ N/A
i.XbK to Issue Permit ? �,
Approved by Permit Coordinator: /��,/�/ Date: /�7 '
I:\Building\Forms\B1dgPermitRvw_RES 091216.docx
City of Tigard
IIIIIa COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: /` .�j 2 O/ ,- 00Y 2$
Site Address: 131? Svc gip\. Give, Mt
Project Name: -1\Jify- Too-au a NI(OYMt 5' -- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?"'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 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
111 111 dormer
❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: -5-9
'
3. Entrances:At least one entrance must meet both of the following standards:
P ax. 8 ft. setback from longest street- facing wall arallel to street,angle no more than 45° from street,
'
or open onto porch
Entrance opens to a porch:.Yes ❑ No
If yes,all the following apply: 5 sq.ft.min.
XOne street facing entry AN12 ft.max.roof above floor of porch
NC-5'ft. depth min. 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
,Covered porch min. 5 ft.wide x 5 ft. deep ,,`Recessed entry area min. 5 ft.wide x 2 ft. deep
.`Wall offset min. 16 inches El Dormer min. 4 ft.wide
Roof eave min. 12 inch projection El Roof offset min. of 2 ft.
El Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide
El Accent siding min. 40%of street facade El Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing Cl 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. �D �,/
Setbacks: I - �5 `l ith'
No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one):
El 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) Iv
❑ 12-foot-wide garage dor ❑ 40%max. of street facade
El 50%max. of street facade with 7 detailed design elements
Notes:
_Oliatt1/42'
Approved By Planning: / ��� � � Date:
I:\Building\Forms\B1dgPermitRvw RFs RT 062216.docx