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Permit (164) FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 114 inTransmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUL 13 2020 FROM: NJfi CITY OF TIGARD f COMPANY: BUILDING DIVISION /U c* ,e, c-n/ PHONE: l7/ gel.? ri 3/ By:__S/7 RE: '&079 .S) (oa-e fY16T Zola -bOO2C4 7aAddress) (Permit Number) i-11414 I0Eat _ !Zy Pt T/ssus$ (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): .Sg 77d REMARKS: 4MARKS: , z 7/7- /S S to E'/, o / 1 9-r Af / "7/O T i- ) 'LN t'E7( L/nrr9' Sfy/I-ff FO OF ICE USE ONLY t Routed to Pe Technician: Date: -7 2ct'. 207 o Initials: !•i' Fees Due: e Yes ❑ No Fee Descnptio : Amount Due: ,on (e-v l` $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: 7?A/1-/4- Date: f/7/2-0 Initials: 1:\Building\Forms\TransmittalLetter-Revisions_061316.doc •I���� i ion' ! .5 `T00/ �'! f✓Q2 V 1jal114, 2020 /' 272 S<) Bgl k AitAGb1`OAN Se-c-Ari/''hAfe- Plan 3410 • Furnace now in attic-old furnace room in garage converted to water heater room • Fireplace different dimensions • Windows flanking fireplace reduced in size from 2-6 5-0 to 2-0 2-0 • Great Room rear-facing windows converted from 3 individual windows into an 8-0 5-0 XOX (this would be same for daylight basement rear wall window also) • Exterior door leading to patio off Great Room converted from swing door to 6-0 6-8 SGD.4Patie— • o iopa rokafteading-eng ` . • Master Bathroom full wall between tub and shower converted to glass wall above tub platform • Master Bedroom rear-facing windows converted from 6-0 5-0 SL to an 8-0 5-0 XOX • All reed glass removed Dianna Ornelas From: Tonja Morris <tmorris@taylormorrison.com> Sent: Friday, July 17, 2020 11:04 AM To: #Building Permit Technicians Cc: Agnes Lindor; Lina Smith Subject: RE: Roshak Ridge 129 - 135 changes Caution!This message was sent from outside your organization. I just confirmed with my field crew, only is 129— 131 have decks. Please remove the patio language from the transmittal letter for these lots. I will obtain &submit new plot plans for lots 1 2 & 133. Please leave their transmittal letters as submitted. Thank you, Tonja Morris Construction Coordinator Office:+13608167800 Email: tmorris@taylormorrison.com www.taylormorrison.com This message may contain confidential information and is intended only for the named addressee. If you are not the named addressee you should not distribute or copy this e-mail. If you have received this e-mail by mistake please delete it from your system. From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent: Friday, July 17, 2020 9:47 AM To:Tonja Morris<tmorris@taylormorrison.com> Cc: Agnes Lindor<agnesl@tigard-or.gov>; Lina Smith <LinaCS@tigard-or.gov> Subject: RE: Roshak Ridge 129 - 135 changes This message originated from outside of our organization Tonja, For lots 129-131 I confirmed that we have the added decks and revised site plans on file, however for lots 132-133 we do not have bulletins or revised construction plans or site plans showing decks added. We will need all of these items for lots 132-133. 1 II _ a CITY OF TIGARD MASTER PERMIT lr . COMMUNITY DEVELOPMENT Permit#: MST2019-00024 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 F:177-57! �a Date Issued: 04/16/2019 Parcel: 2S107AA12900 / Jurisdiction: Tigard Site address: 16879 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 129 Project: Polygon at Roshak Ridge, Lot 129 Project Description: New SF. 2/25/21: REPRINT to add (1)lay to primary bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $270,151.90 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL 4 Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 RFurn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 3 Furn>=100K: 0 ELECTRICAL r Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 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 Ecompasing: Y Other: N Other Description: P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves 3 Geo Tech Report Required Prior To Pour PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,288.29 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 952-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling y503.232.19s87�or 11..800.332.23344j4. Issued By: ,7/1/ Gs.��— Permittee Signature: 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. Plumbing Permit Application, . Building Fixtures City of Tigard FEB 2 ' 2021 Received A/�S� III Data'By: �/ Permit No y�-�j„/'_ w,l q 13125 SW Hall Blvd.,Tigard,OR 97223 . . ��KK i Plan Review Phone: 503.718.2439 Fax: 503.598.1'9 Y OF TIGARD Date/liy Other Permit No.: TlGnxn Inspection Line: 503.639.4175 3UILDING DIVISION Date Ready/By: kris' ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description Qty. Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utilityconnection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 X1-and 2-family dwelling -u 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: 16879 SW SUNSHINE COAST ST 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/bldgJapt.no.: I Project name 'olygon 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:Roshak Ridge Lot no.: 129 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 5th lavatory added after plan review Clothes washer 25.02 Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixturdsewercap 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 Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/ba rvlavatory / 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:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 CCB Lic.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: . TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permtt is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Servos Board I\Flnildmv\Permex\Pi-Mti-PermitA°°.doc I CY01.09 440.4616T(10N2'COMM'EBl - City of Tigard liii ---- COMMUNITY DEVELOPMENT DEPARTMENT `; pi, Building Permit Review — Residential L.-... .--.i.ri:' xaa_t._'-"'E."i"Q"'.{-.a-:.—.,z -.......=...,,,,,,,,,47-•-. ..-e'.._t,n..."",r r:. !33.L.., Building Permit #: CYtST -C 4 Site Address: I( -1A 51r, c.onS n4 l,ry/ir Project Name: p41y9en Al" tfiluir, trije Lot #: izq (New dw =subdivision name:Adftnn or Alteration=last name of owner) Planning Review 4•nS td1 "4-I04 IEq •. S. ' �.trc' St wan Proposal: tJtw 1Q .3/l9zTr?Q�: ,n . pig,/,-ei4zseo,./ I I yecify site address/suite#exists and active in permit M River Tame Neighborhood 0 No or Yes,See Roar Tema RevievAdderduasAttached 'it- 'tan Elements: t/ iii r, (3)copies of site plan 1Aitil tint structures on site f.+ plan mull be on&1/2"x 11"or 11 x 17"paper fit 'ootpnnt of new structure(including decks)with finished 1' r . ,.. to scale(standard architect or engineer scale) / t•• elevations t! �y ,• arrow Ire' titity locations&easements(rrquixed for new and additions) 1' '. address,project or subdivision name and lot number , idewaRi/driveway approach • t information(name and phone number) ,1,•.lion of wells/septic systems C • dimensions and building setback dimensions • l< - :.ring trees to be retained with drip line,and tree ,•';.. , footage of buildings to be demolished on messW I ^•Lot area,building coverage area,percentage of coverage and con size,type and location us area(applicable if R-7,R-12,R-25&R-40) t rrames /f Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? (9ea❑No •4 t differential) If yes,is a storm water cealittfactlity shown? © No lU Clean Water Services-Service Provider Lette541ot platted prior to 9/10/1995): ViAratt-1 k )eq 0 Yes,applicant was notified No Rem: 0 Yes 0 No �� [ Public Facilities/Improvementit (PR)Pe•rwnit• / 1 J rt � LiYYa,applicant was notified 0 No Applied For: ( Yea 0 No,stop intake se Case#: R.2i -• 000 L Z°thill V L7 Required Setbacks: Front Rear Side Street Side PA' Garage � S 3 2v Ed •.cape Requirement 2..0 % , rt Coverage Maximum FQ 1 J iuild rag Height- Maximum Height 3. Actual Height 2_ .S. VA/Maud �;Sensitive Lands: yes ❑ No Type U4y1 Ulr it Ulric- 11td }c ilm S:�.,, i,..i' Gex!( La! Urban Forestry Plan inConditions"Met" issuance prior to issuan of b permit rotes: V1d3 ai iv t� pt'F t � ��lini. pug..;+ liar✓.vttt /Approved By Planning; 1,4pArkAid 1. "1` Date: 2-(-I'( Revisions(after B9Bding Submittal only) . Date Revision 1: Ni Approved 0 Not Approved Revision 2: 181,Approved 0 Not Approved } Wb `9 zD Revision 3: 0 Approved 0 Not Approved `(� I:\Bailding\Forms\t31dgPcrmitRvw_RFS 061417.doca . • Building Permit Submittal Original Submittal Date aAlx'LCt Site Plans: # Building Plans: # Building Permit#: Q' Enter building permit#above. Workflow Routing: t3'Planning fe$ngineering Q`Permit Coordinator 13/Building Workflow Sign-off: CS'Sign-off lot Plann ng(include notes from planning review) Route Application Documents: (3/Engineering: (1)copy of permit application, (1)site plan,(1)building plan and original plan review muting form. Si/Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,ti.,.._ Date: a,h-\kc, Engineering Review 7 ,0(lope at building pad: 1) i ❑ 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: 0 Yes 3-No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot ❑ Yes 1:1'No .1 Final Plat Recorded: O NOT Approved by Engineering: Date: Notes: / / .Approved by Engineering: M -t(. , +•.--' • Date: Z/'7/ /`� Revisions(after Building Submittal only) Reviewer ( /// Date Revision is ®Approved ❑ Not Approved 'p>r ad tee?." 7- 7 -- /7 Revision 2: Cir Approved ❑ Not Approved.•--•�' `4 44/ "' Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review ❑ • ditions"Met"prior to issuance of building permit ,! Apiitoved,NOT Released: We tY•iiii: -2, ii t 4 Notes: Revisions(after Buiiing Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2 Date Sent to Applicant Notice 3: Date Sent to Applicant 5DC Fees Entered: Wash Co Trans Dev Tam s ❑ N/A 7 -- Tigard Trans SDC: �CfY us ❑ N/A Parks SDC: es ❑❑ /A LIDA 0 Yes iGd N/A OK to Ias»e Permit �/ �� c7/f c Approved by Permit Coordinator. r`f' ' Da /''J 1 f usitudistsimainsseerwits. it xis oiosts.eocx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. T.'s form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT h ' Transmittal Letter T 1 G A R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUIL ING DIVISION RECEIVED FROM: !pJ 1 MOIM s MAR 19 2020 COMPANY: -7__ � in SOAJ CI OF TIGARD [,6/� BUILLDINN G DIVISION PHONE: 31017 �/to 7� By: `✓f� RE: /667q 6.0 . /t2SieenuE' Cv,qs r ()%Y wig- o o o zi (Si e Address) (Permit Number) tWig K lr b67- - [//er 107 (Project name or subdivision name and .t number) ATTACHED ARE THE FOLLOWING ITE ' S: . Copies: Description: opies: I • cription:• "� Additional set(s) of plans. Revis'i ,s: inA'-aavy s a-,513 Cross section(s) and details. all bra ; g and/or lateral analysis. Floor/roof framing. ( Base •- t and retaining walls. Beam calculations. Engineer's calculations. _S Other (explain): R1✓vl$6f) Rar P ', REMARKS: C'rDlij ctE.Cjr_--'— _ Si, 7c-x-vo K) ii-Vol I1 ' , • alb 4 t FO O FILE USE ONLY Routed to Pe it Technician: Date: 9 II/207� Initials: Fees Due: Yes ❑No Fee Des pti n: Amount Due: $ Olt, _1 111,_ Plan fe_v^•e..l� $ 4 c. i Special -ems-& $t./�-&-- 3/ /S73 77 ,,e6--vierz,S Instructions: /&Y/.f/C nI - /V0 (i,.9- (;),t/ ems' /_�eV)Siu , 492- '14 Reprint Permit(per PE): Yes ❑ No ❑ Done Applicant Notified: ate: •/ ,f/a[1 Initials: ./ZJ, I:\Building\Forms\TransmittalLetter-Revisions_061316.doc CITY OF TIGARD MASTER PERMIT `. ' COMMUNITY DEVELOPMENT Permit#: MST2019-00024 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2019 T t � ��" 9 Parcel: 2S107AA12900 Jurisdiction: Tigard Site address: 16879 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 129 Project: Polygon at Roshak Ridge, Lot 129 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $264,303.10 Rear: 15 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 Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types 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: 3 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'I 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: __ POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves 3 Geo Tech Report Required Prior To Pour PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,116.32 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 9y-801-0090. 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: I� K Permittee Signature: '4/ `e��e^j/ 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. ' 111 — .,-.4,C,,,,\ Building Permit Application L civ . . Residential ', VE D FOR OFFICE USE ONLY City of Tigard gg Received -^� T. PermitNo�+� T- t �� L��9 Date/By: �� �i S�� A l�V fk"'�V43"4,' 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ^ 1 DateB Other Perms. cl \�m Phone: 503.718.2439 Fax: 503.59di t( (el A.s. � �`1— 61III OF 1IGARD y TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for p BUILDING DIVISION y yd Internet: www.tigard-or.gov Notified/Method: 9/// Supplemental Information reit_ ?e /Cc) 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. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 0(iti, 3o3 ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms:3 JOB SITE INFORMATION AND LOCATION Total number of floors:/ H 5 Job site address: Ilo5s'l2I SUIS StAySV l l 5t New dwelling area: 7,0146 square feet k. 3(_ City/State/ZIP:'c'0\01 Y� OR/0\19_9-1Garage/carport area: 0 square feet 1 y t Suite/bldg./apt.no.:J 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.: I Zot 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 NMDESCRIPTION OF WORK" work indicated on this application. 1 v`ClV V C b Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 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: El 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@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 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 '_ Total fee due upon application: $201.60 Authorized sis.. e: , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Ga n , Date: 01/4/ *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Applicati HEC _ FOR OFFICE USE ONLY Cityof Tigard Received . it g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9722311111 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 p 9 Other Permit: 2019 Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jugs: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD�t Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 2f11-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 1 Air conditioning 46.75 Job site address: \V ,. 5' �'lt1% SU. xS\t',\V.e C Oa SA a. 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.: (�_° Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTIONOF 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 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 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 Fuel piping: Business name:Polygon WLH,LLC $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:Apex Air LLC Other. MECHANICAL PERMIT FEES* Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Tim Hay Date:04/08/2019 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM(WEB) ii(E '' , . Electrical Permit Ap licatio � p FOR OFFICE USE ONLY City of Tigard h P R 12 ?019 Received permit#: '61 13125 SW Hall Blvd.,Tigard,OR 97223 _ Dan Rev 1 � '�'����� Plan Review — Phone: 503.718.2439 Fax: 503.598.0 1Y Of' @ Date/By: Related Permit#: Inspection Line: 503.639.4175 U I LD NG O gYt Ii 5I L' `' Ready DatDate/By: tris: 0 See Page 2 for L lit H U Internet: www.tigard-or.gov Notified/Method: I Supplemental Information — TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑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-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family ❑Master builder ❑Other: ampsireform all other installations. Inbustallation ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived S __ ❑Addition of new motor load of system. Job#: Job site address: pe„i� W &hue ill l nONST ST. 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. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: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 SCHEDULE Description I Qty. I Each I Total ( * New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge Lot#: 129 Includes attached-garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 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 ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 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:( ) 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 0 APPLICANT;. ❑ 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, 7A2 2 each branch circuit Contact name:Jolene Smith B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St,Ste.510 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Address: 1915 E Su'St,Ste D Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr Email:pain@portlandelectric.biz C Industrial plant(1 hr min) 78.18/hr :2`4 Inspections for which no fee is CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.:-490Zg— specifically listed(4 hr min) 90.00/hr n ��P✓� �� P i ECTRICAL PERMIT FEES Suprv.Electrician signature,required: l�l. Subtotal: Print name: Alex Shalya Date: 04/08/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ,,, k, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: MISHCHUK,SERC Y Date: 04/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. • Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received r. 2ganPermit No.: 1,1 a 13125 SW Hall Blvd.,Tigard,OR 97223 APR9 2019 Date/By: Review Phone: 503.718.2439 Fax: 503.598 p� Date/By: Other Permit No.: Inspection Line: 503.639.4175 � Y OF �"IGARt7+ Date Read/B Jnr s: H See Page 2 for TIGARD Internet: www.tigard-or.gov 311ILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 %1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory , �Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: cota�la 5 w S A,nsttl Q CI Si- Catch basin or area drain 18.76 Job site address: City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I 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 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF,WORK , Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® 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:( ) 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: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:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) - Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date:04/08/2019 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) liAl City Of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT 1 G fi I3 Building Permit Review — Residential ter,; ti-:,./-. _ -'( � - . -C.AGS ; ..L� r � .; Y. , .: . Building Permit #: \(\ -k Site Address: I(SO ,W nS Colt (,1‘,.0— Project Name: L f),--.15,e Lot #: 1 Zq (Ne'dwathig=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: PLtej Fk 06Verify site address/suite#exists and active in permit system. ( River Terrace Neighborhood: 0 No AV Yes,See River Terrace Review Addendum Attached Sean Elements: 'iee(3)copies of site plan sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) for elevations • arrow Utility locations&easements(required for new and additions) I to address,project or subdivision name and lot number 4lJSidewalk/driveway approach lI plicant information(name and phone number) 'Fi'{ ,cation of wells/septic systems [ Lot dimensions and building setback dimensions C xisting trees to be retained with RI. • •tection ►.uare footage of buildings to be demolisheddrip line,and tree measures 'A Lot area,building coverage area,percentage of coverage and V.Street tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) 1Z7reet names GlirdProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or re 4 of differential) placed? es❑No If yes,is a storm water quality facility shown? ❑I ]No Clean Water Services-Service Provider Letter,,(lot platted prior to 9/10/1995): 1'74 ^ j i equired: ❑ yes,applicant was notified NoReceived: ey�ri ik,�[iublic Facilities provement(PFI)Permit: ❑ Yes 0 No 14'4 (PIA equired: applicant was notified 0 No Applied For: 132 Yes 0 No,stop intake 111741/Land Use Case#: fda-2M - Oi70Z oning: R-ti CANJ L:1 Required Setbacks: Front W Rear I ' Side �' street . S _ eet Side Garage Id/Landscape Requirement Z0 of Coverage Maximum: et) wilding Height Maximum Height 3 Actual Height 2.:7-S IIV/Vtsual Clearance S f 5I/Sensitive Lands: [YJ yes 0 No Type vt�, ,� Urban Forestry Plan T �T, hdu r�'�i °"` �e x� Conditions "Met"prior tp issuance of buildingpermit otes: ,� n i U�, r�i�J J `� �. �#-- ��r � 1A, pG mil' s;ly✓�'1i.L /Approved By Planning: '" � r Date: Z--6--I K Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved IABuilding\Forms‘BldgPennitRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: # 0- `\C1 Site Plans: _ 3 Building Plans: # 3 Building Permit#: [' Enter building permit#above. [3/Building Routing: El Planning [3 Engineering S"Permit Coordinator Workflow Sign-off: El/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: By Permit Technician: ......A.." ---,,---- Date:Date .D.kms-\,c Engineering Review D 70 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: 0 Yes vNo Assess Water Quantity Fee in-lieu: 0 Yes Er No , LIDA Facility on lot: 0 Yes I2--No ,lam Final Plat Recorded: ❑ NOT Approvedb Engineering: Date: y � �' Notes: , ,a Approved Engineering: i^'l l�• w k Date: Z7-7//q b y �' �� Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Cditions"Met"prior to issuance of building permit Aan piroved,NOT Released: 44 Date: Ay t / Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant R ion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: �I,�' s 0 N/A Tigard Trans SDC: 0 N/A Parks SDC: Yes /A LIDA 0 Yes t N/A OK to Issue Permit Approved by Permit Coordinator: /(ff---v-D'ater4/#7/ f I:13uilding\Forms\BldgPermitRvw_RES 010118.docx Il City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: N\S-j" \G- ( ;4,Ur Site Address: I b p9 sin/ SJ,RAilt-G Ir,S i- 0. Project Name: folgo, a}- -shiAk r.41( Lot #: I L (New dw g=subdivision name;Additi n or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? ❑ Yes El 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 Gabled dormer ❑ El ❑ ❑ Lf1'/ 2. Eyes on the street: a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: 12,3 , 3. Entrances:At least one entrance must meet both of the fo�lio ng standards: I 'Max. 8 ft. setback from longest street facing wall L_�(Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 2/Yes El No If yes,all the following apply: Q/2-q.ft.min. V]/9e street facing entry 2'12 ft.max. roof above floor of porch EiL/5 ft. depth min. Lid 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: „Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches El Dormer min. 4 ft.wide Roof eave min. 12 inch projection 0).'oof offset min. of 2 ft. El Roof shingles either tile or wood V Gable,hip or gambrel roof design El 1%oof pitch oriented south min. 500 sq. ft. El .orizontal lap siding min. 3-7 inches wide ©/Accent siding min. 40%of street facade PA Window trim min. 2 I/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access El 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�loser to front or side lot line, than longest street-facing wall. ❑ Yes I� No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. El 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) ❑ -foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: IA Date: 2_(--1 i I:\Budding\Forms\BldgPermitRvwRES RT I21417.docx n 71City of Tigard t COMMUNITY DEVELOPMENT DEPARTMENT ■ • iGAR1) Building Permit Review — Residential Building Permit #: 'C T C-1Wfi4N--ii Site Address: 1V 4-6i-6 S1„i S.)nS 1' t Cia41- Project Name: 1941Yiefk AT IGOle Lot #: 12,q (New dwalibg=subdivision name;Ad on or Alteration=last name of owner) Planning Review .nS tm -4-lot Ilea sk, ' N St4vc\(5‘ Proposal: Jtj FR t�a?QQc\-r (i)ix,,,,, Billyerify site address/suite#exists and active in permit system. WJI River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached 'lan Elements: /it, 1 r, (3)copies of site plan + ;sting structures on site icef.. plan mud he on 8-1/2"x 11"or 11 x 17"paper /►t ootprint of new structure(including decks)with f Wished • I''' P •<wn to scale(standard architect or engineer scale) i••r elevations I' • •" arrow U tility locations&easements(required for new and additions) r to address,project or subdivision name and lot number Sidewalk/driveway approach / licant information(name and phone number) '✓ • lion of wells/septic systems C tot dimensions and building setback dimensions L - :sting trees to be retained with drip line,and tree , •,uare footage of buildings to be demolished ••• ection measures Lot area,building coverage area,percentage of coverage and �l'Street tree size,type and location �pervious area(applicable if R-7,R-12,R-25&R-40) l+, tit yes �/ / Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ Yes ONo Voot differential) If yes,is a storm water quality facility shown? 0IlittiAl3No re Clean Water Services—Service Provider Letter,(lot platted prior to 9/10/1995): LI� k UV- Druired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities rovement(PFJ)Permit leqaired: es,applicant was notified 0 No Applied For. ( 'Yes 0 No,stop intake d Use Case#: - f O(t,++i QOO2- on g VII $J Required Setbacks: Front g Rear I S Side 3 Street Side (- Garage Zv EIdscape Requirement 2 0 % L .t Coverage Maximum '0 % 174Building Height Maximum Height 3s Actual Height 2:3S Vfithial Clearance TS/Sensitive Lands: Yes 0 No Type VII/1-1141. Goer- Nth/M c I RA int cid-41 C Ll Urban Forestry Plan eotes: Conditions"Met"prior tp issluance of building permit CsA11}iIA.S iv V` td- / -1 r h kl‘nn�Uinj iii- ili✓Y01L iApproved By Planning: Date: 2-6-1 q Revisions(after B ding Submittal only) e er Date Revision 1: ErApproved 0 Not Approved .,/ ti"+umt -4-1-11 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1ABuilding\Fomu\BldgPermitRvw_RES 061417.docx . Building Permit Submittal Original Submittal Date: 111k V1 Site Plans: # 3 Building Plans: # 3 Building Permit#: [1 Enter building_peermit#above. Workflow Routing B'Planning 13/Engineering Er'Permit Coordinator [3/Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: Q'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: ' .,ti, , Date: a 1-A-\ A Engineering Review ,Slope at building pad 070 ❑ 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: 0 Yes 45"-No Assess Water Quantity Fee in-lieu: 0 Yes $No , LIDA Facility on lot 0 Yes J:1--No ,3 Final Plat Recorded ❑ NOT Approved by Engineering: _ Date: Notes: • ,E'Approved by Engineering: ivt t LGA ' , Date: 2/7//`j Revisions (after Building Submittal only) Reviewer Date Revision 1: Ili �ipproved 0 Not Approved rjf a,,A 5. 7- 7 - /1 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ ditions"Met"prior to issuance of building permit 0„,,)_. Appiroved,NOT Released: 41 Date: 2 Ai)/ 9 Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant ' ion Notice 3: Date Sent to Applicant IRPIDC F es Entered Wash Co Trans Dev Tag: s 0 N/A Tigard Trans SDC: 0 N/A Parks SDC: Yes 0 WA LIDA 0 Yes P N/A OB to Issue Permit //j cl Approved by Permit Coordinator: /q'14/f�d Da . ,�•St /T' I:\Building\Fornos\BldgPcrmitRwv_RES 010118.docx • City of Tigard IPII ■ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: N-N •7-?rp1C�- O �L-�' Site Address: 16g1-61 SW s,„;1,;t\t,c4s1- gi. Project Name: foiyg ,� A tillu�� 1�;�4( Lot #: 12_q (New dw =subdivision name;Additi&n or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? ❑ Yes 0 No 1.Articulation:a minimum of 1 element per each street-facing façade 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 do ft. deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide 0 0 ❑ ❑ Mel 2. Eyes on the street: a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: 12,37 3.Entrances:At least one entrance must meet both of the folioIVA �g standards: ax. 8 ft. setback from to st street-facie wall 'I Parallel to street,angle no more than 45° from street, g or open onto porch Entrance opens to a porch: "Yes 0 No ` Iff yes,/ all the following apply: 131,75-sq.ft. —' q.ft.min. [C1 a street facing entry 2"12 ft.max.roof above floor of porch 1E15 ft.depth min. 12130%min.porch roof coverage Covered etalled Design:All buildings shall include a min.of five of the following elements on all street-facing facades: porch min.5 ft.wide x 5 ft. deep Is2"Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches 0 Dormer min. 4 ft.wide [ Roof eave min. 12 inch projection Oft.: offset min.of 2 ft. ❑ Roof shingles either tile or wood Lv1 Gable,hip or gambrel roof design ❑ of pitch oriented south min. 500 sq. ft ❑ orizontal lap siding min. 3-7 inches wide Accent siding min.40%of street façade E Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft deep ❑ Balcony min.5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No/loser to front or side lot line,than longest street-facing wall. 0 Yes i leo. If No(Check one): E2 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) ❑ 9-foot-wide garage door 0 40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: lop.Ajak I Date: Z_6-11 1:Suildiog\Pmms\BldgPermitRvw_RES RT 121417.do x