Permit (172) CITY OF TIGARD MASTER PERMIT
1111 I>c. ' COMMUNITY DEVELOPMENT Permit#: MST2018-00213
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/08/2019
TEC,r�I.Pe 9
Parcel: 2S 106DA 19400
Jurisdiction: Tigard
Site address: 16596 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 233
Project: River Terrace East No.2, Lot 233
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
DwellingUnits: 1 Yes
Third: 0 sf Right: 3 Detectors:
Total: 3649 sf Value: $459,374.45 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 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: 5 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'I 500 sf: 7 201-400 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 3649
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required
Prior To Pour
PHONE: 603-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,200.55
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 0 - 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: „7-4,e____ Permittee Signature: e)/17 /97i1a6/.°177CJA/
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 insp.'tion. --
, Building Permit Application ��
D Lot 232
Residential 2018 FOR OFFICE USE ONLY'
Ci of Tigard AQR 1 Received
'J g t) DateBy: 7 7 i (ig Per�EJ)57- `fr—onA/3
U 13125 SW Hall Blvd.,Tigard,OR 97223 Or 11T Review /� >��J� (1
'11;1 _ Phone: 503.718.2439 Fax: 503.598.1960 ‘J`3011-DING DI��1n bate/By: I% n O' Other Pa`I UL 8. /5/
i t L?.E'.D Inspection Line: 503.639.4175 3U1Date Ready/By: :f Juris. IZi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: //9 Supplemental Information
709"/L /°0 t.y6c
TYPE OF WORK` REQUIRED DATA:1-AND 2FAMILY DWELLING
J ®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Sd ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY CONSTRUCTION work indicated on this application.
r‘iValuation:
® $ 1,15 i " -7V
1-and 2-family dwelling 0Commercial/industrial
LO ❑Accessory building 0 Multi-family Number of bedrooms: 4
0 Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z 2)
Job site address: New dwelling area: 3b y q square feet i(044,(0,L��U �� s�ov.��1e S-r
City/State/ZIP:Tigard,OR 97224 Garage/carport area: -4.(4 square feet t z,C1 9
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area> square feet `721''`
Cross street/directions to job site: Deck area: ›z.,
,),09) square feet/�J
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.: '-22� 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.
Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC
(Please Euf .3cNedute�
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
_,•-, I' I� FLS plan review fee(if applicable):
Address: 103 Bro cLuway S4 &L("te,S]�J
Total fees due upon application:
City/State/ZIP:Vancouver WA 98664
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANELSYSTEM 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: _ i1 f t 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: �' I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 A Fee methodology set by Tri-Cuuniy Building htdt by
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
EGO
ii
Mechanical Permit Application q 1 t)!z Ul l l( r I ' l�� t)\l ,
CI O 1 $Ct]I 2018 Received
Pemril N
>a APR 1 ,motel, , lS� cyi�—f� 4=2 1-3
711
13125 SW Ha11 8hd.,Tigard,OR 97223
■ II • P K t Review
Phone: 503.718.2439 Fax: 503.598.1960 OF {G v Other Permit
t 11,v is 1) Inspection Line: 503 639.417.5 �`/,� I D����; tc Readh/By_ ien See Page 2 for
Internet: www.tigard-or.gov gD{LD{N Notified?vtethad: Supplemental Information
i
Mechanical permit fees'are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
,t.I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedalinformation Jar checklist
1 I Multi-family �p 0 Master builder 0 Other: Description Qty. Ea. Total
TOR SITE INFORMATIONAND'LOCATION Heating/cooliag:
\ Air conditioning I 46.75
Job site address: L9711.0 5.\/\‘ t\0,3a:A�"►�In, ST"� Furnace 100.000 I3711(ducts+vents) I 46.75
City/State/Z1P:Tigard,OR 97224 �' Furnace 100.000+BTU(ductsivents) 54.91
Heat pump 61,06
Suite/bldg./apt.no.: Project name: Rue, Terruee,-EaS+ 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: ivt✓1r''e anrn►t e. �-
. . ask.-- Lot no.:23-3 Other: 23.32
Other fuel appliances:
Tax map/parcel no,: Water heater ''?2-- 23.32
D IIIPT'1ON OF:WORK Gas fireplinsertI 33.39
Flue vent ace/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
13 PROPERTY OWNER I 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Pa tVL L �y vt (d 1 ry S f 1 ' s , Ranee hood/other kitchen
�-t�� 1 s' us
,- 1 equipment 33.39
Address: 1(o®0 E f OIJ bv..1.?„ rl .,., ! _ o %l
tC�J�/ - W� Clothes dryer exhaust I 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
"—' �ai p I 1 12 25B,
� toilet compartments,utility rooms) 23.32
Phone:,p 02 L4_4Q7J t Fax:( ) Attic/cravvlspace fans 23.32
la APPLICANT 0 CONTACT"mos
Other: 23.32
Business name:Polygon Will,LLC Fuel piping:
1 $14.15 for first four;S4.03 for each additional_
,
Contact name: N(c.V\oVl lr o Furnace,etc.
Address:1p?, B' J r Z-k Su 'it4-E/A/ co Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:
Range I
Barbecue
. ,_ ,., ,, ;COACTOR , , Clothes dryer(gas)
Business name:Apex Air LLC Other:
Address:18004 NE 72"Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCR lie.:203034 TOTAL PERMIT FEE
This permit application expires it*permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Foo medtadulogy set by T' uunty Building industry Service Board —.
Print name:' 1 I ek .r Date: 4-t7.It
I inuitdingWGmit0MEC_PermitApp_040113.doe 440461 TT(1 IMYCOUWEAt
D ,,,,,,,,,,,,„_.,..,_,,,,,,,:_,,,,, ,e
P4771 Gly of Tigard id E milia.:z ..g.4zi,:imit.40,:13,7.05-4.4. 1 ..1,.,2e.w..-. 44:„.,,,.,,,,,4;-4,;,:tv54,-,t,„:„,s ,„:44::,;,-.
Received
Date/By; Permit II:/43720/cf"—0 C'es::? -7
" 13125 SW Hall Blvd.,Tigard,
OR 97223
gt 2.01B n.Review Phone: 503.718.2439 Fax: 503.598 1960 t 2 R 1 v Date/By: Related Permit ik
'
InspectionLine: 503 6394175 ' „In,&RD Ready Date/By: kris: El*See Page 2 for
;,,,ri6AR6 • •
Internet: www.ttgard.or.gov
LATY Of. 1 1`.-Ar':.....,. otitied/Ivlethod:
Supplemental Information
JINGO- s" -- -- —
VialtatagaggigER000404*404 ';1 , 6. ; ?1.: n'.YCS. i. :: ' :. ':..' ' '. : .04.tit 4.:0.. ki0iig:,--..:6 :5:,:,:i;mj.-4fM.::,',i
IN New construction 0 Addition/alteration/replacement Please check all that apply*(submitz sets of plans w/itetns checked): '
. °Service or feeder 400 amps or more El Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards,
WA'' kiflitiV,AktM;:::,,g0isil:ATAt.opti*A:ii!.,,,e,:ka,;',,ii, W.I,'f::..::!.ii:j:W, exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 I-and 2-family dwelling 0 Commercialthiclustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commeroial-use agricultural
amps for all other installations. .buildings.
0 Multi-family • D Master builder 0 Other: D Fire pump. 0 Installation of 150 KVA or
40A*w::.,I61.o4togvitco"xtitts.':;:toali,tot: :':-:.-•;.ii. ::::::::-:.:::::',.::.,::.- .:.h ElEzmrgency system. larger separately derived
D Addition of new motor load of system.
Job#: 1 Job site address:t t6--el kp Ls.„„‘ 3cNoj\yick.,;,L.sv 10011P or more,
CityMtate/Z1P:Tigard,OR 97224 Cl Six or snore residential units. occupancy.
0 Ilealth-care facilities. °Recreational vehicle parks.
Suite/bldg./apt.#: ( Project name: Na'--r- ace.Ea5,4_ 0 Hazardous locations. 13 Supply voltage for 0 ampsmore than Service or feeder 600 or more. 600 volts nominal.
Cross street/directions to job site:
!...l.).P:'::.:,,;:):::, ,•::;M:.•::1.:;.: AC**tii40.&-.'i. ....:!..:.•:: :: :•i'::..;:::;::;i..
Description I Qty. I Each I Total 1 .
New residential single-or multi-family dwelling unit.
Subdivision: 41, -5, e_. tas4.- 1 Lot#: 2:-9? Includes attached garage.
1,000 sq.ft.or less 1 168,54 4
Tax map/parcel/I:
l 500 sq.ft.or portion nt n 33.92 111.111111111
* '; -0=iaikA'il..:•::':•:;: r!re..0,04M414,0N.4.0.E;.-',W,Q#Krf';::::::::.::',:,.:\','!, ,.,::.:::1]:1. •..\.,.. , : Ea.addLimited energy,residential N-r
(with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
MOREIrpAteiltylOWOM-•::.,MENI:00::,i„:, ; :j13 401.301.,, ,:,..:::....: ,;„_,:;,, isleernizeasbo,
iEner installation,alEjteraStieoe:7aned/2or relocation
Name:, o)v_t_iii,ry,1 1-1stu, 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: . i 0 %.,,4 ari ,41,, A F 4 ._. i 11 22
401 amps to 600 amps 20034
City/State/ZIP: S Go-H-9-1(4c 1 kcI ... k(352.5t3 601 amps to 1,000 amps 301.04
Phone: (.0 01--(961 4--.Lit 03 1 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
II 59
Owner installation:This installation is being made on property that I own which is not 200 amps or less .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
pi,x4Niiinotowittowrwi.p:i.,nyitl.:T .,:ziTaiossfarttootoosiF.,,: : : ARrIneclii.oictunicitsi;liT.,:u7t; titration,or extension,per panel
Business name:Polygon WL11,LLC above service or feeder fee, 7A2 9
each branch circuit
Contact name: CAnokelina)ciite..„ B.Fee for branch circuits without
service or feeder fee,first
Address: lo 7, ..
ibnattwak, .k.- u‘.A.4ce. -.--io branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 J Each add'l branch circuit 7.42
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular
67.84 • 2
Email: vj\ono le.-pro ,,,,„_ s.,,,49,,,,,,,,,,, ., Rdweceolnlinn&ectseorvnlyice and/or feeder
67.84 2
WirignattetaltageRV.,',.;i::7-:10,04:Mt
Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
„
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:402 Valley Ave NW Ste 106
- panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Puyallup WA 98371
Additional inspection(1 hr mm) 66,25/hr
Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(1 lir min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:hdaniels@gweusa.com
Inspections for which no fee is
90.00/hr
CCB Lie.: C1158 Electrical Lic.: 208174 1 Suprv.Lie.: 4496S specifically listed(V2 hrmin)
__.... . •• -
la:Z!.Y..;:•T:'...:01#013.4ataitki.ttreft* *.W
Suprv.Electrician signature,required:
t'.,kM1./ p, yiezh -6.- •:" •
Subtotal:
. .
Print name: Joan P Albert •• I Date: D Plan Review Required(2.5%of permit fee):
State surcharge(12%of permit fee):
,__ -
Authorized signature: TOTAL PERMIT FEE:
TOTAL
This permit application expires if a permit is not obtained within ISO
Lint name: Bill Daniels ____Date,: eirtys-Tirkrirnas been accepfea as complete.
* Number of inspections allowed per permit.
IABuildingTennitADLCPennitAppLR ERadoo Rev 06/17/201.5 440-46157(11/05/COWIWEEI
Plumbing Permit Application
Building Fixtures E-GkV
City of Tigard 2?"° Received Permit No.;,7 S'2-,20� _ n = /-
w 13125 SW Hall Blvd.,Tigard,OR 97223 A s Qf yj' IJU
C Phone: 503.718.2439 Fax: 503.598.1960n
��V ate/By. Other Permit No.:
T I c R D Inspection Line: 503.639.4175 � `( �atc Ready/13y: 1, ; ®See Page 2 for
Internet: www tigard-or gov C‘1"1 .t 0I ' Nohfed/Method Supplemental Information
..t9r ...,....at.+Rp.". - ..+ '+'.F'+4t Iti;1<..r..r sw.re«.. .e.+/•yll,4 4144
<. 4-�v.+v.....;.
New construction ❑Demolition For special information use checklist:
Description I Qty. I Ea. Total
Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY UR CONSTRUCTION SFR(1)bath 312.70
CI 1-and 2-family dwelling D Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500,32
Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other. Fire sprinkler( sq.ft.) Page 2
JOB;SITE INFORMATION AND LOCATION Site utilities:
�� Catch basin or area drain 18.76
Job site address: is
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.: Project name: u-'i1�R's"J. 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
n Water service(no.linear ft.: ) Page 2
Subdivision 1_iJe r- Te,,re,,,e.c. Lot no.: 2317 Fixture or item:
Tax map/parcel no.: Backflow preventer 0 31.27
DESCRIPTION;OF'-WORK Backwater valve j 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®®4.P1 tOP74T Y OWNERIENANT
Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer�P 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
'= 'PUCANT:, CONTACT.PERSON interceptor/grease trap 25.02
Business name: Poli ( ,�� Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: icA461,e.:1)/l{ p Roof drain(commercial) 12.51
Address: b3 �� W" �'`�(5-1- , R- 0 Sink/basin/lavatory� ;/ >j -! ( 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
Unal
E-mail: G\nt�to �h\ l\1 Yl �(� Water 25.02
33 t v ( �„v .fi„ r A Water closet 25.02
yh.
CsQ LI OIbL ,<, __ tt. „ Water heater 37.52
Business name: 64- ` 4/%141 11, 1--60P‘e � Water piping/DWV 56.29
Address: p.t1. 6 ox, Other: 25.02
City/State/ZIP: ST. P44,4 oft_ c11137 Subtotal_
Phone:(3$3 8(i - 1'U1 Fax:(11 V.."*791.-e,11/0Minimum permit fee: $72.50 Plan review (25%of permit fee)
CCB Lie.: /8413-72_. Plumbing Lic.no.
� � State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: % J VIC W' Date:s-3b f This permit application expires if a permit is not obtained within 180 days
after it ,,,
*Fee methodology set by Tri-County Building Industry Service Board.
1:,23uiidiaglPerils\PLAMU-PermitApp.doc 10/01/09 440-46t6T(10/02/COM/WEB)
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
II
T I G A R D Building Permit Review — Residential
Building Permit #: 4,t S T d..0/7-- , 6,,,?l3
Site Address: I6S16 Sit/ Sncw ale &.I.
Project Name: g Mr "Tema CO- C#LJ Lot #: 23.E
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ivZUf Sc-f,
11;Verify site address/suite#exists and active in permit sytem.
River Terrace Neighborhood: ❑ No Ly' Yes,See River Terrace Review Addendum Attached
Sit- Plan Elements:
L! P ree(3)copies of site plan ting structures on site
■:Ste plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale)
rth arrow
.or elevations
62 9dIity locations&easements(required for new and additions)
yYe address,project or subdivision name and lot number Sidewalk/driveway approach
®A,r/ plicant information(name and phone number)
,_,�,L�ation of wells/septic systems
IP' t dimensions and building setback dimensions LV'l✓xisting trees to be retained with drip line,and tree
1 uare footage of buildings to be demolished . otection measures
1+ of area,building coverage area,percentage of coverage and I.street tree size,type and location
jpervious area(applicable if R-7,R-12,R-25&R-40) fl;treet names
perty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [es ❑No
4 6of differential) If yes,is a storm water quality facility shown?
El
7No
Clean Water Services-Service Provider Letttte of platted prior to 9/10/1995): jri a
quireElYes,applicant was notified Cid' No Received: ElYes ElNo ,,I�, ✓fit
Lf Public Facili�ti�e improvement(PFI) Permit: 1'�``°
equired: [I Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Ur and Use Case#: P00.016 rr ( 0000
,_/Zoning: k-115 )
1 equired Setbacks: Front Rear Jo Side 3 Street Side 114 Garage lc
dscape Requirement: 10
■! of Coverage Maximum: f() %
L, Building Height: Maximum Height 30 Actual Height 2
'Z" isual Clearance
:/Sensitive Lands: ❑ Yes L"J No Type
rban Forestry Plan
WJ Conditions "Met"prior to issuance of building ermit
Notes: CA1ti -i c Nt, frjr b GJIlliAl P r i- Ito-al Le.
Approved By Planning: j r Date: 7- 30-I 0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPerm tRvw_RES_061417.docx
Building Permit Submittal /
Original Submittal Date: -//11/1 y.
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering Permit Coordinator Building
Workflow Sign-off: L.�Sign-off for Planning(include notes from planning review)
Route Application Documents: f 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: Alirr.14111 AlrA I V Date: //
Engineering Review
Slope at building pad: 50 710
.Conditions "Met"prior to issuance of building permit
asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes eNo
Assess Water Quantity Fee in-lieu: ❑ Yes - No
LIDA Facility on lot: ❑ Yes No
El NOT Approved by Engineering: Date:
.
Notes: WA{`r f& `G '/f�Jlullay $.*/4c-f 11 X.
Approved by Engineering: hit g k,L l 4 Date: ( >� 416Revisions (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 ,� �/ C/
pproved,NOT Released: Au 41,44e,5(/ eit,.1:1/H%, Phil-Date: 1/0 /i t
(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: 4-4 '
SDC Fees Entered: Wash Co Trans Dev Tax: .- Yes ❑ N/A
Tigard Trans SDC: IC i es ❑ N/A
Parks SDC: ;2'Yes ❑ N/A
LIDA ❑ Yes ill N/A
b/OK to Issue Permit
Approved by Permit Coordinator: Date: a lg
I:\Building\Fonns\BldgPermitRvw RES_061417.docx
111111
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R o River Terrace Building Permit Review Addendum
Building Permit #:
Site Address:
1ESiti Si,/ saoAhlz Si
Project Name: 14-c- Ttrrtiv tail- [Ili) Lot #: 23.E
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distj. t Design Standards (18.640.070.1.):
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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
CI CI CI CIGabled dormer/
V
2. Eyes on the street: a minimum of 12.°�/9 of each street facing facade must include windows or entrance doors.
2
Percentage Shown: 2-1,S 0 /.
3. Entrances:At least one entrance must meet both of the foll9 ing standards:
Lia'Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Ves El No /`
If yes,all the following apply: C�'2� sq.ft.min.
( I e street facing entry 1 ft.max. roof above floor of porch
11Y5 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 C2 ecessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection El Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood LSI C-able,hip or gambrel roof design
❑ hoof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
®/Accent siding min. 40%of street facade ❑ Window 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 loser to front or side lot line, than longest street-facing wall. ❑ Yes Q"No. If No (Check one):
LTJ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the frontorch.
I=1 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 façade
El 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: � �
.�� �
_ --mate:
I:\Building\Forms\BldgPamitRvw_RES_RT_121417.docx