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Permit (178) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00169 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2019 T I " 'RO g Parcel: 2S 107AA01800 Jurisdiction: Tigard Site address: 14474 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 18 Project: Polygon at Roshak Ridge, Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $240,968.70 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 Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 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: 4 201-400 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 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 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,659.92 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 thro AR 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: " )7677—e___ Permittee Signature: 11A14 ted'/ /ef../c9-%7dli 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. R• Building Permit Application L 0) \ \ N6 ResidentialRECEIVEDFOR OFFICE USE ONLY . City of Tigard Received Permit No . II III 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 06 019 PlanDate/ByRe: r> ��' S�-(" Ck_CtAtit = Review Other Permit. TIGARD Phone: 503.718.2439 Fax: 503598.1,9b0r,, L„tl” „, � Date/By: i.,./(2/1,1kii- \�-W1 � Inspection Line: 503.639.4175 l••.A8 y Date Ready/By: Tuns: 10 See Pae 2 for Internet: www.tigard-or.gov .'Uk _D NG DIVISION Noti t Vv.,70 <�� � Supplemental Information Y TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1401° �DO ❑Accessory building ElMulti-familyNumber of bedrooms: 1=1Master builder 0 Other: Number of bathrooms: JOB Sl i E INFORMATION AND LOCATION Total number of floors:. j25 Job site address: 'y u1iL\ S v\.) \1Y U- VQ) r New dwelling area: 1 g5g square feet t 6( 49 Tigard,OR 97224 Garage/carport area: 111 221 square feet 7719 Scpi Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: j_'.4 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:CO1tBIERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: I% Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SF Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 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: ® APPLICANT; ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Please refer tofee sckedulel 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.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB Iie.:207247 I Total fee due upon application: $201.60 Authorized signature: i• This permit application expires if a permit is not obtained Date: { 5i( within 180 days after it has been accepted as complete. `I Ge mcth�rd�l. Print name:Amanda Flavin - { ' ay sr Tri'Lbrmtp$tm`dmgIndustry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatic C E I V E D FOR OFFICE USE ONLY City of Tigard Received g Date/By: Permit No./75-2-3-20n.-404//6 9 13125 S W Hall Blvd.,Tigard,OR 97223 MAY 9 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection 503.639.4175 CITY OF TIGARD Date/By: TIGARD p Date Ready/By: Jona: Et See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 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* 25,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: (Litt-14 W k LQ'\.1.t1 Nye, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 1 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: Hydmnic 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.: v% 0 �' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK` Gas fireplace/insert 3339 , Flue vent for water heater or gas al C.cm-{'ra-C 2 f\NS^T 2p1,a"tib1ADp\ fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 E 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 Business name:Polygon WLH,LLC Fuel piping: $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 C CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* 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) 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 1:Buildiag\Permits\MEC PemtitApp 040113.doc 440-46171(I I/02/COM/WEB) D Electrical Permit Application C E E FOR OFFICE USE ONLY City of Tigard MAY 9 2019 Received �„�� 4 13125 SW Hall Blvd.,Tigard,OR 97223 PlanateB : ?emit W:/1-1...(7;267/9 d , 1 '-•• Phone: 503.718.2439 Fax: 503.598.19rdTY OF TIGARD D : w ateB Related Permit#: Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDate/By: iris: H SeePage2for tli.J,`.N_L7- Internet: www.tigard-or.gov Notified/Method: Supplemental Information $'$ "!:,, , _1...i.s.:: : TYPE OE,'WORx ,. .1: ... >_,_ . 5 " PLAN<REV Wt _ , ®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other. where the available fault current 0 Marinas and boatyards. 1-and 2-family 0 Commercial/industrial 0Accessory building .. -:"� CATEGORY.OP.CONSTRUCTI011r ., - exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® dwellingM1less to ground,or exceeds 14,000 0 Commercial-use agricultural Fires for Installation all other installations, ags. 0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 of 150 KVA or ;;_ : :;TOB;SITEOBMATION=,AND,LOCATION_ _ 0 Emergency system, larger separately derived Job#: Job site address: 0 Addition of new motor load of system. rI1f7f 5 IA) L09;�1 A'(5 10011P or more ❑"�", E,"1.2,"1-3" City/State/L1F:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than CI 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 1 New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge Lot#: i$ 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 ESCRIP•IZON QF,WORK Limited energy,residential 75.00 2P)15�ibI1,OO (cei c( QLJlV nWsY,_ r "�"res (with above sq.ft.) Limited energy,multi-family _ 75.00 2 residential(with above sq.ft.) ®:.PROPERTY,OR'NER r,._.;. ., , TEN PiT Renewable Energy ❑ See 2 Services or feeders installation alteration,Page 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 _: -new,alte ation,or extension,per panel • Branch circuits r '-',:-1.':..'''''f'''.:.' '`� APPLICANT,;:: .` , ,,;...:, ;❑ COIVTACT•PERSON A.Fee for branch circuits with Business name:Polygon WLR,LLC above service or feeder fee, each branch circuit 7'42 2 Contact name:Jolene Smith B.Fee for branch circuits without Address:703 Broadway St,Ste.510 anct fue fee,first branch circuit 56.18 2 brh t 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 4 E „_. ;. `T?,{; , r CO.Ni10C2QR i_W<. , :; . Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Address:1915E 5�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:paul®portlandelectric.biz Industrial plant(1 hr min) 78.18/hr 111205 ,e1Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.;-4902g 111$ specifically listed(1213r min) n A- ELECTRICAL PERMIT BEES-: ahSuprv.Electrician signature,required: ah.. ., ^ a,,„ 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: . • 7ni,4-fL{ R. TOTAL PERMIT FEE: / ! This permit application expires if a permit is not obtained within 180 Print name: MISHCFRAC,SERG-Y Date: 04/08/2019 days after It has been accepted as eemplete. * Number of inspections allowed per permit. 1:\Buiiding\Permirs\Ei.0 PennitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(l1ro5/COM/WEB Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY 1111 City of Tigard A^n p qO�p Received Permit No. y e 9 L Jo�-L/9'00/6O 13125 SW Hall Blvd.,Tigard,OR 972�'S^ Date/By: �S'7- ■ Plan Review Phone: 503.718.2439 Fax: 503.59$$. Other Permit No.: Inspection Line: 503.639.4175 GIOF TIGARD Date/By: TIGARD g g BUILDING DIVISION DateReady/By: ]uric: Gd See Page2 or Internet: www.ti and-or. ov Noted/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 lg 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14g fg 1L! S tA) (629 774 - ,e. Catch basin or area drain 18.76 / ' Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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 R Subdivision:Roshak Ridge I Lot no.: ( D Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 _ -o�� ^,� , Q Clothes washer 25.02 C-1- C 5" ► i `S-r Z d t-pI-ookto- 1 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 0 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 WaterPp i m 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:\Buildiag'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02ICOMIWEB) • City of Tigard 1,1 d COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A u D Building Permit Review — Residential Building Permit #: T c - er,. \( Site Address: (`tq -9 ; 161th Avt. Project Name: 'f o()`,Qe,k a- gGu k. —4e Lot #: 1 (New dvJ€ ing=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro osal: J / S r [/Verify address/suite#active in Accela. In River Terrace: ❑ No [Yes,River Terrace Review Addendum Site/ Plan Elements: 1;14 sion Control lid3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11 ained trees with drip line and tree protection measures V .wn to scale(standard architect or engineer scale) IT otprint of new structure(including decks)and FFE •rth arrow !ld99 i'ty locations&easements(required for new and additions) PL S ti� address,project or subdivision name and lot number Sidewalk/driveway approach Mr p ii"plicant information(name and phone number) a',0.0. ation of wells/septic systems dimensions and building setback dimensions �.,l!treet tree size,type and location are footage of buildings to be demolished Lld5 eet names I xisting structures on site [ tomer elevations(2'contours if more than 4'differ ntial) 15 Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Wes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑No UrClean Water Services—Service Provider Lettttof platted prior to 9/10/1995): ) i...,14equired: ❑ Yes,applicant was notified RW No Received: ❑ Yes ❑ No VPublic Facilities Improvement(PFI) Permit: 1.6,4 (41 • Lquired: ❑ Yes,applicant was notified NJ No Applied For: ❑ Yes ❑ No,stop intake and Use Case#: f0(1,0 IS-00002- Zoning: 17•-17— (1PP\ equired Setbacks: Front: 12— Rear: b Side: .5 Street Side: 6 Garage: 3 pini_y J Building Height: Max.Height: Actual Hei ht: ZS Lid Landscape Area: 20 % Lot Coverage Max: trance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less ""1,,�,1 Windows ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ,\ ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. 1itr `i, ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer ✓ ❑ Accent siding , ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony LV>kfisual Clearance ❑ Urban Forestry Plan ©/Sensitive Lands: ❑ Yes V No Type: PCond io met„ prior to issuance of b �dir permit ies: L44t'1 c V- ({I Mr' to U A61:,,,,, <,^M i i” i s� Approved By Planning: Date: "Z'I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernvtRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: 2\mak iC Site Plans: # 3 Building Plans: # Building Permit#: © Enter building permit#above. Workflow Routing: []Planning COY Engineering 131-13ennit Coordinator EVBuilding Workflow Sign-off: Q`Sign-off for Planning(include notes from planning review) Route Application Documents: El/Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. El/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 1; kCk Engineering Review Sloe at buildingpad: .70p ,0 Conditions "Met"prior to issuance of building permit l l-Easements (encroachments)per engineering conditions of approval and plat Er Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes ET No LIDA Facility on lot: ❑ Yes -B-No ,B' Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 2rApproved by Engineering: vit l jL CEJ Date: 5/i//, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: VDC Fees Entered: Wash Co Trans Dev Tax: "Yes ❑ N/A Tigard Trans SDC: �/. es ❑ N/A Parks SDC: [� Yes ❑��/A LIDA ❑ Yes ld N/A OK to Issue Permit Approved by Permit Coordinator: Date: 5/14/l 1 I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard ■ N COMMUNITY DEVELOPMENT DEPARTMENT III T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: m-TtiG c\lsok H4i- Site Address: ' 't^/ 161tJ Project Name: 104( ,,le,,, 01 hu,I }Q,, e Lot #: 18 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis ct Design Standards (18.640.070.I): Is the project subject to the plan district design standards? LEYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 f. dee Balcony w/access 2 Window Projection Vertical Wall Offset a P Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: ZS.LV ' 13,1 q 3._Entrances:At least one entrance must meet both of the follo g standards: Lid Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No / I,f/y�s,all the following apply: C sq.ft. min. [ O e street facing entry l_ld, 1122 ft.max. roof above floor of porch L!'5 Er ft. depth min. %min.porch roof coverage 4.petalled 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 r ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ ll offset min. 16 inches il ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection rfs ❑5.00f offset min. of 2 ft. ❑ Roof shingles either tile or wood V9able,hip or gambrel roof design.vp ❑� of pitch oriented south min. 500 sq. ft. LWI-Jorizontal lap siding min. 3-7 inches wide_c I Accent siding min. 40%of street facade j'/ ❑ Window trim min. 2'/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 L'Attached garage is 35%or less of street facade F4' 5. Garages and Carports:May face the front or side lot line on a corner lot. tik Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): .A4 ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 9, ,,yy ❑ 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 16 above the garage that faces the street with a mm. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: 01. 77 s ate: �'L—1 I I:\Building\Forms\BldgPermitRvw_RES_RT_121417.do cx 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 111 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4U / Ls DATE RECEIVED: DEPT: BUILDINSION RECEIVED --1--- � ' MAY 6 2019 FROM: \ ► ° -VCC CITY OF TIGARD BUILDING DIVISION COMPANY: j di • „ , PHONE: ' (0b - f. -MOD By:e. RE: V tt.hL4 Sly «x'1-11-} PrUE) tsA 7 VAS-001(.7 (Site Address) (Permit Number) (Project name or su rasion 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. X Engineer's calculations. Other(explain): REMARKS: x.15 C_B-L A,( 1 OiUS FO OF CE USE ONLY Routed to Permit Technician: Date: rj -7 ( 1 Initials: Mit' Fees Due: Igl Yes ❑No Fee Descnpti : Amount Due: $ b e G- tZ plan rttA;e.A,J $ 1-i.C. 050.y $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes \yf-No ❑ Done Applicant Notified: Date: Initials: I:\Bui lding\Forms\TransmittalLetter-Revisions_061316.doc