Permit (183) CITY OF TIGARD MASTER PERMIT
11 . COMMUNITY DEVELOPMENT Permit#: MST2019-00302
T i(;;\it.r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2019
Parcel: 2S107AA12800
Jurisdiction: Tigard
Site address: 16887 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 128
Project: Polygon at Roshak Ridge, Lot 128
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 911 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1061 sf Garage: 377 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1972 sf Value: $265,321.21 Rear: 10
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
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!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 1972
Owner: Contractor:
POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1- rsn rttfi503- -175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Fire Rated Eaves
3 Geo Tech Required Prior To
Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX: 360-693-4442
Total Fees: $35,899.57
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and - • er 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 issuanc- or if w•rk is pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No Q-tion -nter. T \•se rules are set forth in OAR
952-001-0010 through OAR 95 001-0090. You may/btain a copy of the rules or direct questions to OUNC by callin''•03.23 .198 •'i . .2344.
Issued By: /✓L. �� Permittee Signature: �� ' ����M��L i ..4%
"IrCall 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 pr. -
Approved plans are required on the job site at the time of each inspection.
4,
Building Permit Application L --- --- .,a
Residential FOR OFFICE USE ONLY
4 -Y)' t t„„ Received
City of Tigard Date/By: � ` � ��� Permit No.�1 -r?,(...,..,,\� 1
Blvd.,
III13125 SW Hall Tigard,OR 97223
Plan ReviewOther Perm
Phone: 503.718.2439 Fax: 503.598.19l�q da i, , '� Date/By: Lei31Lt- VS 4
T 1 G AR D Inspection Line: 503.639.4175 Date Ready/By: Juris: E3 See Page 2 for
Internet: www.ti and-or. ov CI 1 ti �'?- :"...--„A` Notified/Method:
Supplemental Information
/� Vi r ✓
� ::...... ....:,.�.,.,.,.a�l���1�1.Mkt:, 1.�a�1.`.."'.v.r..,P.-,„-a,...-...,a._..� .��..,....,..�...r--^�rx-�-^-•.....-....„,,,, .
TYPE WORK REQUIRED DATA:1-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.
c2 b® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ S,37_
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms: 74.44 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 'Z 3k-kq
Job site address: \'¼.o01 51,A) c _SLA....telNkty%E esters-t- St New dwelling area: \CO 2_ square feet`pkiL 1
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3-\, square feet Q`t
Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: 11►70 square feet
Cross street/directions to job site: Deck area: 41 aysquare feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Roshak Ridge I Lot no.: V25 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
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St.,Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
._ —------- m Amount received:
Phone:(360)695-7700 Fax: :( )
E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St.,Ste 510 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:204238 Total fee due upon application: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
-..„...„_ " ,
Illh
Print name:Tonja Morris ` Date:04/17/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application, d" FOR OFFICE USE ONLY
• a
City of Tigard `4`" s Received
13125 SW Hall Blvd.,Tigard,OR 97223 l, Date/By: PermitNotT `•��' r.�=.
Phone: 503.718.2439 Fax: 503.598.1960 0.1_ 9 <') L!IllPlan Review
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read/B Jury:
Internet: www.ti and-or. ov a Ready/By: H See Page 2 for
g g i.->+ Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHE(KUST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION
Value:$
RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES*
54.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family ❑Master builder 0 Other: Description P Qty. Ea. Total _
JOB SITE INFORMATION AND LOCATION Heating/cooling:
�, C W c Air conditioning k 46.75
Job site address: J J11x 5 j4 h E Oip -' St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Roshak Ridge Heat pump 61.06
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.: /2..4f Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
� PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust I 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon LH,LLC Fuel piping:
W
$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
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)
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
I:\Building\Permits\MEC_PermitApp_140113.doc 440-4617T(11/02/COM/WEB)
Electrical Permit Application = , ', '
FOR OFFICE USE ONLY
City of Tigard ! Received
't 13125 SW Hall Blvd.,Tigard,OR 97223't,L 2 4 2019 Date/B : Permit#:
Ili
g Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.59,8:r1i916Q Date/B
Inspection Line: 503.639.4175 . € " Ready Date/By: Jurist H See Page 2 for
TIGAR.D. Internet: www.tigard-or.gov '" , - -,,- , Notified/Method: Supplemental Information
.
TYPE OF WORK PIrAN,REVIEW ..
New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other where the available fault current
0 Marinas and boatyards.
• ` .. CATEGORY_OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
• . . JOB SITE:INFORMATION :AND`LOCATION ❑Emergency system, larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: (6891 5• H•-t r',€ „ sr ST 100HP or more. ❑"A , 'E,"1.2^, 1.3'>,
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
0 Health-care facilities. ❑ ecreational vehicle parks.
Suite/bldg./apt.#: _ Project name:Polygon At 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 I
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: t 215 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less t 168.54 4
Ea.add'l 500 sq.ft.or portion 3 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY.OWNER`.. .- 0 TENANT. Services or feeders installation alteration,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or less 100.70 2
Address:703 Broadway St Suite 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
.
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 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
APPLICANT ❑ CONTACT•PERSON Branch circuits-new,alteration,or extension,per panel
A Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
each branch circuit 7.42 2
Contact name:Nichole Thorpe B.Fee for branch circuits without
sAddress:703 BroadwaySt Suite 510 brancheae or cfueder fee,first 56.18 2
circuit
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
o»ly 67.34 -2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:3415 NE 44th panel,alteration,or extension.
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax: ( ) Investigation(1 hr min) 90.00/hr
•
Industrial plant(1 hr min) 78.18/hr
Email:solarpdx@me.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48711 cJ specifically listed(Ch hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
— State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEB:
This permit application expires if a permit is not obtained within 180
Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete.
Plumbing Permit Application
Building Fixtures , }r- I , - i Y-• ' FOR OFFICE USE ONLY
City of Tigard Received PermitNo.. - '� ` <��
'I dk s )n Date/By: ��( Wl
III13125 SW Hall Blvd.,Tigard,OR 9723'I- L 4� (U 1 Plan Review
Phone: 503.718.2439 Fax: 503..598..1960 Date/By: Other Permit No.:
• Inspection Line: 503.639.4175 1 : 4 , `
TIGARD 3 Date Ready/By: Ions: ® See Page 2for
Internet: www.tigard-or.gov 3( t t t\ , , i if C,'', Notified/Method: Supplemental Information
TYPE OF FORK _. ` r. w T'EE* scuEDULE
®New construction 0 Demolition .r _ v For special information use checklist.
Description I 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
tg 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath , 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: '(i$e7 5(it) 5a y IMP)6 e01151- Sr Catch basin or area drain 18.76
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.: J 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 1 Lot no.: / Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer I 25.02
Dishwasher 1 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 1 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 1 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 1 12.51
® APPLICANT ❑ 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 %s 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units( otable water)_ 62 54_
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 'Z- 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
WaterPg/
ip 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
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634
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.
IrlBuilding/Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10i02/COM{WEB)
City of Tigard
14: . v COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R o Building Permit Review — Residential
Building Permit #: X\r\--r i-U,4,-Cs,;
Site Address: 16067 SW S-Vnsh rTE. .N4- S`#'-
Project Name: P.0 s 1,.101 lit_ aid ye Lot #: i 25
(New dwelling=subdisien name;Addition or Alteratio =last name of owner)
Planning Review \ EV\SkQIN --410 IlCI' S\ "R.prcN i;` ►LLCn<N
Proposal: SR r
1� Q l.tiA JET 3 210 ( -F,,(22 `
P Verify address/suite#active in Accea. In River Terrace: ❑ No carYes,River Terrace Review Addendum
Site Plan Elements: ZiErosion Control
/3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Bit-Mined trees with drip line and tree protection measures
/Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and FFE
[4orth arrow /Utility locations&easements(required for new and additions)
/ite address,project or subdivision name and lot number f'Sidewalk/driveway approach
Applicant information(name and phone number) ❑Location of wells/septic systems
,OLot dimensions and building setback dimensions Street tree size,type and location
BsTTiare footage of buildings to be demolished j2Street names
existing structures on site .,12torner elevations(2'contours if more than 4'differential)
,Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?/Yes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? d1CrYes ❑No
fd Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
g Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: 4 Yes ❑ No,stop intake
Land Use Case#: rDa x16 - OOOO2- ❑r Zoning: ( z
Required Setbacks: Front: � Rear: I 0 Side: 3 Street Side: 1VA' Garage:7-.10
Building Height: Max. Height:#1/A Actual He ht:
Landscape Area: 0 % ,1 Lot Coverage Max:
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ . ', 12%of area of all street-facing facades
Garage ❑ Garage door :-hind widest street-facing wall ❑ ❑ No,one of the following is met:
gr ilk ❑ Door extends n. ore than 5'from wall a .. -- • is a covered porch extending beyond garage.
N/ ❑ Door extends no more i . • ' . wall and there is a 12 sq ft.window above garage on 2nd floor.
1 fLI-- ❑ Garage door width,is-.-- 12'or less ■ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covefe porch GI Recessed entrance ■ Wall offset ❑ 1'Roof eave ❑ Roof offset
)~ire shingTes Lap Siding 171 Roof pitc ❑ Gable,hip,or gambrel roof f Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance Urban Forestry Plan
Sensitive Lands: ❑ Yes gf No Type:
/21 Conditions met prior to issuance of building permit
Notes:
7 Approved By Planning: M v 1 O'ti -Z. Date: 1l '23
Revisions (after BV1ding Submittal only) V R iew r Date
Revision 1: a Approved ❑ Not Approved t 4-30-4
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
l:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: ` ‘iC1
Site Plans: #
Building Plans: # •_�
Building Permit#: Enter building permit#above.
Workflow Routing: Dr-Planning L"Engineering Ri ermit Coordinator Building
Workflow Sign-off: [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.
g"-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: --4— Date: 'A\ k\Ct
Engineering Review
®Slope at building pad: ..1,4414-, / ,v rxee/S 6v --
❑ Conditions "Met"prior to issuance of building pe—i-
[ Easements (encroachments)per engineering conditions of approval and plat
[Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes [ No
LIDA Facility on lot: ❑ Yes allo
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
r-Approved by Engineering: j^ Date: 7/2. —M
Revisions (after B)lding Submittal only) R viewer Date
Revision 1: Approved ❑ Not Approved 7/36119
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
•
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
VC Fees Entered: Wash Co Trans Dev Tax: r les ❑ N/A
Tigard Trans SDC: LJ' es 1=7,'"
Parks SDC: L11 Yes 11
LIDA CI Yes .'"///3 /
K to Issue Permit
71/1Approved by Permit Coordinator: `/l?`� Date: :L� `
I:\Building\Forms\BldgPennitRvw_RES_022819.docx
6.
City of Tigard
NIit COMMUNITY DEVELOPMENT DEPARTMENT
G . ,.
TIGARD River Terrace Building Permit Review Addendum
c-
Building Permit #: c--C ,\C\_
Site Address: 16 g87 S.VJ Sun sh; acZ., Coca st- si--.
Project Name: (LOS ')Cl fit.. R i 049 e. Lot #: I.Z
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards?0 Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
/ 0 0
A ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: J t!/ . 3
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing VT'arallel to street,angle no more than 45° from street,
/or open onto porch
Entrance opens to a porch:j Yes ❑ No
If yes,all the following app y: /25 sq.ft.min.
One street facing entry f 12 ft.max.roof above floor of porch
Vr5 ft. depth min. V30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep %Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
Roof eave min. 12 inch projection Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof 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 closer to front or side lot line,than longest street-facing wall. ❑ Yes 7'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.
"May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door ❑ 40%max. of street facade
IZ 50%Max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: M. 8-A.."^ l./"\--..-..- Date: "7/ Z? / I 1
I:\Building\Forms\BldgPennitRvw_RES_RT_121417.docx
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 proj ect.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 = Transmittal Letter
T l G A R[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: f21157r figois"r-R071a DATE RECEIVED:
DEPT: BUILDING DIVI uu x' :
MOP---RA
JUL 3 0 2019
FROM: 1NJI9 S
COMPANY: 7-Otd4teiJ 7ryvk s . � ,�^ k: i
PHONE: 3&10).-&q5 - -7/00 By:<,,,�"T'
RE: -'---R( J `Z5 frr /zb i'l sT 2D(1 oo3oi
(S to Address) (Permit Number)
/60eB 7 51A) n ./-045
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. X' 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):
REMARKS: n1 IS --- u\-1, t M A CT N - I-I BULLET/nl 7-0 /
be_r__-, e .:ay rt, b.e_c. k-
-- w �. -
F AF IC.Ti U 4NJ
Routed to Peit Technician: Date: 1) ' Initials:
Fees Due: Yes ❑No Fee Desc 'ptio : Amount Due:
$ 0-0
v
\/ ?\ •,( f tiAJ $ ti.S -
$
$
Special
Instructions:
Reprint Permit(per PE): es ❑ No ❑ Done
Applicant Notified: e: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc