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Permit (32) CITY OF TIGARD MASTER PERMIT "`��. `' COMMUNITY DEVELOPMENT Permit#: MST2019-00231 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019 t1ReL Parcel: 2S 107AA03900 Jurisdiction: Tigard Site address: 16821 SW TOWNSVILLE ST Subdivision: ROSHAK RIDGE Lot: 39 Project: Polygon at Roshak Ridge, Lot 39 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1642 sf Value: $214,475.30 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel 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 1642 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) ... ----- -.. QST-STE 64B --- -78 Y STREET-,SOME 640 1 &an Gatti 603-639-4175- -_ VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,095.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. \�_-24-- ., Ci'--�(_A-T\ " Issued By: .��_ 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. . f fla lding Permit Application Lo-c- ''')\ E VED Residential R FOR OFFICE USE ONLY City of Tigard FEB 0 6 2019 Received Permit No-. �\ C' �n��!�� Date/By. �� '.\ICA ��� �►�JV� ti Jj a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review p �: Phone: 503.718.2439 Fax: 503.598.1960CI'(Y Q�TIGHRD Date/By: to ( 1, 4. _. Other Permii&,L> _ M TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: Juni: H See Page 2for Internet: www.tigard-or.gov B Notified/Method: Supplemental Information 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ^ ® 1-and 2-family dwelling 0 Commercial/industrial pi (Lii 9-1 S LkIDAccessory building 111Multi-familyNumber of bedrooms: El Master builder ID Other: Number of bathrooms: 3 JOB SITE INFORMATION AND.LOCATION Total number of floors:2 .96 1190 Job site address: C('j T� VL V\ New dwelling area: 1(II U1 1 square feet'Q 1,. City/State/ZIP: V\ �/' l�� Garage/carport area: Issquare feet (jLS Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet i Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: Permit fees*are based on the value of the work performed. I Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all I equipment,materials,labor,overhead,and the profit for the DESCRIPTION.OF.WORK work indicated on this application. V (� a p�/v\/A n � i Valuation: $ Existing building area: square feet New building area: square feet 0 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 Jo 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 dam_ rt LAW/state/Lief Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::(360)693-4442 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals@polygonhomes.com 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 W, 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: $201.60 Authorized signature: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Gavi Date: L 2-)q/ l V1 *Fee methodology set by TriCounty Building Industry 4 l Service Board. 1:\Building\Permits\BUP-•'SPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ...... . , Mechanical Permit Applicatiatt k,,;777 t. '-,-4.-',.'..:;. FOR OFFICE USE ONLY City of Tigard UPI Received Date/By: Permit No. ti\e‘ " 13125 SW Hall Blvd.,Tigard,OR 97223 ;;IN i 9 ?I-119 Plan Review Other Permit: . ' Phone: 503.718.2439 Fax: 503.598.1960 , t, , , „ Date/By: TIGARD Inspection Line: 503.639.4175 ,-'t' ', :,: ...„ Date Ready/By: Juris: Ei See Page 2 for Internet: www.tigard-or.gov -"'- -- ,''C °:`-' ,. Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning ( 46.75 Job site address: U048'2-1, .1-a,t)VI 50 1 le, 1.- - 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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas IMSCUI,ck —002,51 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 to 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 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 El 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:Tonj a Morris Furnace,etc. Gas heat pump Address:703 Broadway St.,Ste 510 Wall/suspended/unit heater — Citi/StateTZIP:Vancouver,VVA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Apex Air LLC 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 lie.:203034 ds= 7"i4 TOTAL PERMIT FEE This permit application expires If a permit Is not obtained vvithin 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Tim Flay Date:04/08/2019 FOR OFFICE USE ONLY Electrical Permit Application':-.1:1--.1 City of Tigard Received Pemfit#: i 0 1 n 1( Date/B : I.N 4 13125 SW Hall Blvd.,Tigard,OR 97223 i Li It. i n f_t i,.: Plan Review 1 I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 (Jl-1y ,--:, , :,..., ,., Ready Date/By: Juris: Fa See Page 2 for TIGARD 0 Internet: www.tigard-or.gov 3! i , ,,,,-, , , ,, ., Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW El New construction 0 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. 0 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. 0 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. El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION larger separately derived E AnmddeirtgioenncoyfsnyeswtemMotor load of system. Job#: Job site address:',LAZA -1-6tortsv;tve.„ 64.. 100HP or more. City/State/ZIP:Tigard,OR 97224 El Six or more residential units, occupancy. 0 Health-care facilities. CRecreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than 0 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#: 31 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 75.00 2 kAAAenc- 0-Nel INNST7,0t I.-00Z-3 I (with above sq.ft.) Limited energy,multi-family Cill1/4"11i* ‘* residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 e 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 1 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 Branch circuits-new,alteration,or extension,per panel 1531 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St Suite 510 branch circuit 56.18 2 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:Alameda Electric ' Sign or-Outline lightrng ,'.-- 67114 - -2' Signal circuit(s)or limited-energy Address:3415 NE 44th ' panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Portland,OR 97213 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.: c923Suprv. Lic.: 487) S specifically listed((/,hr min) 8 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 El Plan Review Required(25%of permit fee): Authorized signature: r,.,,,,...-•'4" State surcharge(12%of pennit fee): TOTAL PERMIT FEE: 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. * Number of inspections allowed per permit. 1\Building\Permits\ELC_PermitApp_EGR_ERE doc Rev 06/17/2015 440-46151(11/05/EOM/WEB Plumbing Permit Applicat t ; ` Y Building Fixtures FOR OFFICE USE ONLY 1UN 19 2019 it Cityof TigardReceived is 13125 SW Hall Blvd.,Tigard,OR x¢13 r l � *t' t` Date/By: Permit No.:���" � '1)il g-� Plan Review Phone: 503.718.2439 Fax: 5034980 960 ;r :'i ' Date/B Other Permit No.: Inspection Line: 503.639.4175 '$ t s Date/By: Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. Total 0 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 SFR(3)bath I 500.32 ❑Accessory building 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: Job site address: kp�'� '�uW nSv``12 51�. 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 Subdivision:Roshak Ridge I Lot no.: 3°‘ Fixture or item: Tax map/parcel no.: Bacicflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve ( 12.51 57 So`q_ b b�, Clothes washer 25.02 Dishwasher I 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 Z 25.02 Phone:(360)695-7700 Fax:( ) Ice maker ( 12.51 tO APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name:Tonja Morris Primer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory it25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 64 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 7..... 12.51 E-mail:permitsubmittals@polygonhomes.com polygonhomes.com Urinal 25.02 CONTRACTOR Water closet ?j 25.02 Business name:G&B Plumbing&Sons Inc Water heater I. 37.52 Water piping/DWV 56.29 25.02 Address:P.O.Box 92 Other: 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. C\Building`..Permits`PLMU-PennitApp.doc 10/01,09 440-4616T(I0i01COMi WEB) City of Tigard 111/ I' COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 c A R o Building Permit Review — Residential Building Permit #: mS-cC\_C`�,2DiSl Site Address: I(,Q$2..1 sv' TtAN+\S' j tlti Si-. Project Name: 'O1 miN YWe-- rZLot #: 4:1 (New dweIl =subdivision name;Addition or Alteration— ast name of owner) Planning Review Proposal: NeV4 C-7'1'L Verify address/suite# active in Accela. . in River Terrace: ❑ No $Yes,River Terrace Review Addendum Site Plan Elements: 'Erosion Control ig3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ('*etained trees with drip line and tree protection measures µµ,,``Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFh 1�North arrow gtUtility locations&easements (required for new and additions) .Site address,project or subdivision name and lot number ,Sidewalk/driveway approach .Applicant information(name and phone number) Mkocation of wells/septic systems of dimensions and building setback dimensions NStreet tree size,type and location KiNquare footage of buildings to be demolished 'gStreet names 'Existing structures on site NrComer elevations(2'contours if more than 4'differential) tiLof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? COY:s7No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? N ' No Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified K No Received: ❑ Yes E No A Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified .L No Applied For: ❑ Yes ❑ No,stop intake ait Land Use Case#: S[6W-DIS—004.X)14 %.Zoning: IR—(2-- Required Setbacks: Front: la- Rear: Rear:_ Side: V Street Side: 10/Ps Garage: 51 Building Height: Max.Height: N f Pt Actual Height: ±271 tg Landscape Area: 20 % f. Lot Coverage Max: 130 0/0 Entrance ■ Set bac no mor: than 8'from street-facing wall E Parallel to street or offset 45 degrees or less Windows a Minim 12% •f area of all street-facing facades Garage a ,.arage:.00r is ,ehind wid-. street-facing wall ❑ Yes ❑ No,one of the following is met: 0 I oor ext nds no mo - an 5'from wall and there is a covered porch extending beyond garage. ❑ 'ioor ex -nds no m.S - an 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door ''dth is ■' 'ir less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covere. .orch "l Rece,ed entrance ❑ Wall offset ❑• 1'Roof eave ❑ Roof offset ❑ Fire s ' gles II Lap Si.; g ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent.iding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 14rVisual Clearance Urban Forestry Plan iir Sensitive Lands: Nt..Yes ❑ No Type: toy./ Value, VIGt,lovirtt g Conditions met prior to issuance of building permit 72,- Approved By Planning: L/ Date: / 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\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: I U 1Ci Site Plans: # 7j Building Plans: # Building Permit#: RI/Enter building�pe t#above. Workflow Routing: Lid lanning Engineering Lam' Permit Coordinator D Building Workflow Sign-off: L(ign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and griginal 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: \ �� Date: x,21\j VOk En neering Review Slope at building pad: ,..e7 ❑ 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: ❑ Yes EVNo Assess Water Quantity Fee in-lieu: ❑ Yes 1117 No LIDA Facility on lot: ❑ Yes v/No final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 1 Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ 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: C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Kf Yes ❑ N/A LIDA ❑ Yes i;ivN/A OK to Issue Permit Approved by Permit Coordinator: 4117 Date: 7/u/ Z � 7 I:\Building\Forms\BldgPermitRvw_RES 022819.docx City of Tigard 11111 " COMMUNITY DEVELOPMENT DEPARTMENT 0 IN TIGARD River Terrace Building Permit Review Addendum 0 Building Permit #: MS-C \G-O Site Address: Up$21 S\nl vi.ik4 at: Project Name: POILlio,,, (ate 120S G) ¢� Lot #: '1 (New dw g=subdivision name;Addition or Alterati =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?IXYes ❑ 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 WallOffset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6 .wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1rT°10 3. Entrances:At least one entrance must meet both of the following standards: K.],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: ❑ Yes KNo If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 'Roof eave min. 12 inch projection j2CRoof offset min. of 2 ft. ❑ Roof shingles either tile or wood lt.Gable,hip or gambrel roof design ❑ : .of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide I! Accent siding min. 40%of street facade Window trim min. 2'/z"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 .._ -3-. ---- - Mayrn-ctlie totirot`s1de-Mt MI6 ona corrierTot. �f� �0 �1� Setbacks: 6ei No clse tofront or side lot line,than longest street-facing wall. El Yes ❑ No. If No (Check one): ❑ M e ed to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ M e t d 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) 01(1,04 to o p2 . �t wide garage door ❑ 40%max. of street facade A ax. of street facade with 7 detailed design elements Notes: 1 Approved By Planning: — ��— Date: (f, I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx