Permit (44) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00297
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019
Parcel: 2S 107AA04800
Jurisdiction: Tigard
Site address: 16840 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 48
Project: Polygon at Roshak Ridge, Lot 48
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1744 sf Value: $234,183.03 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: 1 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 addl 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:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1744
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
- 703 AtTO9AY S-T tS TrItlE C ADWAY STREET,St.liff Jilt 4 Ef'err 603-83W-4476, — -
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,412.22
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 1.800.332.23344.
Issued By: Ar 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.
Building Permit Application LcSV c)
.. .... .. ............ ..
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard V Received,�, r
6 2 019 Date/By � � Permit No cs--r AQ.tr�`.r?�
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 Plan Review ` V�i�-�
Phone: 503.718.2439 Fax: 503.598.1960 -7 pi f i - Other Perms.
Date/By. ��V� -,:in.
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy. Juris: El SeePage2for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: ( Supplemental Information
TYPE OF 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.
® 1-and 2-family dwelling 0 Commercial/industnal Valuation: $ 2'5‘i,' t V
❑Accessory building 0 Multi-family Number of bedrooms: 3V
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: ")-- ((•fl 7
Job site address: \ (/ _1 D l) ,�./ S li V V I n t N/� ` ^ 1 rW()(7 J —(� New dwelling area:'1 yl\ square feet a(34 69
City/State/ZIP: qClot Garage/carport area: ' square feet�l J Y` V
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
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Polygon at Roshak Ridge Lot no.: 4% 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.
)C 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)6934442 New:
)E APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC
(Please efertofeeschedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
-----LL_ nta is iia 'cation•...._ _�... .�.._._ s
Phone:(360)695-7700 Fax::(360)6934442
Amount received:
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
-
CCB lic.:207247
— Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Li 19-L1/ l&i *Fee methodology set by Tri-County Building Industry
Print name:Amanda G in Date: ` Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicatML i .,-.„,...,i . ,:;:„:,i FOR OFFICE USE ONLY
City of Tigard Received
Date/By:
: '113125 SW Hall Blvd.,Tigard,OR 97223 H 11 c4 1 Plan Review
.";ri',q
Phone: 503.718.2439 Fax: 503.598.1960' -'' " -6 ""I'
Date/By: Permit No.. c' -c3- 0t 4.5c) ,,,,i
I
Other Permit:
T I GARD Inspection Line: 503.639.4175 t - ..--.- ' Date Ready/By: Juno. El See Page 2 for
Internet: www.tigard-or.gov , Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
[E]New construction p Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling D 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 1 46.75
Job site address: 1,4F6(4to u..) Sufmt-hvxs,- evekST 'ST Furnace 100,000 BTU(ducts/vents) 1, 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: 23.32Is
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
Ci(34• C,10V\AviaA-o,c— \-0 fYv1 20`t-002-1:11 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
El 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
ED APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Gas heat pump
Address:703 Broadway St.,Ste 510
Wall/suspended/unit heater _
. _City/State/ZIP:Vancouver,.WA9_8660 _______ _ -
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permits ubmittals@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 lic.:203034TOTAL PERMIT FEE
Authorized signature:j
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
Print name:Tim Hay Date:04/08/2019
1A13tulding1'ermits`MEC_PermitApp_040113 doc 440-4617T(i iiimrnm/wrial
,
Electrical Permit Application -.. .-R ' - ,n. 4— FOR OFFICE USE ONLY
City of Tigard Received: Permit# t\STt A C,`2e
't 13125 SW Hall Blvd.,Tigard,OR 97223 I%!( 3 ! 2.0!19 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 i t .' Ready Date/By: Juris: EI See Page 2 for
IG a Internet: www.tigard-or.gov , ]r Notified/Method: Supplemental Information
TYPE OF WORK ` :: PT AN;REVIEW. ,..`
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boaaz ds
.. CATEGORY,OF:CONSTRUCTION exceeds 10 amps at 150 volts or El Floating buildings.000
El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
in
0 Multi-family 0 Master builder 0 Other: 0 Fire
s forpump.all other installations. buildings.
0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION • ❑Emergency system. larger separately derived
Job#: Job site address: ❑Addition of new motor load of system.
�lv o SVv SLAYIS**t n E TOL 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: - Project name:Polygon At Roshak Ridge ElHazardous 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#: iU Includes attached garage.
1,000
s .ft.or less
Tax map/parcel#: q 0 168.54 4
Ea.add'I 500 sq.ft.or portion Z 33.92 1
DESCRIPTION OF WORK Limited energy,residential
GSKOL Uft.) 75.00 2
v`ST 2 o l`\'DULg 1 (with above sq.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
Email:
Temporary services or feeders installation,alteration,and/or
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
® 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
Email:permitsubmittals@polygonhomes.com
dwelling,service and/or feeder 67.84 2
Pump or irrigation circle 67.84 2
Business name: Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:3415 NE 44th panel,alteration,or extension. 0 See Page 2 2
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
•
Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 199188 Electrical Lie.: c923 Suprv.Lie.: 4871/S specifically listed(Vs hr min)
L ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
r State surcharge(12%of permit fee):
Authorized signature: ' 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,
Plumbing Permit Application_•
Building Fixtures .7` „�
FOR OFFICE USE ONLY
City of Tigard ! 3 1 Received
- 'I 13125 SW Hall Blvd.,Tigard,OR 97223''`" t3 .t l Date/By: Permit No. �T �Ck_Cl
• Phone: 503.718.2439 Fax: 503.594311960 Date/By:Plan e1ew t
Inspection Line: 503.639.4175 . Other Permit No,:
TIGARD p i a Date Read /B
Internet: www.tigard-or,gov F Ready/By: lads: See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
E]Addition/alteration/replacement Description Qty, Ea. Total
❑Other: New 1-2-family dwellin l s(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
N 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath
1 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 40 5W &NASH\h E CONST St Catch basin or area drain 18.76
City/State/alp:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: .1Project name:Roshak Ridge Footing drain(no,linear ft.:_) Page 2
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
Rain drrain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision:Roshak Ridge �((� Water service(no.linear ft.:_) Page 2
Lot no.: -18 Fixture or item:
Tax map/parcel no.: Backflow preventer 1111 31.27
DESCRIPTION OF WORK Backwater valve 12:51
C ar cy,V Ao �. �
. `ck_�y, �Qr Clothes washer 25.02
� � �!� 1 Dishwasher I 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC
Fixture/sewer cap 25.02
Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02
City/State/ZIP:Vancouver,WA 98660 Garbage disposal f 25.02
Hose bib 2 25.02
Phone:(360)695-7700 Fax:( ) Ice maker
Ci 12.51
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
Address:703 Broadway St.,Ste 510 Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660
Solar units(potable water)
ax::(36`0)693-4442 Tub/shower/shower pan 'L. 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet .j 25.02
Business name:G&B Plumbing&Sons Inc Water heater 37.52
Water piping/DWV
Address:P.O.Box 92 56.29
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)
Authorized signature: �'(� State surcharge(12%of permit fee)
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-PermitApp.doc 10,01.09 440-4616T(I0i02/COMIWEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
i
T 1 c A R o Building Permit Review — Residential
Building Permit #: E\S--TapVc\_( C)` ,01"-\
Site Address: /('g4710 .0 g1rn i u g - 2
Project Name: / ' Lot #: gl;)
(New ,If g=subdivision name;Addition or Alteration 1-a•,t name of owner)
Planning Review / k� �J Fj�7
Pr. .osal: Al-� C
V Verify address/suite# active in Accela. v In River Terrace: ❑ No 1a Yes, River Terrace Review Addendum
Sit,c Plan Elements: LE r. ion Control
VJ 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper t k. ained trees with drip line and tree protection measures
�rawn to scale(standard architect or engineer scale),ii02FF°otprint of new structure(including decks)and FFE
rth arrow 1� .ty locations&easements(required for new and additions)
ZS e address,project or subdivision name and lot number n ;-walk/driveway approach
plicant information(name and phone number) J1'Pi cation of wells/septic systems
li Lot •' ensions and building setback dimensions 1I. eet tree size,type and location
re footage of buildings to be demolished 1aS eet names
:. sting structures on site Corner elevations(2'contours if more than 4'diffe ntial)
.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace.? AJ Yes ❑
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?j Old Yes LJ No
laClean Water Services—Service Provider Lette of platted prior to 9/10/1995):
'equired: ❑ Yes,applicant was notified Ud No Received: ❑ Yes ❑ No
!4 Public Facilis Improvement(PFI) Permit:
equired: Yes,applicant was,�notifiednn ❑ No Applie
For: Yes ❑ sto intake
Use Case#: fes ,jS�sand /�1 - Street Side: n ,
lBdLl equired Setbacks: Front: Rear: (� Side: /v� Garage:
uilding Height: Max. Height: 1v Actual Height: -2.��1/
1a Landscape Area: 0 % V Lot Coverage Max: % --
Entrance ` -- back no more than 8'from street-facing wall ❑ Parallel to street or offset'. .egrees or less
Windows ❑ Minim °o of area of all street-facing facades
Garage ❑ Garage door is be'fl : .i dest street-facing wall 13 Ye - 11 No,one of the following is met:
❑ Door extends no more -. - 'from wall and ther- covered porch extending beyond garage.
❑ Door extends no more than 5'from .,- : . there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'o ❑ 50%or of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch =11 'ecessed entrance ❑ Wall o s- ❑ 1'Roof eave ❑ Roof offset
'
— fl o�nne
Lil Accent siding Window trim ❑ Window recess ❑ Window . :'-ction ❑ Balcony
Mk isual Clearancerban Forestry Plan A� n
ensitive Lands: es ❑ No Type: /V -QU/ih1/1O1(} leakil lit 1—
Conditions met prior to issuance of building permit
7No s:
Approved By Planning: _ WY, Date: g)////
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\BldgPennitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: t I et
Site Plans: # a
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing: F'Planning Ci''Engineering C Permit Coordinator Et—Building
Workflow Sign-off: C`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.
R/Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: �� Date: \\SA\c j
En.!+"neering Review
IG Slope at building pad: 4A
❑ Conditions "Met"prior to issuance of building permit fr0
❑ Easements (encroachments)per engineering conditions of approval and plat
VI1Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [No
Assess Water Quantity Fee in-lieu: ❑ Yes No
/ LIDA Facility on lot: ❑ Yes At No
rFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
.00
Approved by Engineering: Date: ��Z
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:
EC Fees Entered: Wash Co Trans Dev Tax: [Z(Yes ❑ N/A
Tigard Trans SDC: [ )s ❑ N/A
Parks SDC: Atr Yes ❑ /A
LIDA ❑ Yes L�N/A
CI
OK to Issue Permit 0/47Date:
7 2?/Approved by Permit Coordinator: / /c�
I:\Building\Fonns\BldgPermitRvw_RES 022819.docx
City of Tigard
1. COMMUNITY DEVELOPMENT DEPARTMENT
T I G ARD River Terrace Building Permit Review Addendum
c
Building Permit #: MSS j\CA-C - - .
Site Address: /( &./0 QC/0 Qt(n ,hW
Project Name: Pp/ ,n a,, -- f o L Lot #: P)
(New& g=subdivision name;Addition or Alteratio — ast name of owner)
Planning Review of River Terrace Plan Distyict Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? VYes ❑ 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 deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
CI min.
❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: , ' 9//z
jntrances:At least one entrance must meet both of the follc - g standards:
ax. 8 ft. setback from longe t street- facingwall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If y s,all the following apply: 4 sq.ft. min.
lVf G ne street facing entry V ft.max.roof above floor of porch
1! 5 ft. depth min. M 30%min. porch roof coverage
4. 0 tailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades:
Vovered 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 ❑ ' .of offset min. of 2 ft.
❑ Roof shingles either tile or wood I7 Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ forizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade .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 ❑ Attached garage is 35%or less of street façade
_,,t.. —arid-CarpOinllfy fa.ce the front or corner-tot . _ :_ __��_ _�__: a
Setbacks: 0
No closer to front or side lot i -, .an longest street-facing wall. ❑ -: a No. If No (Check one):
❑ May extend up to 5 ft.if there is a covere. e. .orch . •. garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is .. . a two- :. suilding and there is a window at the second story
above the garage that faces the street '. a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foo - .e garage door ❑ 40%max. of street facade
1%max. of street facade with 7 detailed design elements
Notes:
1
Approved By Planning: Date:
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx