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Permit (45) CITY OF TIGARD MASTER PERMIT 7 . I COMMUNITY DEVELOPMENT Permit#: MST2019-00275 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019 t �• Parcel: 2S 107AA04900 Jurisdiction: Tigard Site address: 16850 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 49 Project: Polygon at Roshak Ridge, Lot 49 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: 26 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywall-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: 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 1744 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7Va frftt,A15WAYST STE-310 iSROA-15WAY trceEr7sut7f3T0 4 4- fir+entri 603-639-447s VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,396.22 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 1.800.332.2344., CL Issued By: �-"' Permittee Signature: iCs��� \S \��U(-N �� 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. I r Building Permit Application LOT Residential FOR OFFICE USE ONLY Cityof Tigard Received 4i LA `� �� Permit No ��� yq_CUS g �'_�� 9 1 ateBy: III '� 13125 SW Hall Blvd.,Tigard,OR 97223 '' z�'Plan Review l,��/ Other Permi2 \� � Phone: 503.718.2439 Fax: 503.598.1960 �.g ,t D telly: 1 Inspection Line: 503.639.4175 CITY OF.1 e G Deady/By: Juris: ® See Page 2 for T I G A RD i ethod: Supplemental Information Internet: www.tigard-or.gov BUILDING D gitJ I pP BUILDING U a , '''',4, TYPE OF ','ORK ij y' `" RE y b"DA A 1 Al�ib2 FAMILY I1tW LLI 4ic ', may,,. _ ,_,: c� > . � ri��,�.,; �,,%r4,,,..,. ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Other: the profit for the Addition/alteration/replacementa ui ment materials labor overhea and q P j ;;CATEG©RY OFA:1• 3&iiii.Amt=✓yi -;',g .'%1 work indicated on this application. /� Valuation: $ ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ''; 0 Master builder ❑Other: Number of bathrooms: 3 J011;SITE INFOR11ATION-"AND Locoto " J Total number of floors: 2 I le-1 Job site address: {W£So £V) S kik,Vl( J LOC,S- New dwelling area: ‘149 i L square feet 9 City/State/ZIP:'—I(�a t'� Dpi (417.21— Garage/carport area: 91.2) square feet 9 O S Suite/bldg./apt.no.:-----1,f J Project name:Polygon at Roshak Ridge alto,1- Covered porch area: square feet vv Cross street/directions to job site: Deck area: square feet Other structure area: square feet II;EiQI1li1ED IATA:'COMM RCIAL-USS CHECRUISi Subdivision: ?L\'ty---c,e\('1r( 'ca.o l Lot no.: 90, 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.: indicated materials, overhead,aneprofit or the % • TES RIPTIOI OF WORIj work onhisappliat on. Valuation: $ Existing building area: square feet New building area: square feet PROPERTY€W EI1 "," ❑ TENiiNT 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: ►:®,APPLICAI'T ] c cr PERSON 1 l r BIfPERM T FEES* , . , --Zraerofeesehedul} , ,. Business name:Polygon WLH LLC Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Gity/State&ZIP_-Vaacauver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::(360)693-4442 Amount received: E-mail:permitsubmittals@polygonhomes.com PU OVOLTAI LAR PANEL TEM FEES* ,; " • //07,y , /, ,, Commercial and residential prescriptive installation of �c. CONTRACIOit '',*•;60.%'4 ,-� s .F� .,�,.,. .,!.. . ���, � _ .. 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 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.: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. Print name:Amanda Gavin Date: I A 1{ 9 I 1B *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) , • EIVE 'I' Mechanical Permit ApplicatioJIE •CFOR OFFICE ISE ONIA . .. City of Tigard gcceivol . . i II SW Hall T.3.1vd Tigard.OR 911,3 -:. ',... ..i, /ttj.0 ale-4311: 111 Plan Ri.;.-etew PtiMil ,- ,c-7)i.LAC4‘.-CyC.c 01.141 iii N'''''' ' I ' P110= $03.718..2439' Fix; 501598390 11‘. `By: TAD It I isf- ,...3..639.4175 CITY OF-TIGARDD.Rv4dy/By: Infernet www.deard-of.gov ', Supplemental Information OVILVENG DIVISIONifilfMclhad: 7 ,.-77'r77":7:7:7 'T '3.:',!t;:!:j14t*-*CrA -ILr-:' r *;iit.6t'tititiirti:C*1'-.7'';'' r Mechanil permit fees*are based on the value of the work It New cortgruction 0 Mditonfalrerationtreplacernerg. *formed,indicate the vane-ft-nig-0410 the nmtrest dollar i of all . 1 ...___.1._ ; , ,,„..., ,„ .;.,,, h„,,,, ID Demontbn 0 Other: i 111... 111.C21 trai%.a.,..equtortent,,.:,...or.overhead.and profit ...- . . . . .... . Vaiue:S • CATEORT.:.Of.:',CONS,I.R13(71(3N7-,:Y-',777,..,i,7,,=.4--.,,.':',,! '1,-,7],,f', .;,.---::, 1-:.:,'i-7-,,,F.i,r".-iiiailibatirotili:41,,,i..-;v:.§41,„,.:-,-::-:.-- -,i,;7-. •...- 0 i'and 2-fautity dwaffint 0 CoonnercialinduStrial 0,Azee&-lorY buikihtg I r.ar special infirmatiart use checklist, ' 7 NIulti-fronily 0 Master but-W.& 0 Other; 1 DescriMion 1 Qty, I -Es_ 1 Toml ••••,'r'.-i'',4f..7%i: iliS7:-g.:::*11(,•; ifeitoiliit,miliotik,oi.f..coado.:ii,i --oi:ii:i:;!.;t.:! :::-,,:,::::::!-,: ::. iiraiiimkoatin.4F Air conditioning.. 1 1 46,75 Joh siw adLlress'. .s.1 .0 SD ,\D SkA jli\Glil\likaCOa.,S- 1 Futon=100.000 B113 tdacts4-entii I ' 46.75. CtyStaterLIP;Tigard,OR 91V-4 1 Fern 100.000+BTU(domfvents) - 54.91 I .. Praject ntrnc.T-orkoti„ mW)4....v.icty. Ilea pump 61.06 I Sahr,tlitiapt.no.; / Duct work 23.32 1 Cmss street.idirec,.6ons to jtib site: OtrC44 livdrortic hot imatter vstem 7332 Residtmtial holler(radiator or hydronie) I ' 23.32 Unit heaters'.(fttel-tipe.,not electric" ), t in-wall.in-duct.susperAed,etc, 46.75 1 Flueveat for env of*Mc, , . . 1 , 23,52 . . Other • Slibei4i3i*IV \vcr Tecraz_e ea.sk- um an: Li oi Other feel apprtances: Tex Inapiparceti no.: Water heater - 2332 -,-,, ::, tV ..... iit,$eitii.ti*:',4)0.:78ii:diit:.:-.t::,:',..*:7.: Flig!;-,:::2V., -,-1:-.5.-.: i.:!:::,...i:: ,.Gas firepineeftimat „ , 3339 • - • "" • Flue nut for water heater or go ftreplace - 2332 - . . LoglivAter(gas) 2132 1 -• ' - - r-' "- - 1 ',,Wood!pellet slow 1 33,39 IWood frmilacerimmet 23.32 -' " • I CrintamAinerlflut..qvent . 23,32 itttitikTf'444.&itiillE1 ,-,::-,;:-.:-:: ,-z--i-'-'.-T.::---':-..'• 0:--fix-i.,if:7F..,-,l - ,,:,i,.: -E Other . •.:-..f.:-.: . : . . .: ...-...._. • :::„ .?,: - , .....•, .,;:..- ,-: , - .., •- -..,:.-:-..-:,::" - ( Environmental exhanstand vtatilation: Nam': T20 t k ;0 liki Vay UL - I i Ranee hood/other kitchen I I i eattiornent 1 33.39 Ad„,.t, •.....-), 1 12(O uoRA-71--(61.- c...6-•c 1 0 i Clt>theadrverexhsusi 1 1 33.39 I ,,City iState47-1P'. , votawRivoy- tA)G(aw(0) 1 Sinale-duct exhaust(hathroonts, 1 to„Rit compartments.ail itv rooms) 3 I 2332 I Phone: p )Cp Olg-1/0 0 _ Fez;(500)(OCt 14 qqz,. LAIspa 1 23.32 i.Oitrt:i',: . ::71.i FrE:1::::;:, CONTACT...:iEl:'- C1:,•, . :0-ii-SOiti•j:;::::4 1::';.;::: I Other. an _Fuel pipinz . Bminess name:.Polygon WI/-1,LLC S14.1S for frsfer8442 for echaddifnnat coaeamime, . : F,. . , . : G2 1'451 PtIV4 A __ wowr..w.,a...u....4_h.m, _i __+__ City/StateiZIP:Venceover,WA R8660 • Waterbeater .. _ Moue:(360)695-77 m I i Far.-.-(36e)693-4442 Fireylace Range 1 , E-attal:ReCrYN:A'Slk..\PCN(ct ciii.AS.raDRO\. tyvr Ninli-n-e5.CZ rn Barbecue t 1 1 n'-. .5:R. ,.,•;::t.A:,;',., t..(TSIR.A.Ofjtc,:„ "...ii ...,,. ? 4:::ii,....:,1 -.. i Clothes drm inns) 1 1 1 BUSirAW$1.100V Apti Air LUC Other. I '''-':!:-- .-.: ' 'NiCit,.A,Ni.c**f61#-X.tiSf-"q::,--.., ...!.!,---..:4:..!...t Adthess:180,1M NE Ird Ave 1 ' Subtotal ' I CityiStatelZIP:Vancouver,WA 936Sfi Minimum permit fee t1,90.0:4 plan.review("....5%of pcall tit fee) Pilo=0601342410 . I Fax:WA)326-17-69 fixate an-charge(12%ofpermit feejt 1 CO3 Fee..-,233.4 . TOTAL PERMIT FEE Authorized signature: • 4_ ikiS.pertnit application tapir*ii x permit is not obtalaiA witbin ISO days after it has been 1.1,4434 as cantplene.. _____.___ ; * Fee methodology setby T'a-Cranny Building Industr.y Settee Btard ,0,..,......-' Print nam 1 4,,,,‘ ,sifi i° liEblidusr;P=1,; '3.4U-,,cmitA4;p_e*;; E.dac Mr.;-.44.,!'"r fl.V.0.14.7634fWES;, R r �, , � Electrical Permit Applicatioi i....(� ,1 x C ; a, �- � Fon oFFIcE USE ONLY r City of Tigard Received ��(1)U'4).Date/B : Permit#:iNN '‘ O 't 13125 SW Hall Blvd.,Tigard,OR 97223 SE F 9 alt,„ Plan Review 11 II Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: TIG2IRD Inspection Line: 503.639.4175 t/1 t Ya, a t,',: Ready Date/By: runs: H See Page 2 for r. Internet: www.tigard-or.gov �1,/ lir ,t 1, , Notified/Method: Supplemental Information TYPE OF WORK PLAN;REVIEW ..>. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault.current ❑Marinas and boatyards. CATEGORY OF:CONSTRUCTION ! exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® I-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural D ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE::INFORMATION AND LOCATION ❑Emergency system. larger separately derived (1_ 1 ❑Addition of new motor load of system. Job#: Job site address: 16b60 5ups\i'i Y� COG.g"( Sb 100HP or more. ❑"A""E" 1-2" '1-3" City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational 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 New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: L.9 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Es.add''500 sq.ft.or portion '2 , 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 3,p 0 o275 (with above sq. ��y�' 6v� jT 2b' 9- Limited energy,multft.)i-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 ® PROPERTY OWNER`• El 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 ® 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 Address:703 Broadway St Suite 510 eace or feeder fee,first brannch circuit 56.18 2 b 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.cam CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy ❑ See Page 2 2 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 • Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 487115 specifically listed('h hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood/4..--' Date: 03/08/2019 0 Plan Review Required(25%of permit fee): — 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 I Date: 03/08/2019 I days after it has been accepted as complete. . " r-, fli 7 ri ix Plumbing Permit Applicatidlitld' CiA vr,li Building Fixtures City of Tigard Received . n 13125 SW Hall Blvd..Tigard,OR Mil/ •N 74 Date/Br:ot TIGARP Plan rtevi°tv Date*: Pont No.: g Phone: 503.718.2439 Fax: 503.19#141 4Other Paola No.: Inspection Line: 503.639.4175 -RUILDING DIVISION TIGARD Date Ready/Br Juris: a see Page 2 ter Internet: www.tigard-or.gov Notified/Method: Supplemental Intermation ' ---- TYPE OF WORK' , • ".. -- FEE* SCHEDULE - - Far special information use checklist New construction Ell Demolition 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(1)barb 312.70 N 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 SFR(3)bath 1 500,32 Actiessory building E3 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 _ JOB SITE INFolimAitoN AND LOCATION - Site utilities: Catch basin or area drain 18.76 Job site address: tILYSO S IA)SIA la cli VIA°, COC4 - St- Drywall,leach line,or trench dreier 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: yottro-vi 00- tz.oc ..kvA .. Manufactured home utilities 50.03 Cross street/directions to job site: tz..10{r ar 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:. VA Writ irn916(/CLOtct Lot no.: LAC‘ Fixture or item Tex map/parcel no.: Backflow preventer 1 31.27 • • Backwater valve12.51 • .-, • DESCRIPTION OF WORK _ _ Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Bjectors/swnp 25.02 - kovrLI PROPERTY OWNER - 0 TENANT - " ExPansim lank 12.51 Name:i____ 1701 IA 010 1,1, IA)tti. 11C-' Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: -1M-"--a."-.clu,)cuA5.,-i-. s he Sip Garbage disposal 25.02 CitY/Sra VA VIWUvex VOot vrklotoD Hose bib 25.02 Phone:( 500 (oats '7 )Q0 Fax:(1_90)(9et (-1(1qi• Ice maker 1231 - El AtitucuRT U coNTAcr_PEasort , jrirereePrerigrease traP 25.02 ivledical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:: qiekaviefAxitrActi blot VI Roof drain(commercial) 12.51 Address: -1 072 .9 yDarAux-AA1 c-st- StP SIC) Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 234 phoii:(360)695.277101 ------ -4-Oa":,(i60)6934442 ailsboweer pan - --1231 --- -k. E-mail: W 3144,3tVi IS 1).oivclo titho rvt,o,c.Cb114 Urinal Water closet 25.02 25.02 CONmACrOR Water heater 714Le„... 37.52 Business name: GirE....6 ‘,.../4,1\„.k)vv,,c1„t-s.01,-%,17 Water piping/DWV 56.29 $ Address; .6. .00c, of , Other: 25.02 City/State/ZIP: ST, eg...4 arc_ Ci 1 t31Subtotal ivlinimum permit fee: S72.50 Phone:(343..--5 ttg.- 1(4/1 Fax:(11 V.•"791.--47 1-1 ) Plan=Vie*. (25%of permit fee) CCB Lie.: 1,541 31a,... Plumbing Lic.no.c) ) al - State su.reharge(12%of permit fee) Authorized signature: 54130 -eyu /0"*.-.....,,, TOTAL PERMIT FEE Print name: ,S^t fAlt. W 14..e..._ Date:...TTAN - This permit application expires ifs permit is nntabtained within 11“)days after it has been accepted as complete. -*Fee methodology set by Tri-County Building Industry Service Board, L'autlditsakrmitsIPLVIEJ-ParmitAppAioc 10101/09 440-4616T(MO2COIN,WEB) City of Tigard IIIN COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c a R I) Building Permit Review — Residential Building Permit #: \-OCDSYJ Site Address: / tc 1 -C ,,,4 C J P Project Name: Poli ; on i9 f / Lot #: z/9 (New4!ng=subdivision name;Addition or Alteration t name of owner) Planning Review Pro osal: jj j ir. Verify address/suite# active in Accela. u In River Terr e: ❑ No LTJ Yes,River Terrace Review Addendum Sit Plan Elements: Er. ion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper •' .tained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) otprint of new structure(including decks) and FFE Erth arrow ETU .ty locations&easements(required for new and additions) iStaddress,project or subdivision name and lot number IT,Sidewalk/driveway approach plicant information(name and phone number) 1',1 ation of wells/septic systems j74.1 ., dimensions and building setback dimensions KA St et tree size,type and location re footage of buildings to be demolishedIeet names tt:sting structures on site L Corner elevations(2'contours if more than 4'differ al) VA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ❑N impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?j1Yes [ o * lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No 0 Public Faci��li,�Improvement (PFI) Permit: /Yes Required: 0LJ Yes,applicant was notified ❑ No Applie or: ■1 N.,stop intake lZfAnd Use Case#: 2W29/S—= r L✓J Zoning: b e uired Setbacks: Front:_ r2 Rear: Side: Street Side: �� Garage: / g ding Height: Max. Height: �� �" Actual Hei ht: Landscape Area: O % I. Lot Coverage Max: 0/0 Entrance id. et back no more than 8'from street-facing wall ❑ Parallel to street or offs- - a egrees or less Windows ❑ Minim °o of area of all street-facing facades Garage ❑ Garage door is be . :dest street-facing wallK ❑ • No,one of the following is met: ❑ Door extends no more a ' rom wall and the - " covered porch extending beyond garage. ❑ Door extends no more than 5'from w.'. -ii a there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'o - ❑ 50%or les : .cade ❑ 60%or less and includes 7 of following: ❑ Covered porch al •ecessed entrance ❑ Wall offset 1'Roof eave ❑ Roof offset ... _ _ _. • ire sr-es ■ ap i. g ■ 'oo pttc ■ a. e, p,o :-.:.re roo • former Accent siding PI Window trim ❑ Window recess ❑ Window proje ❑ Balcony t VP, isual Clearance rA Urban Forestry Plan l IA ensitive Lands: Yes ❑ No Type: � /UP 1//014) V/LLL/L7&+ IV Conditions met prior to issuance of building permit Not Approved By Planning: ----. Date: iii 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: k I lk.t\� Site Plans: # 93 Building Plans: # 3___ Building Permit#: Enter building permit# above. Workflow Routing: Planning EtrEngineering "Permit Coordinator R"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. GI/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4-/ .,,+`.,`_, Date: Zak\ 1( Engineering Review gr Slope at building pad: 2:70- V e®1p Conditions "Met"prior to issuance of building permit JZI Easements (encroachments) per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes II No Assess Water Quantity Fee in-lieu: 0 Yes II No LIDA Facility on lot: 0 Yes II No Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: L- Approved by Engineering: 4j1�gus26 Date: 7 • /o • Z4:)/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 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: EDC Fees Entered: Wash Co Trans Dev Tax: E--"Yes ❑ N/A �/ Tigard Trans SDC: [ -Yes ❑ N/A Parks SDC: lyes ❑ t ./A LIDA ❑ Yes N/A OK to Issue Permit q Approved by Permit Coordinator: 7/111Date: 9i`/v// 1 I:\Building\Forms\BldgPermitRvw_RES_022819.docx . City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT illill Z TIGARD River Terrace Building Permit Review Addendum Building Permit #: ms-1-.00,{lakE Site Address: / „comA '% g72: Project Name: / ,, 1 - _ f'd,A_ Lot #: Ci (New�iffng=subdivision name;Addition or Alteration=la f me 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? VYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 . deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ 1=1 ❑ 2. Eyes on the street: a minimum of 12% each street facing facade must include windows or entrance doors. Percentage Shown: '23° D 3. EE trances:At least one entrance must meet both of the follo g standards: 4G Max. 8 ft. setback from longe t street- facin wall Parallel to street,angle no more than 45° from street, g or open onto porch Entrance opens to a porch: Yes ❑ No If yds,all the following apply: sq.ft.min. 1g/tile street facing entry ],.2 ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of fkie following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep Ig Recessed entry area min. 5 ft.wide x 2 ft. deep • all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection ❑ ' sof offset min. of 2 ft. ❑ Roof shingles either tile or wood A Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade Vi Window trim min. 2 1"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 .-.:e ` . • - .ridrarports: f facelhe Wont or Sae Iot line on a Corner-Tot. Setbacks: � No closer to front or side lot line, a- : - t street-X3ll. P es ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front .. - : •• :.rage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the gara•e • .. t of a two-story building . : ..- e is a window at the second story above the garage that faces the s -- th a min. area of 12 sq.ft. Width: (Check one ❑ 124.. • de garage door ❑ 40%max. of street facade a 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: I-if, Date: ---/9/-qI:\Building\Forts\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 project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11111 Transmittal Letter D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A\ \ SDS AYVY\e2A-Vot(16 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 8 7019 FROM: Pr�/�/�1 I �OVAa) �� V I CITY OF I IUAHD COMPANY: ?D\ cv . w\ " � 6UJL IVISIC7 ; C PHONE: 5O ) ))11 OD I By: / RE: I 149 k50 5\A1/4) V \1 eko cariA01- ` 1 C\P Sitt--- 4/-15 (Site Address) (Permit Number) ve 17-eiv\r accL rca. (.:\elViitocy,) (Project name or subdivision name and lot num er) ATTACHED ARE THE FOLLOWING ITEMS: opies: Description: opies: Description: Additional set(s) of plans. Revisions: 1 i 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: Routed to Permit Techni ian: Date: 1 ti's tri Initials: e Fees Due: ❑Yes o Fee Descripticn: Amount Due: V $ Special Instructions: Reprint Permit(per PE): ❑Yes No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc