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Permit q CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00266 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2020 T S Ca' 4 T�.1 9 Parcel: 2S107AA02200 Jurisdiction: Tigard Site address: 14370 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 22 Project: Polygon at Roshak Ridge, Lot 22 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: 25 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 0 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 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 V3 R-3 1744 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,408.22 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 throu R 95,2�/0/�J,-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2322.1987 or 1.800.332.2344..7 Issued By: �j t � � Permittee Signature: 4" �L /e'T77ON 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 Residential RE 0 VE FOR OFFICE LSE ONLY City of Tigard 9 Received �7 Pla : %%Q it��7r=Permit No �(� CC 2 R 'T . `-,-V�)!JlXlll 'a 13125 SW Hall Blvd.,Tigard,OR 9722F6® 6 2 0 j 9 Plan Review � t' Phone: 503.718.2439 Fax: 503.59 1960 Date/By; Other Pew ts►AP-at1G-���li TIGARD Inspection Line: 503.639.4175 10/ lJ i:G R° Date Ready/By: / Jam: Ei See Page for Internet: www.tigard-or.gov ! 111 "ti l a'r Notified/Melbod- P/20 4a . Supplemental Information 1PL OF WORK REQUIRED DA'PAst- D2-FAMILYDWELLING: ®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 ❑Other: equipment,materials,labor,overhea d,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-family dwelling ❑Commercial industrial Valuation: $ a3 ElAccessory'building El Multi-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 I t197 Job site address: 3'lO SU D9Th lt1 I1 New dwelling area: 11 L 4 square feet 0139 City/State/ZIP:Tigard,OR 97224 �/ Garage/carport area:L 23 square feet G6.6 C 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.: ?-?-- Permit fees*are based on the value of the work performed. Tax map/pared no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION-VIP, work indicated on this application. New SF Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER [] 'EEN.1N'T 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: PLJCA.NT ❑ CONTACT.PFRSON * � � BULLDLNGPERATITFEES Business name:Polygon WLH LLC {Pleaserejertojeechean[e] .J Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::(360)693-4442 E-mail:permitsubmittals(a polygonhomcs.com PHOT©VOLTAIC SOLAR PANEL SYSEEM FEES* CON � — ; Commercial and residential prescriptive installation of �i mEs 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 Cade 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 sign e: This permit application expires if a permit is not obtained + I within 180 days after it has been accepted as complete. * Print name:Amanda vim Date: Fee methodology set by Tn County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/0 OM/WEB) Mechanical Peanut Annlica C k/E:D 1 t (A i u Et st.u,i , City of Tigard Reverocd 11 e 13125 SW Hall Blvd,Tigard,OR 97223 MAR ] 2020 °"`'RY' rermitx°' S�O(9—Gb Ztp(,, Phone: 503.7182439 Fax: 503398.1960 Plan Review Inspection[.ins: 503.639.4175 CITY Date/By: Other Permit i i c:A it 1) Internet:tt: Line:www.tisard-or.gov 1 C.1 Y OF .(i()ARD Date Ready/By: heig. SI See rage 2 ter BUILDING DIVISION Notified/Method: Supplemental tatormadon TYPE OF WOIIK " COitivi IERCIAI,FEE' SCHEDLW USE CHEM-45T Mechanical permit fees*are based on the value of the work - El New construction CI Addition/alteration/replacementperfomied.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGOR;Y�.OF fiD[YifrltUCTi011 Value S pg 1-and 2-family - RESitlENIC 06 -t f$1#§ fF. +:: dwelling 0 Commercial/industrial ❑Accessory building p * i Multi-family 0 Master builder i Ea. td°�ON° rraed'cnktfs p.t�rhzl: Description Qty. I �. I Total 10B-SIT PIFOtt i ATiKiN aivsl t0 ? D Reannahmalla¢ `�.,5 1� tr�"'x Fur conace 100.000ng, 46.75 Job site address: t gyp—\ lurmce 1 W.040 BTU fdueaivem) 45.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU tdocmhentel 54.91 Suitt/bldgJapt.no.: Project name;Reebok Ridge Heat ma 61.06 _ Duct work 23.32 Cross sneeVdrrectione to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronlc) 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:Ratak Ridge Lorna.. 7-2- tea` 23.32Other fuel appliances: Tax map/parcel no.: Water heater 23.32 1i t1LO14IDfij OF WORK Das tirealacelssert 33.39 - - l Flue vent for water heater or gars ,S` a -7J trert SD`t- OUZ O fireplace 23.32 Log lighter(ses) 23.32 Wood/pellet stove 33,39 Wood tIretalaeninsrrt 23.32 Chimney/liner/flue/vent , 23.32 Other; 23.32 PROPFkTY OWNS t _ I:'°1EIY,41vT _ .._ _ __ Environmental exhaust and vendlerlon: Name:Polygon WLH,LLC Range hood/otherkitchen Address:703 Broadway St.,Ste.510 equipment 33,39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet eommartments.utility rooms) , 13,32 Phone:(360)695.7700 Fax:( j Attic/erswlspaee fans 23.32 El APPLICANT _ C C'ON1'AC'I'P(i;RSDN Other: 2332 Business name:Polygon WL13,LLC Fret piping: 114.13 for first fours 34903 f r eaeh additional Contact name:Toni.Morris Furnace.ere. _ . Address:703 Broadway Sh,See 530 Oat heat pump . -_ ` _- __-'- Wall/suartendedrunit heater City/8tere/ZIP:Vancouver,WA 98660 . Water heater - . Phone:(360)695.7700 _ _ Fax::(360)693'4441 Fireplace _ - E-mail: rmiuubmittals Range �- _ iR *polygrtnbomes.com CONTRACTOR - 1larbeC)te - .Jt=thee diver ism) Business Hems;Apes Mr LLC Other Address:18004 NE 72m Avg _ Subtotal City/Stat/E1P:Vancouver,WA 98686 Minimum permit fee(39M0.60) Phone:(360)342.8109 FAA:(360)3164769 Putt review(1Seh of permit fee) State surcharge(t2a/eof permit fee) _ CCB tic.:203034 TOTAL PERMIT FEE ' This permit appliance expire Ica permit sot obtained within ISO days after It hat been accepted as complete. Authorized signature: . • Pee methodology set by Tri-County Betiding industry Service Board Print name:Tim Hay Date:04/08/2919 I.lauild,ee crmacrreC PermaAed 04011340c 440.4617r 111fl12lr: ,,vwFR1 , EVE . Electrical Permit Application FOR OFFICE USE ONLY City of Tigard LIAR 1 6 2026 Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit 4: i/`'t S 7 241 1 /.-c C7 2(C : a Phone: 303.718.2439 Fax: 503.598.19�`(t(]�CETY G '(I(iARD Deante By�v Related Permit h: 7,tV itP Inspection Line: 503.639.4175 rJ LIIL[ ING DIVISION Ready Dare/By: Kris: 0 See Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK :;; PLAN REVIEW 12 New construction 0 Addition/alteration/replacement Please check at that apply(submit 1 sets of plans w/items checked): 0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 molts or 0 Floating buildings. ® I-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. ❑Multi-family 0 Master builder • Other: D Fire putap. ❑It>,maliat.on of 150 KVA or JOB SITE INFORMATION AND LOCATION °Emergency system. larger separately derived Job*: lob site address: %L j1 p lloCV NA .� Addition of new motor load of system. ��'"`111 IOOHP or mote. �••q„^g" ,l_2^ .'i_3,. City/State/ZIP:Tigard,OR 97224 ❑Six Or more residential touts. occupancy. °Health-care facilities. °Recreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge °Hazardous locations. CI Supply voltage for more than _0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE pestrioneo i Qn. 1 Sa i, 1 Iasi 1 • , New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 2.2. Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 19.Se 4 DESCRIPTION OF t40RK Ea.add'!500 sq.R.or portion 33.92 1 �,, �,,,( � �! Limited energy,residential 75.00 2 Clod` *0 MST l.•Oaq—bG240 (with above so.Rl Limited energy,multi-family - 75.00 2 residential(with above s0.R.! .f PROPERTY OWNER I ❑ TENiMq Renewable Energy ° See Page 2_ -- 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)6954700 f Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2 Email: — Temporary aeMeeo 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 I S9.I6 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps 10400 amps 125-08 2 Owner signature: Date: 401 amps to 599 amps 16g.54 2 ® APPZ•ICAm. _—� 0 CONTACT PERSON Branch circuits-new,alteration,or extension, r creel A.Pee for branch circuits with Business name:William Lynn Homes,Inc. above service tx feeder fee, 7.42 2 cacti branch Circan Contact name:Nichole Thorpe B.Pee for branch circuits wahine' - Address:703 Broadway St Suite 510 service or feeder fee,first Sd.18 branch circuit 2 City/State/:ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)d95.7700 Fax: :(360) Miscellaneous(service or feeder nit Includedl 693-4442Each manufactured 6t modular 67.s4 2 Email:permitsuhmittalsjpolygonhomes,corn dwellina,sttvioe�gdorfetder , Ree6Mect only 67.24 2 ,a. CONTRACTOR Damp 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 e panel,altefation.otenbldlnidn. ® Ste Page 2 1 City/State/Zip:Portland,OR 97213 Each additional inspection over a0owe)It In any of the also it Additional inspection(1 hr min) 66,251 ht Phone:(503)319.2192 Felt:( ) Investigation(1 hr min) 90.00/hr Email aotarpditi me.com — Industries plant(I hrniih) .� 78.18/hr . _ - Inspections for which no fee is • CCI3Lie.: 1991118 Electrical Lie.: c923 Suprv.Lie.: 48715 specifically listed tvhfmin) y).o0/hr ELECTRICAL PERMIT FEES Suprv,Eicetrician signature,required — — Subtotal: • Print name: Kile Rood 'Date: 03/08/2019 ❑Plan Review Required(25%of permit fee): , ''� r State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit applkatlan aspires it a permit is not obtained within 1r0 Print name: Kite Rood Date: 03/08/2019 days after it bas been accepted as complete. • Number of inspections allowed per permit. I:tBuildingtPermits1ELC_PemtiUPp_ELR_ERH.dos Rev 06/17/2015 440-4615T(I 1/a5/COM/WEa Plumbing Permit App11?<I.ter";\/1 p Building Fixtures FOR OFFICE USE otit.5 City of Tigard MAR2d20 Received . Date/By Permit N S'" e� 1 • 13125 SW Hall Blvd.,Tigard,ORT97223; ,,, y f 2l�/ 1-�t!1 ZCC(p Plan Review Phone: 50 Line:.2 3903. F4115`` ex r 9Io� ,V 1 .; Date Bp Other Permit No.: T I G A n fl Inspection line: 503.639.4175`` Date Read/8 kris: 0 See Page 2 for + interact: www.ligard.or.gov y o' a Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New consituction 0 Demolition For special information use checklist ❑Addition/alteration/replacement0Other: Description 7 oty. L Ea. I Total New 1-2-famlly dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Ist 1-and 2-family dwelling a Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath W 50032 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: 1431 O ,10 Q-nri ' � Catch basin or area drain 18.76 City/State/1 P:Tigard,OR 97224 Drywall,leach line,or trench drain 18,76 Footing drain(no.linear ft.:__,_) Page 2 Suite/bldg./apt no.: I Project name:Rosbak 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 seYviee(no.linear ft.: Page 2 Subdivision:Rosbsk Ridge Lot no.: 7-2 ii ; item: Tax map/parcel no.: Backllow preventer 31.27 DESCRIPTION OF WORKBackwater valve 12.51 � ��" �eK Clothes washer 25.02 A t +.- llevµ 40 MS? 2al'1-00VO4) Dishwasher 23.02 Drinking fountain 25.02 EJectots/sump 25.02 ® PROPERTY OWNER I El TENANT Expansion tank 12:51 Name:Polygon W at,LLC Fixture/sewer cap 25.02 _---- _ _ _ Floor drairMoor sink/hub 25.02 Address:703 Broadway St.,Ste 510 -�- Oatttage disposal 23.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 ..._ Phone:(360)69A-7700 flax:( ) ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gu(value $ ) Page 2 Cornea name:Tonja Morris Primer _ 12.31 Roof drain cotrnricrclal) 12.51 Address:703 Broadway St,Ste S10 Situubaein/iavatary _ 23 .02 City/State/ZZ1P:Vancouver,WA MOO Solar units(potable water) V.34 Phone:(360)695.7700 Pax::(360)0034441 Tub/shower/shower pan 12.31 E-mail:permttaubtnittals(jpalygonbomee.com Lanai 25,02 CONTRACTOR Waal-close 25.02 _ _ Water heater 37 52 Business name:tl£B Plumbing sir Sant Inc - - - __.__ ___�__ . Wetet paling/MN 26.29 Address:P.O.Box 91 _____ _ __ _._,.____ father: 25:02 City/State/ZIP:St Paul,OR 97137 Subtotal _ Phone:(303)MIA 417 Fax:(971)717•117o Mlnimuta permit fee: 272.50 Ca Lie.:184271 Plumbing Lie.no.:pb634 Platt review (25%of permit fee) �J®w State surcharge 12%of permit fee Authorized signature: ...41(.111 1 TOTAL PERMIT FEE This permit Application expos If a permit I not obtained MMIn lID says Print name:Steve Fowler Date:04/0S/2019 otter It hen been'steepled as complete. 'Fee methodology set by Tr-County Building Industry Service Board. isiBondin PermitsiMMU-PttIDinhop.doe 10/01/09 440-4616T(10/e1/COM/WEn) S 1 City of Tigard IN / COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: \\-\ST \ -��-f o Site Address: 13 ; -20 J Tf4t y Project Name: Poi ^'.,,ii 7' deo '/c* Lot #: c (New dw+�',j subdivision name;Addition or Alteration=last of owner) Planning Review �/ Pry yosal: Ajeip grk Verify address/suite#active in Accela. LI In River Terrace: ❑ No Ltd Yes,River Terrace Review Addendum Sit Plan Elements: r2Er. 'on Control U .copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11:'-tained trees with drip line and tree protection measures (yawn to scale(standard architect or engineer scale) '4 ootprint of new structure(including decks)and FFE r"' Oarrow0 .tility locations&easements(required for new and additions) IV4he address,project or subdivision name and lot number US'.ewalk/driveway approach 12'. .plicant information(name and phone number) c ill I .cation of wells/septic systems V Lot dimensions and building setback dimensions a Seeet tree size,type and location t!i (` are footage of buildings to be demolished 0 eet names Li /'sting structures on site OffiCorner elevations(2'contours if more than 4'diffe tial) it at area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? AdYes ❑I•d im.ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility show4Yes MEN° ►�''� lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): tttt11�1 ` equired: 0 Yes,applicant was notified No Received: ❑ Yes 0 No Public Facilitir Improvement(PFI) Permit: lquired: Yes,applicant was notified ❑ No Applied_ed For: Yes Nonstop intake �eand Use Case#: 46,,1S'.a` i coning: £ /,2 euired Setbacks: Front: pp�� Rear: Side: �i 9 C� � Street Side: � ' Garage: Building Height: Max. Height: Actual H . ht: c.2S OCI Landscape Area: 2O % Lot Coverage Max: % �'�, Entrance et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 es or less Windows 0 Maim %of area of all street-facing facades Garage ❑ Garage door is b Best street-facing wall � 0 Yes o,one of the following is met: ❑ Door extends no more 'from wall and there is ered porch extending beyond garage. ❑ Door extends no more than 5'from ere is a 12 sq ft.window above garage on 2"d floor. ❑ Garage door width is ❑ 12'or le 50%or facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ecessed entrance ❑ Wall offse 1'Roof eave ❑ Roof offset O Fire ' ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, brel roof ❑ Dormer ccent siding 4 Window trim 0 Window recess 0 Window pro' n ❑ Balcony isual Clearance T4 Urban Forestry an `�_ VII' sensitive Lands: ❑ Yes No Type: V, Conditions met prior to issuance of building permit I es: Approved By Planning: z-- - , Date: 3 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved I:\BuildingTormsSIdgPemutRvw RES 1122819.docx f t Building Permit Submittal Original Submittal Date: 1 t\C Site Plans: # 3 Building Plans: #��/ Building Permit#: ( Enter building permit# above. Workflow Routing: a/Planning Er.Engineering [ /Permit Coordinator R"Building Workflow Sign-off: l'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. [rBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: A N� _ Date: --- . 1(`‘Ck Engineering Review Er Slope at building pad: 02 ❑ Conditions "Met"prior to issuance of building permit n/e._. C�Easements (encroachments)per engineering conditions of approval and plat 2"--Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: 0 Yes Q'No Er-Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: :_ LZ. Date: 71/o1/, 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 0 Conditions "Met"prior to issuance of building permit 0 Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Re ' on Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: L 'es 0 N/A Tigard Trans SDC: ILLY 0 N/A Parks SDC: rt- es 0 N/ eLIDA 0 Yes /A L OK to Issue Permit /' /' Approved by Permit Coordinator: te: 9 I:\Building forms\BldgPermitRvw_RES_022819.docx a - 1 rirCity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: k\--\S-r2lCk_ G;L)j�� Site Address: J17I 9D OW 7/1C14 l9v-e___ Project Name: O/ ,n L ,e1# Lot #: ? (New v- g=subdivision name;Addition or Alteration=Ia ame of owner) Planning Review of River Terrace Plan Dist aDesign Standards( (18.640.070.1): Is the project subject to the plan district design standards? 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. Porch min 5 . dee Balcony w/ access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft wide ❑ ❑ CI Gabled dormer 2. Eyes on the street: a minimum of 12°°0 of each street facing facade must include windows or entrance doors. Percentage Shown: p2 r7 O 3. F trances:At least one entrance must meet both of the follo . g standards: 7i Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45' from street, or open onto porch Entrance opens to a porch: Yes ❑ No -/ If y s,all the following apply: 5L sq.ft. min. ot ne street facing entry ld 1 ft.max.roof above floor of porch Y, 5 ft. depth min. 30%min.porch roof coverage 4.' ailed Design:All buildings shall include a min. of five off following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep lecessed entry area min. 5 ft.wide x 2 ft. deep fc all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood I,Q Gable,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. ❑ rizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade i'Window trim min. 2 1/"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 ft deep with inside access 0 Attached garage is 35%or less of street facade . es and Carports:May face the front or side of line on a corner lot. Setbacks: t Im No closer to front or si e than longest streef-tacing wall. ❑ Yes . If No (Check one): ❑ May extend up to 5 ft.if there is a c front porch and e does not extend beyond the front porch. 0 May extend up to 5 ft.where the garage is part o -story building and there is a window at the second story above the garage that faces the street wi . area of 12 sq. . Width: (Check one) ❑ 12-foot- . garage door 0 40%max. of street facade /o max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 1dBuilding\FormsilldgPermitRtw_RES_RT_12 1417.docx