Permit 1111
CITY OF TIGARD MASTER PERMIT
' 2 COMMUNITY DEVELOPMENT Permit: MST2018-00344
-I-I GA R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2020
Parcel: 2S107AA01900
Jurisdiction: Tigard
Site address: 14444 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 19
Project: Polygon at Roshak Ridge, Lot 19
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 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: $232,078.10 Rear: 5
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: 0 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 Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder TOM SrvclFeeders 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 8 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)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Geo Tech Reqiured Prior To
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Pour
2 Ersn Cntrl 503-639-4175
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $33,441.78
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 L999552-00011-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` iT //ft/JL(X O'O 1 Permittee Signature: /,1r11 PL ie' eA /
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
___O \ 0
Building Permit Application
Residential RECEIVE It
FOR OFFICE USE ONLI'
City of Tigard DEC 12 2018 Da em imol —\ S S\T M\Tal�1C6- 44
Pan"'III r 13125 SW Hall Blvd.,Tigard,OR 97223Plan
Phone: 503.718.2439 F 503.598.1960 E Date/By: 3)j, 1,), other Per€ Q1-CX
Inspection Line: 503.639.4175 CITY OF TIGAR ate Ready/By: / ��y j, ® See Paget for
F I G`ti 1�U Internet: www.tigard-or.gov otifa+d/Method: � ' f' �Q/N Supplemental Information
MVILI)ING I)IV1SI 1 N t.--?-lftiL foo ty6.0 ✓
TYPE OI?vWORK RI QUtREA DATA'pI,-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 9 Other: equipment,materials,labor,overhead,and the profit for the
CA'M'EEORY OF CONSTRUCTION' work indicated on this application.
I y..del Valuation: '0 01
® I-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ID Multi-familyNumber of bedrooms: ;
❑Master builder 0 Other: Number of bathrooms: �j
;; :pB s1Tl INFJP-M TIQN AND LOCATION Total number of floors,: 2 aitiiI _
Job site address: g 1 I I ) q �{
1 t 1 l I 1 `� `^l /yl u t v� New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 V V v 1 T v t Garage/carport area: 1 2 square feet 4.1e.„05.
Suite/bldg./apt.no.: Project name:I VI)\1/1 00�� L Covered porch area:
1 square feet I
Cross street/directions to job site: "JI VA Deck area: square feet
Other structure area: square feet
I REQIJIREDJATA:.CONVXRCtAll IJSE4' CII,1$ ;
Subdivision: V r,�V('OUL((Ask (71,'-f L Lot no.: , I-CI Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
°DEscRIPnoii)OF-I op,1( ,., • work indicated on this application.
Valuation: $
e,W 5 Existing building area: square feet
New building area: square feet
"tg PROPERTY'OWNER " .................. `' Number of stories:
Name:Polygon7 WLH,LLC
f�� y� (�— ( Type of construction:
Address:) 1077 yApdOn(i J(A4 �t ✓U' �10 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 UJ Existing:
Phone (360)695 7700 Fax ( )(�N`'lLtvt, New:
'` CANT `y ,x_ ❑ C4 1T.IK!` P',ROTI r- BUILDIN PERMIT]ZEES*
. . . : ' �. ...:,•... {Prrm�e r4i'eriolte�scdedxle _. ....
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:
'1��` V� FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax::(0100)(961. td U Lti, Amount received
E-mail: ?�j1f'rn (4Ovoi*O1 , 12o v Uvy Q,( ,CUu PHOTOS'OL7'AICSALARPr17§ELSY,ST.01..FE *
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System
Business name VVI IV1�Y VUL / 4 V 1 vS1I Su Submit two(2)sets of roof plan with connection detail'
t4 It and fire department access,along with the connection
Orego
det
Address: 1 in Y Solar Installation Specialty Code checklist. •
Permit Fee(includes plan review
City/State/ZIP:Vancouver WA 98660 and administrative fees): $1i0.00
Phone:(360)695-7700 Pax:(360)693-4442 State surcharge(12°10 of permit fee): $ L60
CCB lie.: : �>��`� _ I _ Total fee due upon application: $201.60
•
Authorized signature: ' ---` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Pee methodology set by Tri-County Building Industry
Print name:. 1rn�1/1 / r/�/n U I�1 Date: '?j� I 7/1 I Service Board.
I:\Building\Permits\BUP-RESPcrmitApp.doc 02/24/2011 440-46I3T(11/02/COM/WEB)
Mechanical Permit Applicatifit ECEIVED FOR OFFICE USE ONLY
- B
City of Tigard ReceivedDate Permit No s��Jn/f� 3t�r�
13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 5 2019 Plan Review O v
Phone: 503.7182439 Fax: 503.598.1960 Date/By. Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jam: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION NotiSed Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION' RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
M.1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
1 Multi-family 0 Master builder 0 Other. •
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 14 444 S W UoS-n., v E 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.: k Other. 23.32
1
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
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ElTENANT Other: 23.32
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
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
._.. _ _ $14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Oth
Business name:Apex Air LLCM'
MECHANICAL PERMIT FEES*
Address:18004 NE 72°d Ave Subtotal
City/State/L P:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769
State surcharge(12%of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
__. days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
L\Buildmg1Permit C_PermitApp_040 I 13.doc 440-4617T(11/02/COM/WEB)
• Electrical Permit Applicati EIVED FOR OFFICE USE ONLY"
City of Tigard Received DatDate/By: I Pemiit#'r/(/y
S%d_c V74"..•0 13 yy
■ 13125 SW Hall Blvd.,Tigard,OR 9722 P R•
ZQ)9 Plan Review
1 • •• Phone; 503.718.2439 Fax: 503.598.1 b Date By: Related Permit#:
i 11U,1H-Lt Inspection Line: 503.63.4175 CITY OF TIGARD Ready DateBy: Juris: I CZ See Page 2 for
Internet: www.ti and-or. ov Notified/Method: Supplemental Information
3U1L. !NC VIS!ON
TYPE OF WORKf) PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current El Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or El Floating buildings.
El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
70b#: Job site address:
14� 5� kkock ► rTJ I00HPormore. ❑ 'A„ "B" l-2„ 1_3
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Roshak Ridge ❑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 Qtq. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Roshak Ridge Lot#: >9 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
______ Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
. 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
El PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH,LLC 200 amps or less 100.70 2
Address: 703 Broadway St,Ste510 201 amps[0 400 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: ( ) 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 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 I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Jolene Smith B.Fee for branch circuits without ••
s
Address:703 BroadwaySt,Ste.510 branchranice or cfueder fee,first
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
Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Portland Electric Sign or outline Lighting 67.84 2
Address: 1915E 5th St.,Ste D Signal circuit(s)or limited-energy El See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable In any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:paul@portlandelectric.biz Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.:�19�3• D specifically listed(it,hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: at,,,,_ AQ /„r Subtotal:
Print name: Alex Shalya r Date: 04//08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: �tiLl ty -rr�iL(j1„,.,.,(. TOTAL PERMIT FEE:
(J This permit application expires if a permit is not obtained within 180
Print name: MISHCHUK,SERG Y Date: 04/08/2019 days after it has been accepted as complete.
' Number of inspections allowed per permit.
I:(Building\PermitsdELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1 I/05/COM/WEB
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
Cityof Tigard Received1111 ry .�` �J
g n Date/By: PermitNo./sl2�0 •O0Jgf
a 13125 S W Hall Blvd.,Tigard,OR 97223 APR 2 b 2 9vv v V
_ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 p�y� Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 CITY OF rIGAI Date Ready/By: Reis: 0 See Page 2 for
Internet: www.tigard-or.gov BUI�t1) (� LT) VISION Notified/Method: Supplemental Information
TYPE OF WORK 1•� FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist -
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)bath 312.70
ur 1-and 2-family dwellingSFR(2)bath 437.78
❑Commercial/industrial
❑Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 4l‘UM S L . .btu �� 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.: 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
S Roshak Ridge Lot no.: Water service(no.linear ft.:_) Page 2
Subdivision:
q Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER f ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drin/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease tap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping DW V 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50
CCB Lic.:184372 Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:iBuilding\Permits\PLINU-Pe`mitApp.doc 10/01/09 440-46 16T(10/02/COM/WEB)
City of Tigard
11 COMMUNITY DEVELOPMENT DEPARTMENT
ilill
T 1 G A R D Building Permit Review — Residential
Building Permit #: N"\S--N-W3k5s-Cyj ii1 .
Site Address: 11`19L SW 16V En 'kit.
Project Name: pol 9dn al" Lhv,Ic Krone. Lot #: 11
(Ne elling=subdivision name;Addition or Alteration=last name of owner)
Planning Review _ � / y`0q e-, 6tr,S -S/T>c Prx9
Proposal: Nti,j S\- , 9er%r- —,"
1:16rify site address/suite# exists and active in permits stem.
Err River Terrace Neighborhood: 0 No Yes,See Raver Terrace Review Addendum Attached
Site Plan Elements: —/
(3)copies of site plan LSE 'sting structures on site
Vree
plan must be on 8-1/2"x 11 or 11 x 17"paper ootprint of new structure(including decks)with finished
Cwn to scale(standard architect or engineer scale) or elevations
laNyrth arrow lai 9vility locations&easements(required for new and additions)
[ address,project or subdivision name and lot number idewalk/driveway approach
t pplicant information(name and phone number) 149sation of wells/septic systems
It1T.ot dimensions and building setback dimensions LlkExisting trees to be retained with drip line,and tree
Lre.•uare footage of buildings to be demolished eptection measures
U of area,building coverage area,percentage of coverage and IgilStret tree size,type and location
,impervious area(applicable if R-7,R-12,R-25&R-40) Li$treet names
[ Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? li‘rslipl No
4 ff of differential) If yes,is a storm water quality facility shown? OlkAVa
LIf Clean Water Services-Service Provider Lett of platted prior to 9/10/1995): G 4i l ‘,./'i-L
Required: 0 Yes,applicant was notified No Received: ❑ Yes ❑ No
dd Public Facilities Improvement(PFI) Permit: / l�
Rfequired: V. Yes,applicant wasnotified ❑ No Applied For: dYes ElNo,stop intake
ndUseCase#: 1 QLLO1S -000OZ
Ly' ortittg: R-12. (TO) f ,
E Required Setbacks: Front g Rear 45 Side 3 Street Side Ni4 Garage S
[ ' ndscape Requirement: Z-6
lInVLot Coverage Maximum: % A
'l1d uilding Height: Maximum Height IVA Actual Height Z.3
T�isual Clearance —/
Lld' nsitive Lands: ❑ Yes t1J'No Type
Urban Forestry Plan
0 Conditions "Met"prior to issuance of building permit
o�tes: �nl i (It pn1� �i l„li r�i� I�Sfa,fL
[ Approved By Planning: -,9-aimAkit -t~ Date: 12-1 Z--(p
Revisions (after Building Submittal only) Reviewer p Date
Revision 1: jti Approved 0 Not Approved M , V`i- l( tl / I I
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPennitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: 01 la 11s
Site Plans: #
Building Plans: # 'S
Building Permit#: g Enter building permit# above.
Workflow Routing: C� E Planning Engineering ['Permit Coordinator 2/Building
Workflow Sign-off: Er 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.
El'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: al l� 1 1c
Engineering Review
Slope at building pad: cA-k
0 Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
dEr Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes E-No
LIDA Facility on lot: 0 Yes ,l No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: (,., A-t T fQ)2 4l E).t N?Si9/Ir-*' E, -PGA-Rlt aJc p `s 5c9 .
Approved by Engineering: A41 l<,p�i L,,l . ` Date: 1(7/'7
Revisions (after Building Submittal only) / Reviewer '] ate /_
Revision 1: Approved El Not Approved vt
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
nditions"Met"prior to issuance of building permit
Approved,NOT Released: �,s,�t, Lon...—‘ /06 Date: .2/ ii
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
R i ion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: ® Yes Yes El N/A
Parks SDC: l�1. Yes ❑ 1 -A
LIDA 0 Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: t-- Date: "4 19 /19
i:lBuilding\Forms\BldgPeimitRvw_RES_010118.docx
City of Tigard
11114 COMMUNITY DEVELOPMENT DEPARTMENT
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: t\(\5-T�.01_ ( L k4
Site Address: (141.1 S'W 1 b616 A4kt{
Project Name: Vet?rq t^ u} _R6 had cafe Lot #: _ i q
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist. t Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? 10 Yes E No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
clement required for lots with over 60 ft.of street frontage shall be provided every 30 ft.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dorrn?
ft. deep min. 2ft.,5 ft wide min. 2 ft.,Eft.wide U'G/
E ❑ ❑ ❑
2.Eyes on the street: a minimum of 12°Ao of each street facing facade must include windows or entrance doors.
Percentage Shown: Z.R 1 g/A
3.Entrances:At least one entrance must meet both of the following standards:
El Max.8 ft setback from long/t street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: 44Yes ❑ No ��
Ifs,all the following apply: Ii2 25 sq.ft. rain.
I[J 9ne street facing entry 12 ft.max. roof above floor of porch
L YS ft.depth min. [p0%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades:
❑ Covered porch min. 5 ft.wide x 5 ft. deep L11 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 Ii Gable,hip or gambrel roof design
❑ Roof pitch oriented south min.500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
❑Accent siding min.40%of street facade ❑ Window trim min. 2'/2"wide by 5/8" deep
❑ Window recess min.3 inches for all street facing B)y window min. 5 ft.wide by 2 ft.deep
❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access [ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot
N Setbacks:
�No closer to front or side lot line, than longest street-facing wall. 0 Yes ❑ No. If No(Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
14,1r t J4 ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
gf Width: (Check one)
❑ 12-foot-wide garage door 0 40%max. of street facade
Q 50%max.of street facade with 7 detailed design elements
Notes:Approved By Planning: )k�(I✓l'1.4- (-&'r)-- Date: I —1 71k
1:113uildiagTormsaBldgPam"Rvw_RES_RT_121417.don
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.
CrCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: \* DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 2 12019
FROM: Ac& - (\Cj` �S CITY OF TIGARD
COMPANY: ayar FPS BUILDING DIVISION
PHONE: 3l • UCCJ.� By:SST'
RE: 1k-1kAL1L\ \ slO - Nr\T 1 (X) t-4L
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies:/ Description:
Additional set(s)of plans. ✓ Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):REMARKS: (3' , (-G� 1 S.t.Cj -* ,Q+ -e5 U) (\i\kCiSI.I S
FOR01?FICE USE ONLY
Routed to Pe it Technician: Date: L ' /( `� Initials: f�
It
Fees Due: Yes ❑No Fee Descripti n: Amount Due:
V-2--- plc."-, rt."i<�c- $ LIe ,4,...
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
L\Building\Forams\TransmittalLetter-Revisions_061316.doc
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
" Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /� ,� cQ�1�5'[(2 �-1 DATE RECEIVED:
DEPT: BUILD DIVISION — RECEIVED
APR 9 2019
FROM: �o CITY OF TIGARD
COMPANY: BUILDING DIVISION
�� ,C�6V1
PHONE: apO- (0�5 ---1-1 O 0
RE: 1444A SW USA, T ons-c ZO1s - 001.-ly
(Site Address) (Permit Number)
L7s1K �� 6 LOT l`\
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Y. Revisions: -R.A \ , All, 131 'P 10
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:
FORpFF CE USE ONLY
Routed to 'ermit Technician: Date: C) j Initials: }'
Fees Due: El; Yes ❑ No Fee Descnptio : Amount Due:
`/1 (C—,Nn tr AAA,, $ yc
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ,No ❑ Done
Applicant Notified: Date: Initials:
l\BuiIding\F'orms\TransmittalLetter-Revisions_06l316.doc