Permit CITY OF TIGARD MASTER PERMIT
III -I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00264
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2020
T f i Ft [5 Parcel: 2S 107AA02000
Jurisdiction: Tigard
Site address: 14420 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 20
Project: Polygon at Roshak Ridge, Lot 20
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $248,825.69 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel'Noes 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 1858
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: $33,685.50
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 952-00 - 090. 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: 9
i���� A'lle f`t-4� Permittee Signature: c/� 6/'s 4te41,Jd
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 \ _ CY-\-- 0 0
Residential HEGEI !A ED FOR OFFICE I SE ONLI'
City of Tigard Received PermitNo.
I - Date/By:13125 SW Hall Blvd.,Tigard,OR 97223 MAR 0 6 2019 Plan Review� � aq S� M����-C���
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �� t 9 Other Permit: � ICA.O (V -
T I G A R D Inspection Line: 503.639.4175 UlTpY� wJ'� r9�BARD Date Ready/By: - Suns: ® See Page 2 for ✓"'T
Internet: www.tigard-or.gov 41)11.r NG DIVISION Notified/Method: 2/ 2 -/0 r Supplemental Information
TYPE OF WORK REQUIRED DATA: L 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRICTION work indicated on this application.
® 1-and 2-family dwelling ❑ Commercial/industrial Valuation: $ 24 co,) '6ZS
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE LOCATION Total number of floors: Z2,9 s-
Job site address: I q-I 1 f1 (10 `to -/�'l 1j1 New dwelling area: `�Sq square feet `p4Cj
City/State/ZIP:Tigard,OR 97224 t "� J Garage/carport area: U;-, square feet �`9l
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
,u � :,n 4y „,.,,COMMERCIAL-USECFIECKLISI
Subdivision:Polygon at Roshak Ridge Lot no.: 2,0 Permit fees*are based on the value of the work performed.
(rounded to the nearest
Indicate the valueof all
Tax map/parcel no.: dollar)
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SF' Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER '
❑..TENANT Number of stories:
Name:Polygon W LH 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:
xw .5 APPLICANT 0 CONTACT PERSONBUILDING PERMIT
RNITTEESr ,,
Business name:Polygon WLH LLC
(Please refer to fee.schedule/
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax: :(360)693-4442 Amount received:
E-mail: ermitsubmittals IOT'OVOLTAIC SOLAR PANF.F.SYSTEM FISES*
p (a�polygonhomcs.com
r Commercial and residential prescriptive installation of
CONTRACTOR ,ate_ y n 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)693-0442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized sign - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Gavin Date: 31 CJ' Lal *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application i FOR OFFICE USE ONLY
ic City of Tigard eaerved permit No.:
" 13125 SW Hall Blvd.,Tigard,OR 97223 r Plan Rev
II iew
v 0, 1 `0%5 Plan Rev
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit
T I G A R D Inspection Line: 503.639.4175 t,_ Date Ready/By: turn: H See Paget for
Internet www.tigard-or.gov -;t ..i ' rpt ,.Notified/Method. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
®New construction Mechanical permit fees*are based on the value of the work
❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
AI_and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
Multi-family ❑Master builder ❑Other: Description Qty. Es. _ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 14420 SW 169th Ave. Air conditioning 46.75
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: Hydmnic 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
Other: 23.32
Subdivision:Roshak Ridge Lot no.: 20 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 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
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 compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC
S14.15 for first four;$4.03 for each additional
Contact name:Toni a 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)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address:18004 NE 72"d 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.:203034 TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 180
J.
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: 05/21/20
Electrical Permit Application aicsX - 'rrr u o�I
City of Tigard Rece ved Permit#.
v 13125 SW Hall Blvd.,Tigard,OR 97223 Dete(By;
Plan Review
.0 . Phone: 503.718.2439 Fax: 503.598.1960 Date/By. RelaoedPermt#:
TSi,,_RD: Inspection Jirb-: 503.639.4175 I El See P 2for
>
.: .:
r Interne: www.ti Ready Date/By: reekgaid-ca.gov Notified/Method: Supplemental Information
' ' ti' Oi~:WORK :I. ; . ..
0 New construction . a ..p&, w la ,+. s cbe :
❑Addition/alteration/replacement Please check all that apply(subnvtg sets.ofplans w/items checked): ..
Q Service or feeder 400 amps or more 0 Building over three shades..
❑Demolition 0 Other.
' ` 7, AT,EGO.... . . .:' '�'. where the available fault current ❑Marinas and boatyards.
RY..OF-CO S`ittldljOIV_ ... .; ',r erreeda 10,0D0 amps at150 volts or °Flooatingbuildings.
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Q Multi-family ❑Master builder amps for all other installations buildings.
�' For P»mD• 0 Installation of 150 ItVA or
.1., 9 Emerocno5'
�.': .' .JOB SIT'E(�TF`O,`RMA`!'T()IQ"`AND'f.00ATTL)It',,i::. .. systeraeparately derived
Job#: Job site address: 14420 SW 169th Ave 0 Addition of new motor load of systee
100HP or mom 0"A","E","1-2","1.3",
C ity/State/Z1P:Tigard,OR 97224 0 Sixor more residential units. occupancy.
Q ire lth.rane facilities. °Recreational vehicle parks.
Suite&bldgJapt# Project name:Polygon At Roshak Ridge 0 Barerdoes locations. 0 Supply voltage Su more time
•
0 Service or feeder 600 sups or more 600 volts nominal-
Cross street/dime—thins to job site: FEE SC RULE :::. .:
Description • LQtY. l larch I Tersl 1 •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 20 Includes attached garage.
Tax map/parcel# 1,000 sq.$or less 168.54 4
Ea add')500 sq.S or portion 33.92 1
DEScRtPT1ON OF WORK • '• .
• Limited energy,residwtial 75.00 2
(with above sq.i3)
Limited maxi,multi-may
residential(with above sq.it) 75.00 2
Renewable Ea
�.PROPERI'IS,.O�TitkiEli •..... .. :'• . .t• TIA T. Energy o Sea Page 2
Services or feeders hrstaIIationialtrrafion,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or leas 100.70 2
Address:703 Broadway St Suite 510 201 amps to 400 amps 13336 2
401 amps to 600 amps 20034 2• sty/StatetZIP:Vancouver,WA 98660
601 amps in 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 55226 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 zoo amps or less 1 5936 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 16834 2
..rgAPPtiemT ❑ CONTACT PERSON A Fee for bBranch circuits—new,alteration,or extension,per panel
ranch circu its with
Business name:William Lyon Homes,Inc. above service or feeder fee,
branch circuit 7.42 2
r each
Contact name:Niehole Thorpe B.Fee Sr branch circuits without
Address:703 Broadway St Suite 510 seMen or feeder fee'first 56.18 2
branch circuit
City/State/1.1P:Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Phone (360)6957700 ItMiscellaneous(service or feeder not Included)
Fax:(360)693-4442 Each manufactured ar modular
dwelling 67.84 2
Email:permitsubmittais(e polygonhomes.com s scv ce and/or fxd«
Recam:met only 67.84 2
• ' . coNTRACTOR 67.84 2
Pump or irrigation circle
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signal oitmdt(s)or Bolted-cu«gy
panel,alteration,or extension. age
Page 2 2
City/Stater:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional mspexnion(11r min) 6625/1a
Phone:(503)319-2192 I Fax:( ) Investigation(1 br min) 90.00/hr
mail:salarpdz@me cow Industrial plant(1 hrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.: 199188 I Electrical Lic.: c923 I Srrprv.Lk.: 4874 specifically listed eh br min) 90.00/hr
51r rv.Electrician .. .. .ELECTRICAL'PERMIT PEES
Psignature,required: Subtotal
Print name Kan Rood Date: 05/21/20 0 Plan Review Required(25%of permit fee):
ff .
State surcharge(12%of pit feek
Authorized signature. /�(J ®, TOTAL PERMIT FEE:
•• • -- - / ��� I — ._ -, This oarmtrannilnfina nrniroe if a n"+•n,1r 1.....4.,1.a.k.a pie_.n,.
' Plumbing Permit Application
Building Fixtures a 'a 1 _° FOR OFFICEUSE ONLY
City of Tigard Re0ei°ed Permit No.:
Ill 'I 13125 SW Hall Blvd.,Tigard,OR 97223 , Date/By:
llAy
9 Phone: 503.718.2439 Fax: 503.598.1960 r'••- 2' 1 ��Z� Plan Review Other PermitNo.:
Inspection Line: 503.639.4175 DateiRe
TIGARD Internet: www.ti and-or. ov toteRe/Metho Juris: ® SeePent 2l for
g g Wotified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-and 2-family dwelling 0 Commercial/industrial. SFR(2)bath 437.78
❑Accessory building 41-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: 14420 SW 169th Ave Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Page 2
-
Suite/bldg./apt.no.: I Project name:Roshak Ridge Footing drain(no.linear ft.:_)
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft: ) Page 2
Subdivision:Roshak Ridge Lot no.: 20 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
g PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
CO APPLICANT 0 CONTACT PERSON Interceptor/grease trap 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
CONTRACTOR Water closet 25.02
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
Plan review (25%of permit fee)
CCB Lie.:184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: ,1yPy^_. TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180 days
Print name:Steve Fowler Date: 05/21/20
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Induany Service Board.
E\Buildine\Permlrs1PLMU-PermitAoo.doc 10/01/09 440-4616T(l 0/02/COM/WEBI
City of Tigard
III / . COMMUNITY DEVELOPMENT DEPARTMENT
Il Building Permit Review — Residential
TBuilding Permit #: �ST4� �_(a �L�.
Site Address: J�7/ �� --S)/0 /& //yam
Project Name: _ (Pd �,I�•'9li oep f 1' Lot #: Q 0
(New dw 0I subdivision name;Addition or Alteration=last of owner)
Planning Review
Proposal: () �je-- /
?1 _Verify address/suite#active in Accela. ,U,(In River Terrace: ❑ No /Yes, River Tema'Review Addendum
Sit,Plan Elements: TA Er. 'on Control
i'lg#copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1l,! tained trees with drip line and tree protection measures
4rwn to scale (standard architect or engineer scale) ' otprint of new structure(including decks)and FFE
rth arrow Ad .tatty locations&easements(required for new and additions)
Fite address,project or subdivision name and lot number 'A Si.ewalk/driveway approach
l�' plicant information(name and phone number) t1's1.cation of wells/septic systems
Lot dimensions and building setback dimensions L'4 yStreet tree size,type and location
re footage of buildings to be demolishedeet names
sting structures on site Comer elevations(2'contours if more than 4'diffffer tial)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? l�Yes 0I�6
im.ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown Yes TEN.
e lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilitiys Improvement(PFI) Permit:
quired: V Yes,applicant was notified ❑ No Applied Yes No For: No stop intake
and Use Case#: -c�{,lf3QO/C r e 12 Zoning: -
��equired Setbacks: Front: 0 Rear: ide: 3 Street Side: Garage:
uilding Height Max. Height: Actual H ' ht:
VJ Landscape Area: c.2d % Lot Coverage Max: e
Entrance et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 es or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is b - 'dest street-facing wall ip 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 2nd floor.
❑ Garage door width is ❑ 12'or le 50%or facade 0 60%or less and includes 7 of following.
❑ Covered porch ecessed entrance ❑ Wall offse 1'Roof eave ❑ Roof offset
❑ Fire s ' ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, mbrel roof ❑ Dormer
ccent siding !A Window trim ❑ Window recess ❑ Window pro ' n ❑ Balcony
isual Clearance VA Urban Forestry an �,
R�'�
11,* sensitive Lands: ❑ Yes 0No Type:
V, Conditions met prior to issuance of building permit
7t4s:
Approved By Planning: - ,� Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
l:\Building\Fonns\BldgPennitRvw_RES_022819.docx
1
Building Permit Submittal
Original Submittal Date: 2 \u\\q
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit# above.
Workflow Routing: CgPlanning ErEngineering QiPermit Coordinator Rqtuilding
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: Er-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: ��4-/\... ..,---, Date: -A_'cs 1 1CA
Engineering Review
Er-Slope at building pad: „/B/o
0 Conditions "Met"prior to issuance of building permit n/&
Er--Easements (encroachments)per engineering conditions of approval and plat
lWVater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ( -No
Assess Water Quantity Fee in-lieu: 0 Yes ErNo
�
LIDA Facility on lot: 0 Yes [ No
E Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Er-Approved by Engineering: ./ Date: -7`/ah9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Pertnit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
O 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:
jSDC Fees Entered: Wash Co Trans Dev Tax: I/Yes ❑ N/A
Tigard Trans SDC: C"Yes ❑ N/A
Parks SDC: 117 Yes ❑0/A
LIDA 0 Yes L7 N/A
I(� OK to Issue Permit
Approved by Permit Coordinator: //�� Date:
7v/iq
I:\Building\Forms\BldgPemiltRvw_RES_0228I9.docx
' - r
City of Tigard
, r I' COMMUNITY DEVELOPMENT DEPARTMENT
.
TIGARQ- River Terrace Building Permit Review Addendum
Building Permit #: MS-C?tTh\Q- CIM2,114.
Site Address: / L 71.2 6 OW 1&Gfive_
Project Name: d/dio , n1 Lot #: ' n
(New • j • g=subdivision name;Addition or Alteration=layft)Fune of owner)
Planning Review of River Terrace Plan Dist ct Design StandardsJ (18.640.070.I.):
Is the project subject to the plan district design standards?44 Yes 0 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 I. de Balcony w/ access 2 Window Projection Vertical Wall Offset a
ep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft wide
Gabled dormer
❑ ❑ 0 0
2.Eyes on the street: a minimum af_12/o,,of each street facing facade must include windows or entrance doors.
Percents Shown: Le e
3.ntrances:At least one entrance must meet both of the follo . g standards:
Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No
If/s,all the following apply: ,25 sq.ft. min.
Bi ne street facing entry ft.max. roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.,i etailed Design:All buildings shall include a min. of five ofkfe following elements on all street-facing facades:
°vexed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft wide x 2 ft. deep
all offset min. 16 inches 0 Dormer min. 4 ft.wide
14.4 Roof eave min. 12 inch projection �❑ of offset min. of 2 ft.
O Roof shingles either tile or wood lSG Gabte,hip or gambrel roof design
O Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
O Accent siding nun.40%of street facade 0 Window trim min.2 1"wide by 5/8" deep
O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade
`(ia es andCarports:May face the front or side of line on a corner lot.
Setbacks:
No closer to front or si a than longest streef-facing wall. ❑ Yes . If No (Check one):
❑ May extend up to 5 ft. if there is a co front porch and ge does not extend beyond the front porch.
❑ May extend up to 5 ft. where the garage is part -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 façade
/o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: —_-- Date: //3.,47
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