Permit CITY OF TIGARD MASTER PERMIT
'tl COMMUNITY DEVELOPMENT Permit#: MST201900215
T1GAAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2020
Parcel: 2S107AA01500
Jurisdiction: Tigard
Site address: 14419 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 15
Project: Polygon at Roshak Ridge, Lot 15
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1119 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2321 sf Value: $295,094.05 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 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
Bckfw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel 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 Temo Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add9 500 sf: 4 201-400 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 2321
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 Report Required
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour
2 Ersn Cntrl 503-639-4175
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $34,750.18
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 160 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 0 952-00 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: (%tom Cam-✓/ Permittee Signature: a Af /176P eJyz--7Zd
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 LiIT c \E
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard AR 0 6 2019 Received Q S)T IYIS i 1kCi._ `2)15
P an Rv: Permit No..
Phone S50 Ha11 Blvd.,Tigard,03. 9722 Plan Rev ew��Z��/2 Jl� Other Perm o�_ 1 1
Phone: 503.718.2439 Fax: 503.5�g1.p6a DateBv: `" /1
Inspection Line: 503.639.4175 l.il l Y (.�I• I!(.ifAKL Date ReadyBy. �n/� ha;c See Page 2 for
TIC;ARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:_'/2i/ZO "0 U Supplemental Information
C-77 g/l -1-bNTi1
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
® 1-and2-family dwelling ❑CommerciaUindustrial Valuation: $ 2�5/ c ' 1
ElAccessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors D 7 4 3
Job site address: I LI L t/� SID I(oSkit ./W1) ) New dwelling area: �2..I square feet i b(g2
City/State/ZIP:Tigard,OR 97224 Garage/carport area: I.
square feet ' l
Suite/bldg./apt no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet ND
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.: ,S' 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
DESCRIPTION OF WORK work indicated on this application.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENAr'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:
0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please rejerto jeeseheewk)
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@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 lic.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amand avin Date: bISI 11 *Fee methodology set by Tri-County Building,Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613 T(11/02/COM/WEB)
•
Mechanical Permit Applicall
p FOR OFFICE USE ONLY
�,� n (�"�
City13125 ofSWHall TigardBlvd.,Tigard,OR 97223
Dare/By:Received Plan Review Permit No.:`M\\��pl)`` 1' v�/�S
L Phone: 503.718.2439 Fax: 503.598.1960,f LI N 1 9 ?0 1 9IN
Date/By: Other Permit
T I GARD Inspection Line: 503.639.4175 Date Ready/By: Jana: h3 See Page 2 for
Internet: www.tigard-or.gov CITY Y OF' i lk7 AHt,) Notified/Method: Supplemental Information
'_NNE 11'+ l l T r
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
C7.I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
AJob site address: (,� e, .` I Bi, I ' ,.— Furnaceir conditioning 46.75
�� `1� U w �EJ r-I is 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Roshak Ridge Heat pump 61.06
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.: ,5 Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
ST
2.01c1_ 1g 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
Other: 23.32
�� PROPERTY OWNER ❑ TENANT 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 $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@poiygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other.
MECHANICAL PERMIT FEES*
Address: 18004 NE 72nd 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(12010 of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within I80
days after it has been accepted as complete.
Authorized signature: j---- * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
Electrical Permit ApplicationEC FOR OFFICE USE ONLY
City of Tigard ,J U N 1 9 2019 Received (�T\C�'�,�� (�
Date/By: Permit#'1""\ U V��1'(�{1'9rt
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review vv\ VV LJt
1 - •• •. Phone: 503.718.2439 Fax: 503.598.1 OF
' �� 3 l�T;f{ y} Date/By; Related Permit#:
�A&Lt Inspection Line: 503.639.4175 BIM LDI N1' fllltie..--,-,, ReadyDate/By: saris: Ed See Page 2 for
ill Internet: www.tigard-or.gov :J - Notified/tviethod:
g Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitemu checked):
ElService or feeder 400 amps or more ❑Building over three stories.
❑Demolition E Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
i4 1-and 2-familydwellingComfnerciallindustrialless to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 0Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: ‘LIAAVA B°Lk) Ito9j l'i F , r100HP or more. ❑"A","E","1-2","l-3",
City/State/ZIP:Tigard,OR 97224 El 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
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qtv. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Roshak Ridge Lot#: 1,5 Includes attached garage.
1,000 sq.ft.or less ` 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion -3 33.92 1
DESCRIPTION OF WORK Limited energy,residential
MST 12-ot q ^oc,2,1 5 (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 ONIV1 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 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:( ) 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, 0 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
Address: 703 Broadway St,Ste.510 service or feeder fee,first 56.18 2
branch circuit
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.com 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 5°h St.,Ste D Signal circuit(s)or limited-energy See❑ Page 2 2
panel,alteration,or extension. g
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(I hr min) 90.00/hr
Email:paul®portlandelectric.biz Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.; 23, e101,05 specifically listed(rA hr min) 90.00/hr
n A-C�� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: L�t .� Subtotal:
Print name: Alex Sbalya Date: 04/08/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12e/a of permit fee):
Authorized signature: }Ap Jt pt,� l,i,.y4k, 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:\BuildinglPermicsuELC PmmilApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Applicati ECE
Building Fixtures FOR OFFICE USE.ONLY
City of d Tigard iIJN 1 9 2019 Received m.T(1Q-� 1�
gDate/By: Permit No.: O v
II 1 'I 13125 SW Hall Blvd.,Tigard,ORRik.: 9�� f Plan Review
Phone: 503.718.2439 Fax: 5 0� ))� rl3;i " Date By: O her Permit No.:
Inspection Line: 503.639.4175 LD'JP, r� jy i y y -
TIGARD Internet: www.tigard-or.gov �"�'�' '�� Date Read IB Saris: I See Paget for
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
• For special use checklist
El New construction 0 Demolition
Description I Qy. [ 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
I-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building Multi-family 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�I4\C\ ski.) UpCl-tie Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224
Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I 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
Water service(no.linear ft.:_) Page 2
Subdivision:Roshak Ridge I Lot no.: 15 Fixture or item:
Tax map/parcel no.: Backliow preventer I 31.27
DESCRIPTION OF WORK Backwater valve 12.51
11 s7 �tq-da� 5 Clothes washer 1 25.02 yin
Dishwasher l 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ 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 1 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker i 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Contact name:Tonja Morris Primer 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory it 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 j. 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet S 25.02
Water heater , 37.52
Business name:G&B Plumbing&Sons Inc
Water piping/DWV 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.Building.PermitSPLMU-PermitApp.doc 10,01,09 440-4616T(10/02/COMLWEB)
--mow.
•
City of Tigard
i e .
IIICOMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: MS-ca-0101_ CAD21l
Site Address: 14t. c SW lloa i- Ave.
Project Name: 1:7b( h ( ��k �11 -� Lot #: 1,5
(New dw subdivision name;Addition or Alteration last name of owner)
Planning Review
Proposal: Nevi,F-12..-
Verify address/suite #active in Accela. g,_In River Terrace: ❑ No Yes, River Terrace Review Addenclum
Site Plan Elements: Xrosion Control
›t3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Detained trees with drip line and tree protection measures
Drawn to scale (standard architect or engineer scale) Wbotprint of new structure(including decks)and FFE
$$North arrow Jtility locations&easements(required for new and additions)
T$Site address,project or subdivision name and lot number Sidewalk/driveway approach
,Applicant information(name and phone number) Iritleocation of wells/septic systems
J Lot dimensions and building setback dimensions Ribtreet tree size,type and location
Square footage of buildings to be demolished .$treet names
xisting structures on site Omer elevations(2'contours if more than 4'differential)
Xof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ye f No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? i No
Id�Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified y No Received: ❑ Yes ❑ No
121' Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: SIJ 2dS-fiLDo-61 Zoning 13--12
A Required Setbacks: Front: Si Rear: 3) Side: 31 Street Side: na Garage: 31
SW-Building Height: Max. Height: IJ t Pr Actual Height: t.2-y
lit Landscape Area: 2.0 % .'Lot Coverage Max: GO %
Entrance Set ba no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows %of area of all street-facing facades
Garage ra d 's behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ o ends no more than 5'from wall and there is a covered porch extending beyond garage.
O Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 22d floor.
❑ Garage door width is ❑ 12'or less 0 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding 0 Window trim 0 Window recess ❑ Window projection ❑ Balcony
. Visual Clearance Urban Forestry Plan
.Sensitive Lands: ❑ Yes ,X No Type:
A. Conditions met prior to issuance of building permit
Notes:
TA Approved By Planning: I L ., Date: 5 I 28.
Revisions (after Building Submittal on Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
1:\BuildingWoinu\B1dgPerinitRvw RES 022819.docx
Building Permit Submittal
Original Submittal Date: I kiz , y9
Site Plans: # '
Building Plans: #
Building Permit#: Pi/Enter building permit#above.
Workflow Routing: Lam/Planning L" Engineering [ /Permit Coordinator ErBuilding
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: C"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
["Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: . Date: `J , \G
Engineering Review
X7 Slope at building pad: Ss.° 70
,2"Conditions "Met"prior to issuance of building permit
IQ Easements (encroachments)per engineering conditions of approval and plat
,2'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,�' No
Assess Water Quantity Fee in-lieu: ❑ Yes .0' No
LIDA Facility on lot: ❑ Yes 2' No
riE Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,!Approved by Engineering: 44(/it- Lt..), Date: 5/ L / 1"
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ 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:
IDC Fees Entered: Wash Co Trans Dev Tax: fir]"yes 0 N/A
Tigard Trans SDC: s 0 N/A
Parks SDC: ICE Yes 0 N,/A
LIDA ❑ Yes ZN/A
OK to Issue Permit
Approved by Permit Coordinator: /frai-)-eate: �Z�(//ff
I:\Building\Forms\BldgPemutRvw_RES_022819.docx
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #: - -r‘ \O\_ 002(1.�j
Site Address: 11414 Uq SUV tU'1Y1
Project Name: 'ppANq ( R� � Lot #: bs
(New dwe'H&lg=sub vision name;Addition or Alteratio last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep nun. 2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: t { °io
3. Entrances:At least one entrance must meet both of the following standards:
IK
A'Max. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: .porch: R Yes ❑ No
If yes,all the following apply: f 25 sq.ft. min.
Nt One street facing entry 12 ft.max.roof above floor of porch
1/4'S ft. depth min. 30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
,'Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Donner min. 4 ft.wide
.IS'Roof eave min. 12 inch projection RRoof offset nun. of 2 ft.
❑ Roof shingles either tile or wood NrGable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street facade ,Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing El 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 facade
5. Garages and Carports:May face the front or side lot line on a corner lot. a11 iei
Setbacks: � C(iC
No os t front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one):
❑ x n4p to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ y ex end 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.
Width: (Check one) a`�`l l�'or'61,,o
El12{oatt�u a garage door ❑ 40%max. of street facade
❑ 504.141x. of street facade with 7 detailed design elements
Notes:
Approved By Planning: SN.a Date: J I2$ I jq
1(\Building\Forms\B1dgPetmitRvw_RES_RT_1214 17.docx