Permit CITY OF TIGARD
t�
MASTER PERMIT
Permit#: MST2022-00042
COMMUNITY DEVELOPMENT
Date Issued: 06/09/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1070001302
Jurisdiction:
Site address: 16594 SW COLORADO LN
Subdivision: SOUTH RIVER TERRACE Lot:
Project: South River Terrace Lot 38
Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1297 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1830 sf Garage: 564 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3127 sf Value: $437,245.58 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr:
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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 SrvclFceders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 WI Svc or Fdr: 0
Ea add?500 sf: 6 201-400 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 y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet.
NEW SF VB R-3 3'27
Owner: Contractor:
TAYLOR MORRISON NORTHWEST 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: PHONE: 360-695-7700
FAX:
Total Fees: $28,093.51
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
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Issued By: Permittee Signature: T C.,/ ::2i, [ �GC f
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 sob site at the time of each inspection.
Building Permit Application RECEIV '' Z.
'spa
Residential
Cityof Tigard FEB 1 i 2022 Receive '
�- p Permit No.:
", 1315 SW Hall Blvd.,Tigard,OR 97223 1>am Review 2— -/ i
�/"VZ/Z� � �ZZ� �'� . Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARi pate/By: l 1—/ (/ Af"J Other Permit: �' ��,�.- 7j)Inspection Line: 503.639.4175Date Ready/By. 61 See Page 2 for
T�� A6�) Internet: www.tigard-or.gov BUILDING DIVISI ed,Ttethod: .. Supplemental Information
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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. _
❑ „�r ..�� 931 'I�
® I-and 2-family dwellingCommercial/industrial Valuation: $
0 Accessory building El Multi-familyNumber of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 3C99 I
Job site address: 16594 SW COLORADO LN New dwelling area: 3,127 square feet I Ca .3 d
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 564 square feet ir9_57
Suite/bldg/apt.no.: Project name:South River Terrace 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: South River Terrace I Lot no.: 38 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 Construction /Type: SFU Valuation: $
Deferrals:YES-deferral of TSDC fees and park SDCs until occupancy. Existing building area: square feet
Projected start: April 2022 New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St., Ste 710 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON U9 BUILDING PERMIT FEES*
Business name:Taylor Morrison Northwest LLC (Please refer re fee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 710
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Phone:(360)946-8674 Fax: :( )360 693-4442 Amount received:
E-mail: OAIamiAbouhafs(ir[aylotmorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St., STE 710 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver, WA 98660 and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 �f// � Total fee due upon application: $201.60
Authorized signature: no.. .4 -,cy Cunt .4J CJB This permit application expires if s permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 02/08/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
C1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
Mechanical Permit Applicatir y�(►EIVE I FOR OFFICE USE ONLY
- t1 t�JJ Ree<I.y:
City of Tigard / [� Permit No.:
R 13125 SW Hall Blvd.,Tigard,OR 97223 VIZ
Plan
Rev 2 ,�l vZ�p � �ZZ-�p/�Z
Phone: 503.718.2439 Fax: 503.598.1960 FEB��� t) 2U44 PUn Review Other Permit: 4W2,Z�^
y Inspection Line: 503.639.4175 DateBy
11 i,11 i i CITY OF TIGARD Date Ready/By: lurk: PI See Page 2 for
Internet: www.tigard-or.gov Noti0ed/Method:
BUILDING DIVISION' Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
constructionMechanical permit fees'are based on the value of the wont
®New
0
Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
►_ 1-and 2-family dwelling 0 CommerciaVindustrial ❑Accessory building For special iafonnarlon use checklist
1 j Multi-family ❑Master builder 0 Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
_ Air conditioning f 46.75
Job site address: 16594 SW COLORADO LN Furnace 100,000 BTU(ducts/vents) 46.75
City/State/LIP:Tigard,OR97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Creekview at South River Terrace 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: Creekview at South River Terrace I Lot no.: 38 Other-. 23 32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace Insert 33.39
—New construction-Type SFU Flue vent for water heater or gas
YP fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chinmeytiner/1luelvent 23.32
El OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest 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/crawlspacc fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
514.15 for first four,S4.03 for each additional
contact name: Omar Alami Abouhafs 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
Rance
E-mail:permitsubmittals(taylormorrison.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES'
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/if?:Hillsboro,OR Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(360)270 1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 100
e� days after h has been aeeepted as complete.
Authorized signature: W a u 7)'� �' ' Fee methodology set by Tri-County Buil:ing Industry Sery ce Board
Print name:Elia Doran Date: 10/30/20
IARniIdin.WmniAMFC n.rmn Ann Mot i 1 Art A 411 4A,+r Ill n+l erA•mreor
. Electrical Permit Application RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received
' 13125 S W Hall Blvd.,Ti t,.:3 ""n2 Date/By. 'a7 1 it in;
L'�:i, /q 0009 Tigard,OR 97223 + ! t Plan Review
) " 'ennilu MJI Z� v
Phone: 503.718.2439 Fax 503.598.1960 Date/By Related Permit a ��2�2'� 71
Inspection Line: 503 639.4175 CITY OF TIGARD ® See Page 2 for "t
TIGARtI ReadyDatNBy. Jam
Interne[ www tle Oar gm N
" onmdtMelho d Supplemental Information
aUILDING DIVISIO!
TYPE OF WO PLAN REVIEW
®New construction Addition/alteration/replacement Plea,(d'eck a:i Plat appl,:,uhm t .,of plan.:,a item,Jerked
❑Demolition ❑ ❑Sentce or tender 400 amps or more CIDuddin0,),CI three stones.
Other. where the available fault current
0 Marinas andboatyardsngs
CATEGORY OF CONSTRUCTION
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
[SiI-and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or ezoeeds I4,010 ❑commercial-use agr ealtutal
amps for all other installations. buildings.
El Multi-family ❑Master builder El Other: El Fire pump ❑Instalatton of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately denied
Job sr: Job site address: 16594 SW COLORADO LN ['Addition of new motor load of system
100HP or more. ❑"A" "E" "1-2' '•1-;'.
City/State/ZIP: Tigard,OR 97140 ❑Six or more residential antis oeeapaney
0 Health-care facilities. 0 Recreenonal vehicle parks
Suite/bldg/apt.#: Project name: South River Terrace 0 Hazardous locations 0 supply voltage For more than
❑Service or feeder b09 amps or more ''0'I,oirs mammal
Cross street/directions to job site: FEE SCHEDULE
0rscdp00n Qir I k.a<e I 7pta l I
New residential single-or multi-family dwelling unit.
Subdivision: South River Terrace Lot#: 38 Includes attached garage.
Tax map/parcel#: 1,000 sq ft or less 168.54 4
Ea rs,s '" '�`ys a' DESCRIPTION OF WORK add'I 500 sq.ft.or portion 33.92 1
"
Limited energy,residential 75.00 2
New construction.Type SFU (with above sq ft.)
.---- -.- Limited energy,multi-family 75.W 2
residential(with above sq.ft.)
_ El ElPRQP,FRTY_O; 1ER „ TENANT Renewable t Seep 2
Services or feesedersders installation alteo ration and/or relocation
o
Name: Taylor Morrison Nrthwcsr 1 z
- 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133 56 2
City/State/ZIP: Vancouver,WA 98660 dot amps m600amps 20034 2
601 amps to 1,000 amps 301.04 2
Phone:( 360 )946 8674 Fax:( ) Over I.000 amps or volts 552.26 2
Email. OAlamiAbouhafs@taylormorrison.corn-PermitSubmittals,ta lormorrison,com Temporary ��°r feeders installation,alteration,and/or
y rebiocatication
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
(Mawr signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
0 APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name ,,. .. above service or feeder fee,
each branch circuit 7.42 2
Contact name: Omar Alami Abouhafs B Fee for branch circuits without
Address: 703 Broadway St., Ste 710 service or feeder fee,first 56 IS 2
branch circuit
City/State/ZIP: Vancouver,WA 98660 Each add'I branch circuit 742 2
Phone:(360 )946 8674 Fax: ( ) Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Email:OAlamiAbouhafs o_taylormorrison.corn-Perm itSubmittalsra tavlormorrison.corn dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: A Lf-mE-v ft C 1 e i-�pj n t 1 a c . Sign or outline lighting 67.84 2
Address: 3,1 !5 w 1 Lit!T7ix- L,+yr�`i.�x-�(F--t V..L► Signal circuit(s)or limited-energy
7 l VE 4 t-r',ri AVE_v£ panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:?C f.-TL f{-f.J-D , 0 n-y.zr 3
Each additional inspection over allowable in any of the above
p y —t T Additional inspection(1 hr min) 6625/hr
Phone:( 5 t 3 , 319. Z1 r yf Fax:( ) Investigation(I hr min) 90.00/hr
/v Lt`Q`a�•
Email: Sc, �,¢r� M t t��M Ind echo plant(I hr min) 78.18/hr
p Inspections for which no fez is
CCB Lic,: I i, 1 R2 Electrical Lic.: , A- .t - P 'I
$U rv.LiC.: swelt calls fisted(!4 hr min) l I 9tl {� fir
Suprv.Electrician signature,required: 2 j 7irr(/y ELECTRICAL PERMIT FEES
Subtotal.
Print name:p,7 p,v..� 1...;STF Date: (0—5-21 0 Plan Review Required(25%of permit fee):
State surcharge(1296 of permit fee):
Authorized signature: TOTAL PERMIT FEE,
'''� This permit application expires If a permit is not obtained within ISO
Print name: 17 ..ar E.. —Ti1 u rl4 es sty Date: 10 5-21 days after it has been accepted as complete.
' Number of inspections allowed per permit
I a BuildingRennirslELC-PermilApp_ELR ERE doe Rev 06/17,201} 44446I5T(I1;O5/COWVIEB
. -tPlumbing Permit Application Building Fixtures RECEIVE _ FOR OFFICE USE ONLY
City of Tigard is LtR'i ) 2:12 :.:`ivy: /)-11'}(202-2 S' Pe mi,No.:/l i7-WOK Z
• 13125 SW Hall Blvd.,Tigard,OR. 97223 � �+�❑ Plan Review
Phone: 503.7182439 Fax: 503.598.1960CIf'Ty OFTIGARnDeO Ry' Other Permit No.:SIA)(70 7---00C)2t
Inspection Line: 503.639.4175 to Re /B twit ® See Page 2 for
T f;A 1:n Internet: www.ti ardor. ov BUILDING DIVISION' at t y' e
$ 8 obfiedlMelhod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description ] Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other. New i-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-and 2-family dwelling ElCommercial/itdustrial SFR(2)bath 437.78
❑Accessory building 11-Multi-family SFR(3)bath 500.32
Each additional bath/ldtchen 25.02
❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16594 SW COLORADO LN Catch basin or area drain 18.76
.._._.. Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:South River Terrace 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 R:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: South River Terrace Lot no.: 38 Fixture arItem:
Tax map/parcel no.: Baeldlow ptt;venter - 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New construction-Type SFU
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
C PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC. 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
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S_) Page 2
Contact name: Omar Alami Abouhals Primes 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basiwlavatory 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:permstsubmittals(a3polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water PP in€r 'DWV 56.29
Address:P.O.Bea 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
*y�j�-�-{ State surcharge(12%of permit fee)
Authorized signature: � � TOTAL PERMIT FEE
Print name:Steve Fowler Date: OI30I20 This permit applicatloepermit
expires if a Is not obtained within 180 days
after it has been accepted as complete.
^Fee methodology set by Tri-County Building Industry Service Board
I Ba1dmg\PamrtnPLMlt-PeneitApp.dor 10/nice 440-4616T(1a02/C0M/WEa)
644(Sj /
Plan # l }c 7s—e, `Ie. ii�
Floors �— Large 21
Bed rooms 6 WC 3 �Small u
LAV S/ I v V
Tub 'f_ Basement
Vent 5 1st Floor )211
Water Heater ‘ 2nd Floor 1S3D
AC -/'�S 3rd Floor
School 1 R-3 Total 1a/7
l —
Garage C.7csJ -F�`�cpt�.c--�- g &`
/
Z Ham-- 6 b �Jj Total 1 (
3 „p,Ak o J(-4 #for Elec I ,
City of Tigard
711 C 7 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 A u D liATCUVICON
Building PermitReview — Residential
Building Permit #: ."
Site Address: 16914 ' (.0(0`
Project Name: �u u ��u+ r o� F-�i� ��trace Lot #: �j 0
J o
Planning Review � �� I I t
Proposal: Qi ti f (�,Q E
gj Verify address/suite #active in Accela. E In River Terrace: D No 73 Yes,River Terrace Review Addendum
Site Plan Elements: 7/Erosion Control
rot copies of site plan on 8-1/2"x 11"or 11 x 17"paper !Retained trees with drip line and tree protection measures
ra Drawn to scale(standard architect or engineer scale) Wootprint of new structure(including decks)and FFh
®North arrow Utility locations&easements(required for new and additions)
0Site address,project or subdivision name and lot number L]ISidewalk/driveway approach
Applicant information (name and phone number) s
MLot dimensions and building setback dimensions inStreet tree size,type and location
fio hP rie,,,,1 Shed PStreet names
l�xisting-mac-tangy-en-site WI Corner elevations (2'contours if more than 4'differential)
pLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes inNo
fp Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified '® No Received: ❑ Yes ❑ No
C� Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
SDC Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified 0 No Applied For: ❑ Yes ❑ No,stop intake
1 Land Use Case#: 10-24Z( - 6/0d 3 Ni Zoning: g-"-7-"
0 Required Setbacks: Front: 1 2` Rear: 1 51 Side: 9 Street Side: 8 r Garage: CAI
W Building Height: �7 �y Max. Height: 35 Actual Height: 24(
l Landscape Area: (ICJ % 41 Lot Coverage Max: 6 O
Entrance ® Set back no more than 8'from street-facing wall )4 Parallel to street or offset 45 degrees or less
Windows lif Minimum 12%of area of all street-facing facades
Garage p Garage door is behind widest street-facing wall 0 Yes• ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
1p Garage door width is ❑ 12'or less la 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 ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
f�7 Visual Clearance ® Urban Forestry Plan
Ii Sensitive Lands: ❑ Yes ag No Type:
tO Condions met rior to issuac of builddin pe t n'' (a Notes: K n
iV'P,v— QXYA4,Q iit QeSl,t Si�.Wt.BkebC,p
i D-Z4r o-oc9oy (
0 Approved By Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Bu ilding\Forms\B IdgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 141 S( 7/().1/2
Site Plans: #
Building Plans: # 3
Building Permit#: ® Enter building permit#above.
Workflow Routing: Planning Engineering Permit Coordinator a 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.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Jewh 1/0.4,/y4 kr ��1, ,h i Date: ,2//2 42_2-
En jineering Review
IG Slope at building pad: 7
❑ Conditions "Met"prior to issuance of building permit
Ig Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes tl�i�o
Assess Water Quantity Fee in-lieu: 0 Yes I?'No
LIDA Facility on lot ❑ Yes [L"No Add Fee: 0 Yes 0 No
❑ Final Plat Recorded: A/4
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: Z zZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ 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:
�,SDC Exemption: ❑ Received ,gr,Does not apply Q
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A See- "j" "
Tigard Trans SDC: < es ❑ N/A 0--
Parks SDC: -❑ Yes ❑ /A
LIDA ❑ Yes . Ail /A
,JZOK to Issue Permit Ii13
Approved by Permit Coordinator: Q°4L. Date: Cj I1o'l2
I:\Building\Fonns\BldgPennitRvw_RES_1208021.docx
City ofTigard
!Pi Deferral Until Occupancy Request
T I G A R D Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24,as amended by Ordinance No. 21-09).
Date: 3/2/2022 Site Address: 16594 SW Colorado Lane
Project Land Use Case or
Name: South River Terrace Building Permit# MST2022-00042
Tax Lot 2S1070001302 Total Parks $g 017.00
#: Lot 38 Amount*:
TDT Total TSDC
N/A $3,658.00-t- (P (7j tQ �3j4
Amount: Amount*: \\ /
*The total TSDC amount shown above is the sum of$ V(dD. for TSDC-Improvement,$ 386.00 for TSDC-
Reimbursement,and $ 3,272.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$3,278.00 for Parks-Improvement,$ 1,739.00 for Parks-
Reimbursement, and either$ N/A for Parks-Neighborhood or$ 0 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC,and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of IUT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: 0ktd4-4&ahe4:46ec a- Date: 03/02/2022
Developer: )mar.4Z¢4nu c9eoz r. Date: 03/02/2022
Permit Coordinator: ATVA O nti/✓ 'C/ Date: 3/2/2022