Permit CITY OF TIGARD MASTER PERMIT
g COMMUNITY DEVELOPMENT Permit#: MST2022-00043
Date Issued: 06/09/2022
TIGARJ.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1070001302
Jurisdiction: Tigard
Site address: 16620 SW COLORADO LN
Subdivision: SOUTH RIVER TERRACE Lot:
Project: South River Terrace Lot 39
Project Description: New detached dwelling.
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: 5 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 Catch Basins: 0
Bcktlw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/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 SecurityAlarm: 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 3127
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: $28,097.51
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
oc9-nn1-nnln thrniinh flAP 1Jlnon i i ma. Chfain a rnn f tha IffPC nr riirnrt nuactinnc to ni iNr by rallinn FM 9'79 10R7 nr 1 Rnn 7'Y9 7144
Issued By: Permittee Signature: Z'�//Z"af�-)
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 lob site at the time of each inspection.
Building Permit Application RECEIVE '3,--2 I S120.
Residential FEES anp� Fon orrice LSE ONLY
Receive.-r
City of Tigard CITY®F Tit _ Date/Be: Z t l ZO 0,2 Permit No.: t ?LOZZ—K�LI J?
II u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviewu ,/,�
1 a Phone: 503.718.2439 Fax: 503.598.1960 3UILDIN Date/By: 9 17 2 J 4... Other Permit:SW Z�-- "f",I�3
T I G A R D Inspection Line: 503.639.4175 G NMI Date Ready/B j' -- Si See Page 2 for w�
Internet: www.tigard-or.gov • fied/Method' K " 1 ( .� I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
• ® New construction 0 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 CONSTRUCTION work indicated on this application. 4S
' Valuation: $ 4 311 `]LJ7 7
/
® 1-and 2-family dwelling ❑Commercial/industrial p 1
Number of bedrooms:
•
0 Accessory building El Multi-family5
Number of bathrooms: 3
El Master builder El Other:
7
• JOB SITE INFORMATION AND LOCATION Total number of floors:2 "Nei
(
Job site address: 16620 SW COLORADO LN New dwelling area: 3,127 square feetf /8
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 564 square feet / 59 7
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 Lot no.: 39 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 (4075 AR) 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:
® APPLICANT 0 CONTACT PERSON vi9 BUILDING PERMIT FEES*
Business name:Taylor Morrison Northwest LLC tPr`°x`refer r°fee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
Address:703 Broadway St., Ste 710 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98660
Amount received:
Phone:(360)946-8674 Fax: :( )360 693-4442
E-mail: OA lam iAbouhafs%%taylormorrison corn 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.
City/State/ZIP: Permit Fee(includes plan review
ty Vancouver WA 98660 $I80.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB tic.:207247 �I/J �7[ `_ / Total fee due upon application: $201.60
Authorized signature: OHLa.I,,ry LG 4/etn.L/Ll .� This permit application expires if a permit is not obtained
(/ within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 02/06/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Mechanical Permit Application ECE'V E FOR OFFICE USE ONLY
City of Tigard FEB I K ?':? RDate/By: "2./1 - _2. .14ermitNo.:/l(s..r2,07,Z-000CI3
'I 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review �/�
Phone: 503.718.2439 Fax: 503.598.1960 CI g 1 OF T1 b Date/By. D Pit:S Wle�07,-geo 2�
i l:i± t.1_ inspection Line 503.639.4175 3UILDING DMSIQa Date Ready/By: > : Et See Page 2 for
Internet: www.tigard-or.gov Notised/Method: Su
pplemental 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
0 Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY,OF CONSTRUCTION RESIDEN IALEQUIPMENT/SYSTEMSFEES*
®1-and 2-family dwelling 0 Commercial/ndustrial 0 Accessory building For special iajormarion use checklist
j j Multi-family ❑Master builder 0 Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning f 46.75
Job site address: 16620 SW COLORADO LN Furnace 100,000 BTU(ducts/yeas) 46.75
City/State/ZIP:Tigard,OR97224 Furnace 100,000+BTU(ducts/venu) 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
bydroniel 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 Lot no.: 39 Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas 5replaceltnsert 33.39
— Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood 6replaccrmsert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANT Other: 23.32
• Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
Address:703 Broadway St.,Ste.MO 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 Omer. 23.32
-
Business name:Taylor Morrison Northwest LLC, Fuel piping:
S14.15 for first four,S4.03 for each additional
Contact ramp: Omar Alami Abouhafs Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittalsttaylormorriSon.corn Barbecue
4 CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Omer
MECHANICAL PERMIT FEES'
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit it not obtained within 180
e/ days after it has been accepted as complete.
Authorized signature: a u � ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
rtfnildinwWm,,nMFr 9-nmi awn Min11 dn, ,can IL,.r ill n-lrv,,,m,co,
Electrical Permit Application RECEIVE FOR OFFICE USE ONLY'
City of Tigard FEB 1 5 ZOZ? Reeri�d 6/J$JZt?
_ z3
Da[e'ByZ, c-y(i li Permit p Vl
13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax. 503.598.1960t.Ill OF TIGARL Date/By: Related Permit it:5 RZOZ,1 /��✓�✓
TIf ARC Inspection Line: 503.639.4175 �UILAINGDMSIO. Rcady Date/By. orris 'gi See Page 2 for
Internet: www.tlgard-or.any Not, edsMethod Supplemental Information
TITEOF WORK FLAN'REVIEW"
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans,.nem,checked 1
0 Senuce or feeder 400 amps or more El user three stones
❑Demolition CI Other
where the available fault current 0 Marinas and boatyards,
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building iess to ground,or exceeds 14.000 ❑Commercial-use agricultural
El amps for all other installations. buildings.
Multi-family 0 Master builder ❑Other: ❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job e: Job site address: 16620 SW COLORADO LN ['Addition of new motor load of system
IOOHP or more. ❑"A" "E""1-2""I-t"
City/State/ZIP: Tigard,OR 97140 ❑Six a more residential ands ooeupaney
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: South River Terrace 0 Hazardous locations 0 Supply.oitage for more than
0 Service er feeder OM amps or more (tOt.sells nhlmuial
Cross street/directions to job site: FEE SCHEDULE
tksrN non l ntal n- Each
New residential single-or multi.family dwelling unit.
Subdivision: South River Terrace
Lot#: 39 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
New construction.Type SFU
(with above sq.ft.) 75.00 2
_-- _ Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
1 PROIWITY„9W�±IE$.,-. 0 TENANT Renewable Energy CI See Page 2
Services or feeders installation,alteration,and/or relocation
Name: l avlor Morrison Northwest I . ,
200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver,WA 98660
601 amps to 1000 amps 301.94 2
Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 55226 2
TeEmail: OAIamiAbouhafs�a)taylormorrison.corn-PermitSubmittals;u)taylormorrison.com relocation
�rvic es or feeders installation,alteration,and/or
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent.or exchange,according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 2
Uu tier signature Date: 44)1 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
0 APPLICANT El CONTACT PERSON
A.Fee for branch circuits with
Business name .r°:".s r ti , .r: i )L+ - above service or feeder fee,
each branch circuit T42 2
Contact name: Omar Alami Abouhafs B Fee for branch circuits without
Address: 703 Broadway St..Ste 710 service or feeder fee,first 56 i 8 2
branch circuit
City/State/ZIP: Vancouver, WA 98660 Each add'I branch circuit 7 42 2
Miscellaneous(service or feeder not included)Phone:(360 )946 8674 Fax: :( )
Each manufactured or modular 67.84 2
Email, OAIamiAbouhafsa'taylormorrison.com- PermitSuhmittals'a'tavlonnorrison.com dwelling,service and/or feeder
Reconnect only 67,84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: A L_rl i r f ft C 1 .! Ty'L 1 t.�� ' Sign or outline lighting 67.84 2
Address: u L4.11�� /rl�r_ 1-�-�J�-fit it-r Signal circun(s)or limited-energy
l 1 5 NE —I `f t ! I v£ panel,alteration,or extension. 0 See Page 2 2
City/Slate/ZIP:170e_--r t_ D f 0 9 l.Zr3 Each additional inspection over allowable in any of the above
Phone:( Additional inspection(I hr min) 66.25/hr
5�;3 . 3 i 9. '7 9 Fax:( ) Investigation(I hr min) 90.00/hr
Email. See L 4-� O)` IA i cb M Industnal plant(I hr min) 78 18 hr
, Inspecuons for which no fee is
CCB Lie.: 19 i R9 Electrical Lic�i_f •t Suprv.Lie.: L 154 g specincall.listed ivrhr mini j i vr�'Ip/hr 1
Supra.Electrician signature,required: /ef��) ELECTRICAL PERMIT FEES
•^"•( ��//� Subtotal.
Print name: 12A..ry {++ � F�. � Date: (p—J-2.) 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE
1 This permit application expires if a permit is not obtained within 180
Print name:
p4-,e E -Til
t lt PN es O J i Date: ID.5-2.i days after it has been accepted as complete.
• Number of inspections allowed per permit
I O uilding,Permit,IELC PermitApp ELR ERE.doe Rev Oar2015 400-461517I I/OS/COM/WEB
?
, . • . .
Plumbing Permit ApAHead. ECEIVE
Building Fixtures FOR OFFICE USE ONLY
Cityof Ti and FE3 1 5 2021
Received g Date/By: 7,/l}(7 ?-2... JPermit No.:M5f2&.Z-000f1?
t v 13125 SW Hall Blvd.,Tigard,OR 972231i Y OF TI�G Plan Review rl
I' ' Phone: 503.718.2439 Fax: 503.598.19 Date/By: Other Permit No.: S�IL'20Zz-OlcZ3
T I6, k n Inspection Line: 503-639.4175 BUILDING DMSIOP'Date Rcady/By: rmis: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. f Total
❑Addition/alteration/replacement 0 Other New I-2-family dwellings(includes 100 ft.for each utilityconnection)
t.� CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I
t�g I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
1❑vAccessory building 41-Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other. Fire sprinkler C_sq.
ft.) Page 2
sp-
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16620 SW COLORADO LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) l 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 ft.: ) Page 2
Water service(no.linear R: ) Page 2
Subdivision: South River r Terrace Lot no.: 39 Fixture or Item:
Tax map/parcel no.: Backflow preventer 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
® PROPERTY OWNER I 0 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
Prim
Contact name: °mar Alm!Ahouhafser 12.51
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(a3polygoahomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR Water beater 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 Lie.:184372 Plumbing Lie.no.:pb634 Plan review (25%of permit fee)
}y a + , State surcharge(12%of permit fee)
Authorized signature: .. _ /b llf TOTAL PERMIT FEE
Print name:Steve Fowler pain: 10/30/20 This permit application expires If a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
I1BeildiogrPsmis\PLMU-PvmdAppdoc I0/01.09 440-4616T(ISV21COM'WEa)
Plan# 4'07�j kverovc-)
Floors !� Large a 1
Bed rooms Small �`)
WC 3
LAV�j 1,
Tub r--- Basement p,
Vent 1st Floor 1 J r
Water Heater ( 2nd Floor I �?j�
AC Ni 3rd Floor
School s e,,,rj R-3Total3c��
i
Garage S119
ce-r R' Total 3( q (
S` �S #for Elec / t;.4s ._t......... e:t:p7_4ti;;m__.__szr ,---
City of Tigard
7 ■ COMMUNITY DEVELOPMENT DEPARTMENT
C
C n �D Building Permit Review — Residential
Building Permit #: 94
Site Address: I 5W COLO
Project Name: �r �..� _ "1"‘ ocf•TlfrcteeLot #: 0(
Planning Review
Proposal: 0` d l,C KXX/l. Q Y l fifi/
'g Verify address/suite #active in Accela. ❑ In River Terrace. J❑ No p Yes,River Terrace Review Addendum
Site Plan Elements: IAFrosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"papermi�L�h it IY n1otee nn 1n Pa 5ures
Drawn to scale(standard architect ox engineer scale) %Footprint of new structure(including decks)and FFE
North arrow Utility locations&easements (required for new and additions)
CilSite address,project or subdivision name and lot number aidewalk/driveway approach
No Applicant information(name and phone number) . catiea-ef„,.Hh/s.pec ayait-Juts
[ Lot dimensions and building setback dimensions treet tree size,type and location
Street names
1=t istmg-stiaetares on site' 6Lomer 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? 0Yes2®No
) 2 Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
c Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
C� Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified 0 No Received: ❑ Yes ❑ No
13-4BfrEe.,.. ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified B'No Applied For: ❑ Yes ❑ No,stop intake
p Land Use Case#: 4 7 2oz. —OG003 riI Zoning: Q---1-
4 Required Setbacks: Front: t')it Rear: ( Cjt Side: 3 Street Side:( St Garage: 't
A Building Height: �7LJ� Max. Height: Z 51 Actual Height: Z
p Landscape Area: `" % 4 Lot Coverage Max: eta
Entrance IA Set back no more than 8'from street-facing wall $ Parallel to street or offset 45 degrees or less
Windows Ni Minimum 12%of area of all street-facing facades
Garage ?"Garage door is behind widest street-facing wall A 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 Did floor.
x9 Garage door width is 0 12'or less p 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ 1'Roof cave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
97 Visual Clearance d9 Urban Forestry Plan
go Sensitive Lands: ❑ Yes AS No Type:
Conditions met prior to issuance of building permit
Notes: /
Approved By Planning: ALIJ ,. A Date: ' 1/�1,( /
evisions (after Building Submittal only) Reviewer ((( Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\BuildinglForuis\BIdgPemritRvw_RES_122419.docx
Building Permit Submittal Original Submittal Date: '2/lr
5 77{1Z�
Site Plans: # �J
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering 1] Permit Coordinator ® Building
Workflow Sign-off: 1 ii 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.
I Building: original permit application,site plans,building plans,engineer and
beam/ calculations
and trust details,if applicable,etc.
Notes: pp� �ZrtX/t
By Permit Technician: ' �/LLY� Date: 26 i 71 2-Z
En eering Review !� '
Slope at building pad: 7
❑ Conditions "Met"prior to issuance of building permit�l/¢
Easements (encroachments)per engineering conditions of approval and plat
tr Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes t No
Assess Water Quantity Fee in-lieu: ❑ Yes Si/No
LIDA Facility on lot: ''// ❑ Yes CJ No Add Fee: CI Yes ❑ No
❑ Final Plat Recorded: N7
❑ NOT Approved by Engineering: Date:
Notes:
f�'Approved by Engineering: Date: y
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ 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: 0 Received Does not apply ^'' Q
Air SDC Fees Entered: Wash Co Trans Dev Tax: .eyes ❑ N/A See, CSC.- 'YQ.r
Tigard Trans SDC: .0"yes ❑ N/A �' r
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes ..„5"N/A
0OK to Issue Permit I
Approved by Permit Coordinator: Date: 6)
I:1Building\Forms\BldgPermitRvw_RES_1208021.docx
City of Tigard
Deferral Until Occupancy Request
TIGARD Washington CountyTransportation 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: 16620 SW Colorado Lane
Project Land Use Case or
Name: South River Terrace Building Permit#:
MST2022-00043
Tax Lot 2S1070001302 Total Parks
#: Lot 39 Amount*: $8,017.00
TDT N/A Total TSDC $3,658.00 t'iL () - 4 to 54.18
Amount: Amount*:
Got
W
0*The total TSDC amount shown above is the sum of$ ' �• for TSDC-Improvement, $ 366. 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 TDT 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: O141-44,4 uit - eul Date: 03/02/2022
Developer: 0 --Arm A6erlu. Date: 03/02/2022
Permit Coordinator: /t1i4Plib Date: 3/2/2022