Permit CITY OF TIGARD MASTER PERMIT
q COMMUNITY DEVELOPMENT Permit#: MST2022-00044
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2022
Parcel: 2S1070001302
Jurisdiction: Tigard
Site address: 16648 SW COLORADO LN
Subdivision: SOUTH RIVER TERRACE Lot:
Project: South River Terrace, Lot 40
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1353 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1852 sf Garage: 439 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3205 sf Value: $441,020.82 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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 Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add l 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 3205
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: $28,273.57
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 requir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nn1-nnin thrnnnh OAR'-nnl-nnon vnn of file r,Iliac nr direr+no ccrinr,c in III IMr..h„rallinn nnz 9z9 0417 nr 1 RM 119 91dd F
Issued By: iv r/.G Permittee Signature: e,:-- � ,
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.
0
Building Permit Applicatiol�E�EIVEC lat-al 1512Z
Residential FO1iOf I I( 1. 151.OA11
Received /�Q�j�.�J
City of Tigard FED 1 5 202? DateBy 2/1�(?,07� 5(A/ Penult No.:/ ��—IM/'r 1
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n � A ,/L C n 1A7/-pl�'L
• Phone: 503.718.2439 Fax: 503.598 1 Date/By // , 74.{MjT) der Perm t:eJ 1�(N V U 1
CITY OF TIQARb `�
tic \r,n Inspection Line: 5a03.639.4175 7 V 11,1]11V� (e/Date Ready/By:: Yrpt_ I H see gage 2 for
Internet: www.tig rd-or.g ov 7 N . ed/Method: 11'( ( Supplemental Information
TYPE OF WORK R UIRED DATA: -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 CONSTRUCTION work indicated on this application. 6e1Z/
Valuation: S Lig I 1 b21),
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building El Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 3L2
Job site address: 16648 SW COLORADO LN New dwelling area: 3,205 square feet I liiGfL
City/State/ZIP:Sherwood, OR 97140 Garage/carport arca: 439 square feet V.2153
Suite/bldg./apt.no.: Project name:South River Terrace Covered porch area: X. square feet
Cross street/directions to job site: Deck area: X.
square feet
Other structure area: square feet
Subdivision: South River Terrace Lot no.: 40 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Construction /Type: SFU (4036 A) 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
la PROPERTY OWNER ❑ 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:
la APPLICANT ❑ CONTACT PERSON 4110 BUILDING PERMIT FEES*
Business name:Taylor Morrison Northwest LLC (Please refer m fee acheQuee)
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
Amount received.
Phone:(360)946-8674 Fax: :( )360 693-4442
E-mail: OAIamiAbouhafsntaylormorrison.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: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 lie.:207247 /� �r /1 L �((_ """ Total fee due upon application: $201.60
Authorized signature: Q/'If.AiL.ry f .cc 6o �:r 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: 02/08/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:'Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB)
Mechanical Permit Applicatio'fCEIVED FOR OFFICE USE ONLY
Cityof TigardFED ' pp / -h n} / �] ,f
g 3. 5 c�L� Da eBy: 2{��s'VZ!/ j171/ Permit No.:�t GL't�2'�1(,��1
't 13125 SW Hall Blvd.,Tigard,OR 97223^ .. C y.,GAR t
. Phone: 503.718.2439 Fax: 503.59B.199G1Il ! 01' II1111
W7f1V o tcfBy;Kw Other Permit:gii1J1234 7/2,..—OCV7.4
.t;i; r_i, Inspection Line: 503.639.4175 BUILDINGDMSIO�' DateR`ady,e : lurk: 0 See Page 2 for
Internet: www.tigard-or.gov NotifiedlMethod: Suppkmental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
•
Mechanical permit fees*are based on the value of the work
®New construction 0 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 CONSI'RIICCION ggS1DENUAL EQUIPMENT/SYSTEMS FEES*
®1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
i j Multi-family ❑Master builder 0 Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Beating/cooling:
Air conditioning f 46.75
Job site address: 16648 SW COLORADO LN Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldgJapt.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
bydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for anyof above
23.32
`Subdivision: Creekview at South River Terrace Lot no.: 40 e'er 23.32
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
New construction-Type SFU 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:Taylor Morrison Northwest LLC. Range hood/other ldtchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Singleduct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attie/erawlspace fans 2332
® APPLICANT 0 CONTACT PERSON Other. 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
S14.15 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 Willa heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittatsCtaylOrmorrnSOf1.COm Barbecue
iltt CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
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 lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
00','� bU days after it has bees accepted as complete.
Authorized signature: "a �'�( a Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Doran Date: 10/30/20
r-trb;I.I.n.PrrnwelNFr F.nni$snn(WI II An.- •.A AA rrr el•in,rmtrnvev.
Electrical Permit Applicatio ECEIVED I:OR OFFICE USE ONLY
I City of Tigard FEB 1 5 ?01? Received
2l t-0-oyZ 5eV Per”" Ati20(iZ"--000"l k
13125 SW Hall Blvd.,Tigard,OR 97223 .{../ 7^/±AR() Plan Review
Phone: 503.718.2439 Fax: 503.598.196011 T OF 1 jG j) Date/By. Related Remit 0 CQVjle"2.1--(I00 ZLf
Inspection Line: 503.639.4175 �vlt DING�, n i ® See Page 2 for
'f1GAliU Ready DatelBy. runs
Internet. www.tigard-argon Faitied,Me,hod Supplemental Information i
TYPE OF,WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2.cts,1 pia),, rent,chcckedr �A
0 Demolition 0Other: ❑Service or feeder 400 amps or more 0 Building over three stones,
where the available fault current 0 Manoas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
Multi-family 0 Master builder 0 Other: ❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
lob 4: Job site address: 16648 SW COLORADO LN 0 Addition anew motor load of system
I00HP or more. ❑"A" ••E"'•t-2" '9-3"
City/State/Zip: Tigard,OR 97140 0 Six or more residential units occupancy
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: South River Terrace 0 Hazardous locations 0 Supply voltage for more than
❑Service or feeder 40U amps or more o6U so Its'Innunal
Cross street/directions to job site: FEE SCHEDULE
,ton h. i Eacn b ibtal
I New residential single-or multi-family dwelling unit. I
Subdivision: South River Terrace Lot#: 40 Includes attached garage.
Tax map/parcel#: I,DDO sq.ft or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
New construction.Type SEL (with above sq ft.) 75.00 2
--- - Limited energy,multi-family 75.00 2
residential(with above sq..ft.)
®,EROPE,RTX owriER:.. CI TENANTRenewable Energy ❑ See Page 2
Name: Services or feeders installation,alteration,and/or relocation
Taylor:Morrison Northtitt.' ' I i'. 2ooamps 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 aol amps to600amps 20034 2
601 amps to 1,000 amps 301.04 2
Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 55226 2
Email: OAlamiAbouhafs taylormorrison.corn-PermitSubmittals4) lormorrison.corn Temporary servicesor feeders installation,alteration,and/or
ytay relocation
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
Ott nor signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension, r panel
0 APPLICANT ❑ CONTACT PERSON
A-Fee for branch circuits with
Business name. .....,(LT. .a)., '".t): l'- above service or feeder fee,
each branch circuit 742 2
Contact name: Omar Alami Abouhafs B.Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 service or feeder fee.first 56 18 2
branch circuit
City/State/ZIP: Vancouver, WA 98660 Each add'(branch circuit 742 2
Miscellaneous(service or feeder not included)Phone:(360 )946 8674 Fax: :( )
Each manufactured or modular 61.84 2
Email:OAlamiAbouhafs(a?taylormorrison.corn-PermitSubmittalsi favlormorri son.Culn dwelling service and/txfeeder
CONTRACTOR Reconnect only 67 84 2
a ..:,i Pump or irrigation circle 67.84 2
Business name: A LF(JV'f_--�A C C- 4 ,1 CY C. . Sign or outline lighting - 67,84 - 2
Address: ?' 'S NE•tL�t{/t /Ti}, . -JY.-`�f l 4 ` Signal circuit(s)or limited-energy
t`t r h f 1 v£ panel,alteration,or extension. 0 See Page 2 2
City%State/ZIP:For_ -,_ vir_ D 1 0 y n .Z+ Each additional inspection over allowable in any of the above
Phone:( "`2'v r1 -1 Additional inspection(1 hr mot) 66.25/hr
t 3 1 9. Zi 9 Fax:( ) Investigation(1 hr mot) 90.00/hr
Email: ��. � flx t��N1 Industrial plant(I hr min) 78.18/hr
Inspecttons for which no fee is
CCB Lic.: I CI 1 t iR{� Electrical Lic.: •r,a,4-T-Suprv.Lie.: In 154 s rincally listed l��,hr min) 19n %hr
Suprv.Electrician signature,required: '' 22 �f ELECTRICAL PERMIT FEES
'N / /�/t ___ sumotai_ I
Print name:"p 1 `s—r C� Date: (o—5.' 0 Plan Renew Required(25%of permit feel:
1� I State surcharge(12%of permit fee)
Authorized signature: m M TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: '7#-v C. DWI eS os-J Date: .-5-21 I days after it has been accepted as complete.
• Number of inspections allowed per permit.
I tauilding5PermitalELC PermitApp ELR ERE.dot Rev 0017;2015 440-4615T(I I/05/COM/WEg
• t . r
Plumbing Permit ApplicatillECE1VE •
1
Building Fixtures FOR OFFICE USE ONLY
City of Tigard FE3 1 5 2522 Received y .�1 707.Z 5FJ Permit No.: 1-'2 2.-vo004 y
IN
� • 13125 SW Hall Blvd.,Tigard,OR 97223
to Dan Review No.:sv,r2�2(, �1
Phone: 503.718.2439 Fax: 503.598.err(OF� � W te�y. Othu Permit t
T I i i, k I-) Internet: Line: 503.639.4175 Date Ready/By: rwia ® See Page 2 for
Internet: www.tigard-or.gev 'WILDING DMSIOI" Notified/Method: _Supplement l fnformadon
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For spedal information use checklist
Description 1 Qty. 1 Ea. 1 Total
0 Addition/alteration/replacement 0 Other New t-2-family dwellings(includes 100 R for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
X I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/❑"Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchea 25.02
❑Master builder ❑Other: Fire sprinkler( ,sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16648 SW COLORADO LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 ThyweB,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bidg./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 ft.: ) Page 2
Subdivision: South Rive_r Terrace I Lot no.: 40 Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC. Floor drain/floor sinkAub 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 AlarmAbouhafs Primer 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:permitsabmittals®polygoahomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water)eater 37.52
Business name:G&B Plumbing&Sous Inc Water Pin rP 8/D WV 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)
Authorized signature: , -,._
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 Thu permit application expires if a permit Is eat obtained within 1a0 days
after it has been accepted as complete.
`Fa methodology set by TO-County Budding Industry Service Board.
I:utaadmgtParmhg\PLINU-PermitApp.doc 10/01N9 4464616T(Id02KOM'WEB)
Plan # L1ck3Le A- of S 4 /6.-YV
Floors oZ Large v
Bed rooms S Small
LAV 5
Tub Basement
Vent 1st Floor 1353
Water Heater 2nd Floor 1 %62_
AC V 3rd Floor
School R-3 Total '32DS
Garage Li 361
cakil Total 3( L
2 - pro5p._ b,bs #forElec tt
City of Tigard
IIIo COMMUNITY DEVELOPMENT DEPARTMENT
C
7 I c u n Building Permit Review — Residential
Building Permit#: 14U5fnl�' 1
Site Address: i9 5k/" ( 6®t o £_ .
Project Name: 5 �41`(t(,ee, Lot #: (�a
1 IINq wY / -oil 1 tr..--
Planning ReviewJ
Proposal: I V atitiCka. 66, € 1"
gi Verify address/suite# active in Accela. ❑ In River Terrace: ❑ No F Yes,River Terrace Review Addendum
Site Plan Elements: 0Erosion Control
hi, copies of site plan on 8-1/2"x 11"or 11 x 17"paper ree protec o s
gDrawn to scale(standard architect or engineer scale) OFootprint of new structure(including decks)and FFE
"l orth arrow AIUtility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number , Sidewalk/driveway approach
L Applicant information(name and phone number) Lucauou o€wel[S/sepuL uysL2sis
fli3Lot dimensions and building setback dimensions fltreet tree size,type and location
Street names
❑uxis ling strnetea,rom axle- kibComer elevations (2'contours if more than 4'differential)
52L.ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?(9Yes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes,'Io
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified .P No Received: ❑ Yes ❑ No
. )Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified 6 No Received: ❑ Yes ❑ No
❑ kea-aapUvu fvi ADU a _: ❑ Yes ❑ No Received: ❑ Yes ❑ No
O Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant�j was notified :;`No Applied For:: ❑ Yes El No,stop intake
Land Use Case#: S l/t` 2-4l 3 - Zoning: IC '
Required Setbacks: Front: t Zt Rear: 15 t Side: 3 'Ziff,t
t Street Side: t ` Garage: 'Z
1 ' Building Height: n Max. Height: 3 t 5 Actual Height:
ALandscape Area: v .120% Lot Coverage Max: 50
Entrance 0 Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows v Minimum 12%of area of all street-facing facades
Garage 2PGarage door is behind widest street-facing wall Rt7Yes ❑ No,one of the following is met:
El Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
El Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2"d floor.
.' ' Garage door width is ❑ 12'or less t;Ol 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset El 1'Roof cave 0 Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Sil°Visual Clearance .1D Urban Forestry Plan
CR>Sensitive Lands: ❑ Yes J22 No Type:
❑ Conditio'js met rior to issuance of building permit r , J
Notes: gc)D 4-0 RT l' ' ,106,144 +emp oy/to (xi- 2 7-0 2-0-cootict
117i Approved By Planning: t "i , Date: 2f i T( 202-2.—
Revisions (after Building Submittal only) Reviewer 6 Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: -4 1 'i•Ze Z 7-
Site Plans: #
Building Plans: #
Building Permit#: 'JO Enter building permit#above.
Workflow Routing: 'l Planning l b Engineering gP Permit Coordinator $ Building
Workflow Sign-off Sign-off for Planning(include notes from planning review)
Route Application Documents: . 7" Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Fp Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: J-j?vt
/ ��/�By Permit Technician: `/L LC/i���/� Date: -7,--/j7-/2022
Engineering Review
Slope at building pad:
❑ Conditions "Met"prior to issuance of building permitAlg
(Easements (encroachments)per engineering conditions of approval and plat
[Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,�No
Assess Water Quantity Fee in-lieu: CI Yes LDS No
LIDA Facility on lot: ❑ Yes No Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded: 1///,
❑ NOT Approved by Engineering: Date:
Notes:te
Ud Approved by Engineering: Date: 2®2�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ 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:
/` DC Exemption: ❑ Received Does not apply
Ja SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A SE'- 0
Tigard Trans SDC: 2 Yes ❑ N/A ��
Parks SDC: 1Yes 0 N/A
LIDA ❑ Yes .,,21/N/A
/OK to Issue Permit
Approved by Permit Coordinator: Date: q2.31 V VZ---
I:\Building\Fomis\BldgPennitRvw_RES_1208021.docx
City of Tigard
Deferral Until Occupancy Request
TIGARD 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: 16648 SW Colorado Lane
Project Land Use Case or
Name: South River Terrace Building Permit#: MST2022-00044
Tax Lot 251070001302 Total Parks
#: Lot 40 Amount*: $8,017.00
TDT N/A Total TSDC $3,658.00 tg(Qq :.)(C) 54-1
Amount: Amount*:
*The total TSDC amount shown above is the sum of$ w0 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 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: O'fl4 .4rMu-4e Date: 03/02/2022
Developer: Oht.:2 -.A10-me Date: 03/02/2022
Permit Coordinator: 14 Cam"a"v Date: 3/2/2022