Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2022-00045
Date Issued: 06/09/2022
TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1070001302
Jurisdiction: Tigard
Site address: 16672 SW COLORADO LN
Subdivision: SOUTH RIVER TERRACE Lot:
Project: South River Terrace, Lot 41
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
1 Third: 0 sf Right: 3 Detectors:
Dwelling Units:
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
Bckflw 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 Srvc/Feeders 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All Y
Ecompasing:
Other: N Other Description:
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: $28,093.51
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 require ou to follow the les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
q<9-M1_noitl thrni inh(1CR rNlln Vni i m htain a rnn f th n Jac nr dinar+ni lactinne to Ill lMr:by Tallinn<n1 91 tOR7 nr i Ann 117 11441.
Issued By: /1. Permittee Signature: — — 1
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 A-2.1 ,5122
Residential RECEIVE FOR orni.I.: 1 SE OAI.1-
City of Tigard FED3 5 2 1 Received 2 Z V Penult No.. 7 G
•Date/By. �ITIZc v �j �43��D(/7�00��J
• 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review / „�,,
s •
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TI( D Da��y, y/Zl Z r*i'r Other Permit:SAi f Zo.Z.Oa6
T I G R D Inspection Line 503.639.4175 ,t Date Read /B J�rir+ H See Page 2 for
Internet: www.tigard-or.gov �UIIIMIVQ '+" fied/Metho�. .fi�r/r�� /J 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applicazion. r'Q,
•
Valuation: $ 149311 a�5r® I-and 2-family dwelling ElCommercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms: 5
❑Master builder El Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 9
.lob site address: 16672 SW COLORADO LN New dwelling area: 3,127 square feet`3O
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 564 square feet 1 aen
Suite/bldg/apt.no.: Project name:South River Terrace Covered porch area: square feet 1
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.: 41 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:
® APPLICANT 0 CONTACT PERSON oy BUILDING PERMIT FEES*
Business name:Taylor Morrison Northwest LLC (Ptesae refer to fee uke(ate)
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
Phone:(360)946-8674 Fax. :( )360 693-4442 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: OA I am i AbouhafsraltayIororrison.com m
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 checldist.
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// t ( Total fee due upon application: $201.60
Authorized signature: Ohea.4..ry lezia.G 4etsu/:CG,4.a. This permit application expires if a permit is not obtained
rf within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 02/04/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Mechanical Permit Applicatl E[[�r�� �I�)� FOR OFFICE USE ONLY
1 ` T 1 I''',., 3Y.? Received �,n
City of TigardDate/By: C/ I'/7,p2i2 ,5PJ Permit No.: AIn'WZZ Coo L
.. '! 13125 SW Hall Blvd.,Tigard,OR 97223 l -
Phone: 503.718.2439 Fax: 503.598.1960W 1 OF TIGAR® Pleo Rev ew 7 y
Date/By: Other Pertmt:Si,QOA'�1��I/'l
l.1.t_ i,r. Inspection Line: 503.639.4175 BUILDING DIVISION Date ReaayBy. hush: 0 See Page 2 for
t/
• Internet: www.tigard ar.gov Notified/Meggd: Supplemental Information
TYPE OF WORK COMMERCIAL:FEE* SCHEDULE - USE CHECKLIST
•®New construction 0 Addition/alteration/re lacement Mechanical permit fees*are based on the value of the work
P 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 EQUi I SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial mdustrial ❑Accessory building For special information use checklist
I, j Multi-family ❑Master builder 0 Other. Description Qty. I Ea. _ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
' Air conditioning i 46.75
lob site address: 16672 SW COLORADO LN Furnace 100,000 BTU(ducts/vents) _ 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/ucou) 54.91
Suite/bldg./apt no.: Project name: Creekview at South River Terrace Heat p 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 Lot no.: 41 Other 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 at 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
® PROPERTY OWNER El TENANT Other 23.32
• Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
Address:703 Broadway St.,Ste.510 lo Ct 33.39
Clotheet s dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility roams) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawls-pace fans 23.32
® APPLICANT ❑ 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
WalususpendedAmit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax:(360)693-4442 Fireplace
Ranee
E-mail:permitsubmittals@taylOrmOrriSOf1.COm Barbecue
i CONTRACTOR Clothes dryer(gas)
Bneiness name:Pro Heating&Cooling
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 is not obtained within 180
I-te days after it has been accepted as complete.
Authorized signature: " a' ' • Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
t AliniNin•\Pmm'edMAr Donna Ann 14111 I I fine Asa ff,'Y r,.n+rvw,jn,co,
Electrical Permit ApplicatioJECEIVE , FOR OFFICE USE ONLY
i City of Tigard FED 1 5 ?91? Received 1//Ili it: /%2 Penult a. �V1(I IN7(i��V Q`1�
13125 SW Halt Blvd.,Tigard,OR 97223rti Plan Rew r r
Phone: 503.718.2439 Fax 503.598.196 011 T r TI
yGARD Dve,nyevi Related Permit#_lC ytj�1 f�12i—doo Ly
'r t G A R U Inspection Line: 503.639.4 t 75 BUILDING rannsir , ReadNohfiediy I)ateBy. runs Pi See Page 2 for
Internet: wwwtigard-or gov
Meihod Supplemental Information
TYPE,OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that arid,.„chow 2 sets of plays v trcms checkedI
❑Demolition ❑Other: 0 ServiceR g
or feeder 400 amps or more 0 ,,,Idm over three stories_
where the available fault current 0 Mantras and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
El1-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 ❑Other: ❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately denied
Job 5: Joh site address: 16672 SW COLORADO LN ['Addition of new motor load of system
100HP or more. ❑"A" "E" "I-2" 'I.3"
City/State/ZIP: Tigard,OR 97140 0 Six or more residential milts 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
0 Service ar fender cm,amps cr more 000 sobs nonmml
Cross street/directions to job site: FEE SCHEDULE
nescrtprlon I Qta I Each I Total '
Subdivision: New residential single-or multi-family dwelling unit. y
South River Terrace Lot#: 41 Includes attached garage.
Tax map/parcel#: 1,000 sq ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add]500 sq.0.or portion 33.92 I
Limited energy,residential 7500 2
New construction.Type SEE (wish above sq ft.)
— — -- Limited energy,multi-family 75.00
residential(with above sq.if) 2
® PROPERTY,OWNE$, ❑ TEtiANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Taylor Morrison Northwest I.Li`. 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 401 amps to 600 amps 200.34 2
601 amps to 1.000 amps 301.04 2
Phone: ( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: OAlamiAbouhats relncafioe taylormorrison.cum-Perm itSubmittals@taylonnorrison.corn Temporary ation services 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
fhsner signature: Date: 401 amps to 599 amps 168 54 2
Branch gaits—new,alteration,or extension, r panel
❑ APPLICANT El CONTACT PERSON
A.Fee for branch circuits with
Business name: ., :I_, . _, ,s ,` ',' : 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 Si,Ste 710 service or feeder fee,first 56.1 B 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:OAlamiAbouhafs@,taylormorrison.corn-PermitSubmittals'ataylormorrison.com dwelling,service and/or feeder
CONTRACTOR Pump orct only 67 84 2
Pump irrigation circle 67.84 2
Business name: A,Ft PT E- Gi�fetL( t-�C. • Sign or outline lighting 67.84 2
Address: 'Tj j 5 n t t 1�t� �-p���t_.•+�I R-t Signal circuit(s)or limited•energy
t�+E 'I `i r`"1 ( ( lE panel,alteration,or extension. 0 See Page 2 2
CitylState`ZIP:Pp�Tt D f ,V y ( Z, Each additional inspection over allowable in any of the above
L �`•_ _I Additional inspection(I fir min) 66.25!fir
Phone:(
5 2, : 3 i 9, �i 9 Fax:( ) Investigation(I hr min) 90.00/hr
Email SoL A .. oJ( M ,La fh industrial plant(I fir min) 78 I B/fir
Inspections for which no fee is
CCB Lie.: 19 c I O Q Electrical Lie.: Suprv.Lie,: L 1541 S specifically fisted I lit hr min) 1 j 9/00:hr I I
Suprv.Electrician signature,required: /��y [ ELECTRICAL PERMIT FEES
�- !/�"—� 74 4L Subtotal.
Print name:1 7A 1/r� 1 t S'TF ,, Date: 10—5-Z I 0 Plan Review Required(25°ro of permit fee):
J_ State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
�('� This permit application expires if a permit is not obtained within 180
Print name: Y t� —t ►lrt1 D m es alp.) Date; IO.5—Z1 days after it has been accepted as complete.
a Number of inspections allowed per permit
I'\BolldinglPermitel6LC PermitApp ELR ERE.doc Rev 06/17R014 440-46157(I I/05/COM/w'E.B
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard , 5 292? Receivedte/ 11017n-Z SFJ Permit No.:/1i,-(700, -OW�/
a 13125 SW W Hall Blvd.,Tigard,OR 97223
9 Plan Review �/�-7
Phone: 503.7182439 Fax: 503.59F�yI;g� �±n� Date/By: OrherPermit No.: IN2- 15
line: 503.639.4175 till T �F�WVT� Sige Z-�Q
T I e�,.it i� InspectionDak Ready/By: lutist ® Sec Page 2 for
Internet: www.tigard-or.gov 1UILDING DMSiOI' Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
❑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
Xl-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 50032
❑Accessory building 41-Multi-family .
Each additional bath/kitchen 25.02
❑Master builder a Other. Fire sprinkler(__sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16672 SW COLORADO LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 DryweO,leach line or trench drain 18,76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 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 Rive r Terrace Lot no.: 41 Fixture or item:
Tax map/parcel no.: _-- Backhow prevemer • 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
Fixturdsewer 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(velue:S_) Paget
Primer 12.51
Contact name: Omar Alami Abouhats
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: ermitsubmittals 1 onhomes.com
Urinal 25.02
P Ca3Po YB
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sous Inc Water piping/DWV 56.29
Address:P.O.Box 92 Other. 25.02
City/StateiZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 I Fax:(971)727-8170 Minimum permit fee: S72.50
CCB Lic.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
�J State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 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.
113a11duyVaarimtPLMU-PermitApp.doe I0/01A9 440-4616T(Ian1LCOM^8EB)
Plan # Lily) cs. e 6v"('t J / Piskry-rve-ai
Floors a. Large 2 t
Bed rooms 5 Small VI
we 3
LAV b- ? +S ,c14414141 = r-
Tub L-, Basement n
Vent 1st Floor ) 2 Y7
1 Water Heater 2nd Floor ((2,30 r,
AC / 3rd Floor �1 W(,J,'\ U I °�'
School ( l cas"J` R-3 Total Sl0-
I - 3�r (6R-G-42-_ Garage 5(0 cli ( 9e---i(
3--c ( I,`n)2--S Total Nil 1
#for Elec L
City of Tigard
_ ~ COMMUNITY DEVELOPMENT DEPARTMENT
'PI
Building Permit Review — Residential
TIGARD
Building Permit #: M` �-~(, i f
Site Address: J� - W (An.
Project Name: qp � �� Lot #: !.[j
PlanningReview G� �r tt
Proposal: � aj. l
iii Verify address/suite # active in Accela. ❑ In River Terrace: ❑ No pi Yes,River Terrace Review Addendum
Site Plan Elements: PErosion Control
p33 copies of site plan on 8-1/2"x 11" or 11 x 17"paper %Retained trees with drip line and tree protection measures
*prawn to scale (standard architect or engineer scale) aFootprint of new structure(including decks)and FFE
North arrow Utility locations&easements(required for new and additions)
!..!Lite address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) IKkocation of wells/septic systems
gi.ot dimensions and building setback dimensions WStreet tree size,type and location
o Street names
Comer elevations (2'contours if more than 4'differential)
SLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Wes No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes igliNo
p) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Ii9 No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified 29 No Received: ❑ Yes ❑ No
Of app e or: o Received: ❑ Yes ❑ No
71 Public Facilities Improvement(PH) Permit:
Required: D Yes,applicant was notified .0 No Applied For: ❑ Yes D No,stop intake
is Land Use Case#: e9R262t —OC b 3 Zoning: }
0 Required Setbacks: Front: t Z> Rear: I*'t Side: 31 Street Side: t Garage: 2. l
`
I ) Building Height: Max. Height: .3 Actual Hei ht: iUor
rliD Landscape Area: 7.0 % qa Lot Coverage Max:
Entrance Set back no more than 8'from street-facing wall X)Parallel to street or offset 45 degrees or less
Windows At Minimum 12%of area of all street-facing facades
Garage p.Garage door is behind widest street-facing wall es 0 No,one of the following is met:
❑ Door extends 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 2.d floor.
.0 Garage door width is ❑ 12'or less p 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance 0 Wall offset 0 1'Roof eave 0 Roof offset
O Fire shingles ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer
O Accent siding ❑ Window trim 0 Window recess ' ❑ Window projection 0 Balcony
Visual Clearance Urban Forestry Plan
Sensitive Lands: 0 Yes ,Ci No Type:
Conditions met prior to issuance of building permit
Notes: 4(2m/t/1- Ad By Planning: Date: '1—(r?/7--e ZZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
T:\Huilding\Forms\BldgPemutRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 2115 z6v2 -
Site Plans: #
Building Plans: # 3
Building Permit#: F Enter building permit#above.
Workflow Routing: Planning a Engineering A Permit Coordinator 'rii Building
Workflow Sign-off: lq Sign-off for Planning(include notes from planning review)
Route Application Documents: p 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: .Z/ /
2®'zZ
En eering Review
L� Slope at building pad: , //
❑ Conditions "Met"prior to issuance of building permit /' l 4
L► /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: ❑ Yes No
LIDA Facility on lot ❑ Yes F-No Add Fee: ❑ Yes 0 No
❑ Final Plat Recorded: fi1.////9
O NOT Approved by Engineering: Date:
Notes:�
U�' Approved by Engineering: �✓ Date: /e Z
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
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received Does not apply
.X SDC Fees Entered: Wash Co Trans Dev Tax: /yes 0 N/A s� c��kLr,,, a p
Tigard Trans SDC: Yes 0 N/A �� ,�j
Parks SDC: Yes El N/A ��l 'x"il
LIDA ❑ Yes N/A
OK to'<Issue Permit
Approved by Permit Coordinator: C)6"—�- Date: /'2_3J22-l1
I:\Building\Forms\BldgPemvtRvw_RES_1208021_docx
City of Tigard
• Deferral Until Occupancy Request
T I G A RD Washington County Transportation Development Tax (IDT),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: 16672 SW Colorado Lane
Project Land Use Case or
Name: South River Terrace Building Permit#: MST2022-00045
Tax Lot 2S1070001302 Total Parks $8 017.00
#: Lot 41 Amount*:
TDT Total TSDC $3,658.00-r CtO $ 0 t-2A
9,
Amount: N/A Amount*:
co
*The total TSDC amount shown above is the sum of$ 41(011CP 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. Ir
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 1'DT 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 -.Akaxo 46ou Date: 03/02/2022
Developer: Oma-..R w.A6a Date: 03/02/2022
Permit Coordinator: 1 d it`e"'b Date: 3/2/2022