Permit CITY OF TIGARD COMMERCIAL MANUFACTURED
1 n COMMUNITY DEVELOPMENT STRUCTURE PERMIT
T I G A R 13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2022-00003
Date Issued: 10/12/2022
Parcel: 2S108DC12300
Site address: 15557 SW PEACE AVE Jurisdiction: Tigard
Project: River Terrace Crossing,Lot 24 Subdivision: RIVER TERRACE CROSSING Lot: 24
Project Description: Placement of a 576 sq.ft.sales trailer at the intersection of Peace Avenue and Woodhue Street. No accessibility
ramp.
Contractor: NORTHWEST CONSTRUCTION&REMODELING Owner: RIVER TERRACE CROSSING HOA
1574 SE MARGARET LN BY POLYGON WLH LLC
HILLSBORO,OR 97123 703 BROADWAY ST STE 510
VANCOUVER,WA 98660
PHONE: 503-998-3060 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM MH State Admin 10/12/2022 $30.00
Class of Work: OTR Type of Const: VB MH BLD Permit 10/12/2022 $275.50
Occupancy Group: B 12%State Surcharge-Building 10/12/2022 $33.06
Stories: 1 Height: 0 ft
Project Valuation: $0.00
Floor Areas:
First Floor Area: 0
Second Floor Area: 0
Third Floor Area: 0
Total Area: 0
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
Parking Spaces: 0 Fire Sprinklers: Total $338.56
Smoke Detectors: Party Wall:
Required Items and Reports(Conditions)
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
952-001-0010 through OA 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: • 1.800.332.2344.
�'Issued By: : /Tn / A )V . ,// Permittee Signature: `
Call 503.639.4175 by 7:00 a.m.for the next available inspection d:
This permit card shall be kept In a conspicuous place on the job site until completion o .fect.
Approved plans are required on the job site at the dme of each Inspection.
1
r .
Manufactured Structure
Placement Permit ApplicatioIRECEIVE B FOR OFFICE USE ONLY
PIPI
of Tigard q q Received
`J b JUL2 Pf C�zL Date/By: p����`. i Permit No.: �'.N�(�]�.,
` 13125 SW Hall Blvd.,Tigard,OR 97223 ! r - �V/U
Plan Review �� ' ��
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF 71GARD Date Ready/By: runs: 63 See Plan Submittal
Internet: www.tigard-or.gov R!.lILDING DIVISION Notified/Method: )e Requirements
JOB SITE INFORMATION OWNER INFORMATION
Site Address: 15557 SW Peace Ave. — S us rra-i(j - Name: David Weekley Homes
Park Name:
Subdivision&Lot#: River Terrace Crossing Lot 24 Ke - Address: 1905 NW 169th Place.
,
Directions to inspection site: River Terrace Crossing-SW Peace City:Beaverton I State:OR I ZIP: 97006
Ave.,&SW Woodhue St. Phone: 503-213-4415 I Fax:
Is property inside city limits? ® Yes ❑ No E-mail:Mschiedler@dwhomes.com
LOCAL GOVERNMENT APPROVALS
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
MANUFACTURED PLACEMENT PERMIT FEES
Cost(each) No.of Sum
(1) Installation/re-inspection Items
(a) Placement(includes placement,electrical feeder,30'of water/sewer connection) S 275.50 1 $ 275.50
(b) State surcharge at 12%(of placement fee only)' $ 33.06 $
(h) Re-inspection(includes inspection and 12%state surcharge)• $ 100.80 $
Placement permit to be obtained only by homeowner,or Oregon-licensed manufactured dwelling installer.
(2) Electrical
(a) Service and/or feeder(new service installation or alteration/relocation of existing service). $ See Electrical Permit Application
Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon-licensed electrical contractor
performing work.
(3) Plumbing
(a) New water service(for services over 30 lineal feet) $ See Plumbing Permit Application
(b) New sanitation/storm sewer or rain drain(for services over 30 lineal feet) $ See Plumbing Permit Application
Plumbing permit to be obtained only by homeowner performing work or Oregon-licensed plumbing contractor performing work.
(4) Miscellaneous fees
(a) Administrative fee(State of Oregon). $ 30.00 1 $ 30.00
(b) System development fees(sewer connection,storm water,parks development&traffic impact). $ See Permit&System Development Fees
SUB-TOTAL $
SET-UP OR INSTALLATION CONTRACTOR APPLICANT
Name: William Scotsman,Inc. -Justin Bender Name: David Weekley Homes -Meghan Ticknor
Address:901 S Bond St.Suite 600 Address: 1905 NW 169th Place
City:Baltimore I State: MD I ZIP: 21231 City: Beaverton I State: OR I ZIP: 97006
Phone:503-285-2967 Fax: Phone: 503-213-4409 Fax:
CCB No.: �S-7 2 MDI No.: E-Mail: Mticknor@dwhomes.com
SKIRTING CONTRACTOR
Name: \\`1 Cills I hereby certify that the information above is true and correct.
1" V v' , V��� I�� All work to be performed shall be in accordance with all
Address: 'r - ��
``�/JJ II �,/��� � _jr' ` governing laws and rules.
City:f �+O D /7V I State: I ZIP:�l I n � �� 7/22/22
l I 1 ?S1[Jt/ I V G- 2
Phone: pArj5+,_ (-p Fax: Auth rized Signature Date
CCB No.:.9 i i /1`I b�IJ'6 MDULSI No.: Print Name: Meghan Ticknor
1:1Building\Permits\CMS-PcnnitApp.doc 02/27/2018
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11111 Building Permit Application
Plan Submittal Requirements
T I GA R D Manufactured Dwelling
1- SITE PLAN-Three (3) copies,fully dimensional and drawn to scale,labeled with:
A. ® map&tax lot# ® subdivision name ® subdivision lot# ® site address
® zoning ® applicant name ® phone number
Size requirement: 8-1/2"x 11",to a maximum 11"x 17".
All details listed below shall be incorporated into the site plan:
B. North arrow.
C. "Drawn to scale"indicates standard architect or engineer scale.
D. Footprint of structure,including accessory structures,garage,carport and decks shall reflect actual building
dimensions,including retaining walls.
E. Finished floor elevations,all levels.
F. Garage finished floor elevation.
G. Corner lot elevations. If more than 4 feet elevation differential,plan must show contour lines at 2-foot intervals.
H. Location of all cuts and fills on the lot.
I. Driveway corner elevations.
J. Zoning setbacks (front, side and rear).
K. The location of all public and private easements.
L. The location,termination,and all invert elevations of all drainage piping(sanitary and storm) showing all
elevations necessary to show positive gravity flow to the approved drainage device (i.e.peepholes, storm lateral,
sanitary lateral).
M. Residential driveways,sidewalks will be shown on site plans and will be in accordance with the City of Tigard
standards. Driveway cuts shall not be permitted within 30 feet of intersecting right-of-way lines,nor within 6 feet
of property lines. Weep holes/drain pipes will be installed 6 feet from adjoining property lines. Multiple
driveways on individual parcels of land must have 30 feet of separation;joint-use driveways require a formal
agreement.
N. Show all erosion control devices proposed for site. Contact Clean Water Services (CWS) at 503-681-5113 for
assistance.
O. Show location of existing facilities and new or relocated structures (utilities,well/septic systems,mailboxes,
power poles,water meter,light pole,stop sign,etc.).
P. Indicate property slope directions.
Q. Existing and finished contours when slope in any direction exceeds 20% (additional requirements may apply-see
grading policy).
R. Site plan to include tree size,type and location per approved project street tree plan (if applicable),and City of
Tigard Street Tree List.
S. Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,
driplines,and protection measures must be drawn to scale and must include the project arborist's signature of
approval.
2. BUILDING PLANS-Three (3)full sets for illustrating the manufactured dwelling foundation or basement
construction(no redlines or tape-ons accepted).
Size requirement: up to 24"x 36"maximum, folded into eighths (9"x 12")with the plans inside. No rolled,
reversed or mirrored plans will be accepted.
All details listed below shall be incorporated into the building plans:
A. Scale (architectural or engineering only).
B. Cross sections of the manufactured dwelling foundation or basement(every set of plans shall contain a
minimum of two cross sections at mid-point of each direction).
C. Exterior elevation (all views shall be shown).
D. Basement wall,foundation and retaining wall sections.
E. Documentation by manufacturer indicating that manufactured dwelling roof can support over-framing of
garage roof.
F. Driveway construction.
IABuilding\Permits\CMS-PermitApp.doc 02/27/2018
Manufactured Structure
Placement Permit Applicatioi ECE1VE9 FOR OFFICE USE ONLY
CI of Tigard Received permit No.:
;� • 13125 SW Hail Blvd.,Tigard,OR 97223 JUL 2 7 �022 Plan Date/By
j�j r CMS7u j?+(/lJ
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lulls: 61 See Plan Submittal
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Arda Requirements
JOB SITE INFORMATION OWNER INFORMATION
Site Address: 15557 SW Peace Ave. - 5�ld3Tr. L er Name: David Weekley Homes
Park Name: Address: 1905 NW 169th Place.
Subdivision&Lot#: River Terrace Crossing Lot 24 5-76 r k
Directions to inspection site: River Terrace Crossing-SW Peace City:Beaverton I State:OR I ZIP: 97006
Ave.,&SW Woodhue St. -
Phone: 503-213-4415 I Fax:
Is property inside city limits? ® Yes 0 No E-mail:Mschiedler@dwhomes.com
LOCAL GOVERNMENT APPROVALS
Zoning Sanitation
Signature: Signature:
Jurisdiction: Jurisdiction:
Date: Date:
MANUFACTURED PLACEMENT PERMIT FEES
(1) Installation/re-inspection Cost(each) Iemos Sum
(a) Placement(includes placement,electrical feeder,30'of water/sewer connection): $ 275.50 1 $ 275.50
(b) State surcharge at 12%(of placement fee only): $ 33.06 $
(b) Re-inspection(includes inspection and 12%state surcharge). $ 100.80 $
Placement permit to be obtained only by homeowner,or Oregon-licensed manufactured dwelling installer.
(2) Electrical
(a) Service and/or feeder(new service installation or alteration/relocation of existing service). $ See Electrical Permit Application
Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon-licensed electrical contractor
performing work.
(3) Plumbing
(a) New water service(for services over 30 lineal feet) $ See Plumbing Permit Application
(b) New sanitation/storm sewer or rain drain(for services over 30 lineal feet). $ See Plumbing Permit Application
Plumbing permit to be obtained only by homeowner performing work or Oregon-licensed plumbing contractor performing work.
(4) Miscellaneous fees
(a) Administrative fee(State of Oregon). $ 30.00 l $ 30.00
(b) System development fees(sewer connection,storm water,parks development&traffic impact). $ See Permit&System Development Fees
SUB-TOTAL S
SET-UP OR INST:V.LATION CONTRACTOR APPLICANT
Name: William Scotsman,Inc. -Justin Bender Name: David Weekley Homes -Meghan Ticknor
Address:901 S Bond St.Suite 600 Address: 1905 NW 169th Place
City:Baltimore I State: MD I ZIP:• 21231 City:Beaverton I State: OR I ZIP: 97006
Phone:503-285-2967 Fax: Phone: 503-213-4409 Fax:
CCB No.: 1)r—s 2 MDI No.: E-Mail: Mticknor@dwhomes.com
Name: *t%,s t. y131- t i• i /A,�L I hereby certify that the information above is true and correct.
1N1$➢V i (JI I lc Ll (J�F T� All work to be performed shall be in accordance with all
Address: 1 ,1 �� `^-yam �i� governing laws and rules.
City:At115An� State: I ZIP:C,I l i �r..-s r ,,, 7/22/22
Phone: trf �,(�LL//(�j�f(�'_O Fax:lll//////��� ` , —/ Auth rized Signature Date
CCB No.:.7 t' "lN)`(l so, MDI/LSI No.: Print Name: Meghan Ticknor
L\Building\Permits\CMS-PermitApp.doc 02/27/2018
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2 iv
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
T I G A rt D Building Permit Review — Commercial - With Land Use
s- _ - 9HpNIIIIMIIMIIIIIMINIIIE- _-
Building Permit #: Ciis?o19.—rxk 3
Site Address: I c5 7 Si jrc-e Suite/Bldg#:
Project Name: pIUG- T-Ge- Acc cer s-IN
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S'LAtvtrA( Lei ,eR(LeIZ
e;
12 Ve fy site address/suite#exists and active: ermit system.
t Terrace Neighborhood: iir-Yes ❑ No
Use Case #: '{ 20la- ��a, -- t et,ezv1,o-COX
Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other:
0 Urban Forestry Plan 0 Elevation Plan
❑ Building Height: Maximum Height 7Si Actual Height /(
Conditions Met: ❑ Prior to Submittal 0 Prior to Permit Issuance
�s Business License:
Exists: ❑ Yes 0 No,applicant was provided a business license application
Public Facilities Improvement(PFI) Permit:
Required: 0 Yes, applicant was notified 0 No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: Date: 2//22
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7/97/A
Site Plans: #
Building Plans: #
Building Permit#: meter building permit bove.
Workflow Routing: 1;.7ning ngineering El--PS** Coordinator Q- 'ding
Workflow Sign-off: ��-off for Planning(include notes from planning review)
Route Application Documents: tTBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: --Z Date: i/i/42
1:\Building\Fomvs\BldgPennitRvw COM WithLandUse 111819.docx
1
Engineering Review
Slope at building pad: Z4'
t.PFI Permit#: /PF/ZQ/T-- --50
❑ Conditions "Met"prior to issuance of building permit
O Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
fi(A-
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: 0 Yes 0 No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: pp
Approved by Engineering: Date: p .Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
yrConditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes )2/N/A
Tigard Trans SDC: 0 Yes fEr N/A
Parks SDC: 0 Yes 7N/A
LIDA Fee: 0 Yes /N/A
OK to Issue Permit
Approved by Permit Coordinator: 6L' Date:
I:\Building\Forms\BIdgPemutRvw_COM_WithLandUse_111819.docx
Branden Taggart
From: Branden Taggart
Sent: Thursday,July 28, 2022 3:24 PM
To: Nikki Tuason
Subject: River Terrace Crossing Sales Trailer Permit: CMS2022-00003 - 15557 SW Peace Avenue
Importance: High
Hey Nikki,
I created the River Terrace Crossing sales trailer permit; however, it appears a routing sheet was not created. The site
plan was approved by you. If you can provide me will a signed routing sheet, I will route this permit for plan review. I
have placed the permit on your desk for review. Please return to me once finished.
Thank you,
Branden Taggart
City of Tigard
�_`•.. Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(5O31718-2449
brandent@tigard•or,gov
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