Permit Building Permit Application Checklist FOR OFF ICE USE ONLY
One- and Two-Family Dwelling Received
Permit No..
City of Tigard Date/By:
Associated permits:
-
■ 13125 SW Hall Blvd.,Tigard,OR 97223III
Plumbing 183 Mechanical
Phone: 503.718.2439 Fax: 503.598.1960 ® Electrical ® 6
24-Hour Inspection Line: 503.639 4175 ❑ Other:
TIGARD Internet. www.tigard-or.gov
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ►_� 0 0
I Land use actions comp leted. See urisdietion criteria for concurrent reviews. ►�4 `7 0
2 Zonin:. Flood .lain solar balance .oints seismic soils desi.nation,historic distric etc. - r'r0
3 Verification of a..roved •lat/Iot. ❑ ��
4 Fire district a. .royal re.uired. Name of district: ■
5 Se i tic s stem ermit or authorization for remodel. Existin• stem ca.aci 0t. 0 0
6 Sewer .erdistrict
7S Water district a• royal. ►�� 0 0
8 Soils re ort. Must c• ;oril final applicable slam. and si:nature on file or with a..lication.
9 Erosion control �� plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 ❑
basin protection,etc. owing 0
10 b3 Complete uilding codes.s Lateral deign details andle plans. sbe connections must beincorporated into the plans on alseparate ful stateize 0 0
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
co• ri_ht violations exist. ❑
11 tthere somore than a 4-ft.elevation diffe ential,plan m st showtcon ourlding tlines atack t2 1.intervals);location of easement(if ® 0
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area:existing structures on site;and El 0 0
surface drain•:e.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0
furnace ventilation fans .lumbin:fixtures balconies and decks 30 inches above_rade etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings ® 0 0
and foundation,stairs,ftre,lace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum ; o o elevations
thans four r additions
buildinga en
velope.
dope.
Exterior elevations must reflect the actual grade if the change in gradeg Full-size sheet addendums showin:foundation elevations with cross references are acce.table.
0 El 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
.rescri.tive .ath anal sis .rovide s.ecifications and calculations to en•ineerin_ standards.17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0
0
0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0® 0 0
s stems see item 22 "En:ineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ►_, �l♦0
over 10 feet Ion:and/or an beam/'oist ca in: a non-uniform load. 0
20 Manufactured floor/roof truss desi•n details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 El
four or more a..liances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore on and shall be shown to be a. licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS ►�� ��0
23 Three 3 site .tans are re.uired for Item 11 above. Site .tans must be 8-1/2"x 11"or 11"x 17". ® lraL7
24 Two 2 sets each are re,uired for Items 16,19,20 and 22 above.25 Buildin: .tans shall not contain red lines or ta.e-nits. "Mirrored"buildin: las will not be acce lied. El ❑ ❑
26 "Reversed"buildin: .laps must meet criteria outlined in the Permit&S stem Develo•went Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale. ►5 rlC7
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions ❑ El 10
of approval. Tree locations,driplines, CI 0
and .rotection measures must be drawn to scale and must include the .ro'ect arborist's Si: attire of•.,roval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required fur all building additions,
El
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record a...roved .riot to Se.tember 9 1995.
I:Building\Permits\BUP-RESPermitApp.doc 02/24/2011
440-4613T(1 1/02/COM/W EB)
Mechanical Permit Application RECEly iym Permit No.:
II
City of Tigard 7 8 q Ds'�y:
Tigard, OCT LOLL Plan Review
13125 SW Hall Blvd.,Ti OR 97223Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Uate By.
Y Date Ready By. tuns ®See Page 2 for
T C;aI?I) Inspection 503.639.4175 CITY OF 1IGAFD Notified/Method: Supplemental Information
Internet: www.ligard-orgov
BUILDING DIVISION
COMMERCIAL FEE" SCHEDULE-USE CHECKLIST
TYPE OF WORK Mechanical permit fees°are based on the value of the work
0 Addition performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other:New constructionmechanical materials,equipment,labor,overhead,and profit.
Value:$350,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
For special information use checklist
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Other:builderDescription I Qty. I Ea. I Total
Master
❑Multi-family ❑ Heatina/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75 46.75
Furnace 100,000 BTU(ductsrvcnts) 1 46.75 46.75
Job site address: 15124 SW Deepbrook Lane Furnace 100,000+BTU(ductslvents) 54.91
CitylState/Z[P: Tigard,OR 97224 Heat pump 61.06
J
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Duct work 23.32
23.32
Hydronic hot water system
Crass street/directions to job site: Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric), 46.75
in-wall,in-duct,suspended,etc.
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:
River Terrace Crossing I Lot no.: 27 Other fad appliances:
Water heater 1 23.32 23.32
Tax maplpacel no.:: 25110DA11400 I 33.39 33.39
Gas fireplace/insert
DESCRIPTION OF WORK Flue vent for water heater or gas
23.32
New Construction SFR to be built-2747sf. 2 bed +owners retreat,2.5 bath,2nd fireplace 23 32
fir Retreat, 1st firLog lighter(gas)Study,Basement GameRoom,366sf 2 car gar,50sf rear patio on Wood/pellet stove 33.391st fir, Wood fireplace/insert 23.32 26sf front porch, 167sf basement rear deck 23 32
-
Chimney/liner/flue/vent
Other 23.32
Environmental OWNER 1 0 TENANT Other: exhaust and ventilation:
Range hood/other kitchen 33.39
Name:David Weekley Homes equipment 1 33.39
Clothes diver exhaust 1 33.39 33.39
Address:1905 NW 169'h Place,Suite 102 Single-duct exhaust(bathrooms,
CitylState/ZIP:Beaverton/ORl97006 toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32Phone:(503)213-4415 � ®Fax:( ) 23.32
CONTACT PERSON Other:
Ell APPLICANT Fuel piping:
Business name:David Weekley Homes
$14.15 for first four;$4.03 for each additional
Maria Hasty Furnace,etc.
Contact name: Gas heat pump
Address:1905 NW 169'Place,Suite 102 Wall/suspended/unit heater
Water heater
City/State/ZIP:Beaverton/OR/97006 Fireplace
Phone: 503-213-4428 I Fax::( ) Ranee
E-mail: MHasty@DWHomes.com Barbecue
Clothes dryer(gas)
CONTRACTOR Other:
Business name:David Weekley Homes MECHANICAL PERMIT FEES"
Sabtotal 216.99
Address:I905 NW 169'x Place Suite 102 Minimum permit fee($90.00) 90.00
City/State/ZIP:Beaverton/OR/97006 Plan review(25%of permit fee)
Phone:(503)213-4415 IFS( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCA lic.l 213653 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
�vr'�/�//��s�/�' 17 • Fee methodology set by Tri-County Building Industry Service Board
Authorized signature: /�'ti�'-'"^� Y1'
l Print name: Maria Hasty
Date: 09/15/2022
940-1617r(I i:o2 COM'W Ea)
I 18ui1dinalPe,mdsN4EC_PermitApp_040113 doc
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $2.7.71 for the first$10,000.00 d
54 for each additional$100.00 nor
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $2. and
49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
Electrical Permit Application ''`-k°'"-° ii L. Folz )l.1.icv 1 SE ON IA
eceived
City of Tigard ]ICT 18 2022 R Receive Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewIII II Related Permit d.
Phone: 503.718.2439 Fax: 503.598.19ft9j"�OF TIGAHL Iyate73
Ready Date%By': Ions RI See Page 2 for
Inspection www.t 503.639.4175or.govReady
N'AifiedlAethod: Supplemental Information
TIGAitD Internet: www-tigard-oc.gov ,r.�ll_DI[�G ����� �1? '
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alienation/replacement
Please check all that apply(submit 2 sets of plans w Items checked):
0 Service or feeder 400 amps or more 0 Building over three stones.
❑Demolition ID Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agriculturalElI-and 2-family dwelling El Commercial/industrial ❑Accessory building amps for all other installations. 0�illadings. of 150 KVA or
Master builder ❑Other: ❑Foe pump
El Multi-family ❑JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
o Addition of new motor load of system.
lobo: 68260027 I Job site address: 15124 SW Deepbrook Lane 100HP or more. ❑'A"
❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
City/Stale/ZIP:Tigard/OR197224 ❑ voltage for more than
0 Hazardous locations. Sup Supplyylts nominal.r
Suite/btag./apt.#: I Project name: River Terrace Crossing ❑Service or feeder 600 amps or more.
Cross street/directions to job site. FEE SCHEDULE
Dessripden I Qtx I Each I Total I e
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: River Terrace Crossing I Lot#: 27 1,000 sq ft.or less I 168.54 168.54 4
Tax map/parcel#: 2S 11ODA11400 Ea.add'1500 sq.ft.or portion 4 33.92 107.76 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
with above sq,ftJ
New Construction SFR to be built-27475f. 2 bed+owners retreat,2.6 bath,2nd fir Retreat,1st flr Study,Bsmt Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
GameRoom,366sf 2 car gar,50sf rear patio on 1st flr,26sf front porch,167sf bsmt rear deck Renewable Energy 0 See Page 2
® PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Name:David�Yeekley Homes 201 amps to 400 amps I33 56 2
Address: 1905 NW 169th Place Suite 102 401 amps to 600 amps 20034 2
601 amps to I,000 amps 30L04 2
City/State/ZIP:Beaverton/OR/97006 301552 04 2
Over 1,000 amps or volts
Phone:(503)21 edger I Fax: ) Temporary services or feeders installation,alter26
ation,and/or
Email: MSchiedler@DWHomes.com relocation I
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not p amps to 00 ampst25.o8 2
intended for sale,lease,rent.or exchange,according to ORS 447,449,670.and 701. 201 amps to 599 amps 168.54 2
Owner signature: Date:
® CONTACT PERSON Branch circuits—Dew,alteration,or extension'eer panel
® APPLICANT A.Fee for branch circuits with
above service or feeder fee, 7 42 2
Business name:David W eekle}'Homes each branch circuit
Maria Hasty B.Fee •for branch circuits wirhoul
Contact name: y service or feeder fee,first 56.18 2
Address: 1905 NW 169 b Place Suite 102 branch circuit
Each add'1 branch circuit 7.42 2
City/State/ZIP:Beaverton/OR/97006 Miscellaneous(service or feeder not included)
I Fes;:( ) Each manufactured or modular 67.84 2
Phone:(503) 213-4428 l dwelling,service anNor feeder
Email: MHasty@DWHomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Signor out line lighting 67.84 2
Business name:Garner Electric imitedenSignal circus s)or l - r
8ye ❑ See Page 2 2
Address:2890 SE Brookwood Ave panel,alteration,or extension.
Each additional inspection aver allowable in any of the above
City/State/ZIP:Hillsboro,OR.97123 Additional inspection(1 hr min) b625'hr
Investigation(1 hr min) 90.00'hr
Phone:(503)6484552 I Fax:( )
Industrial plant 0 hr min) 78.18-hr
Email:permits@garnerelectric.com Inspect ions forwhichnofeeis 90.00:hr
CCB t.ic.:121159 I Electrical Lie; 4-305C ISu rv.Lie.:3707S specifically listed(4a he min)
P ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require
Subtotal:
Date: 09/15/2022 ❑Plan Review Required(25°/a of permit fee):
Print name:Charles GamerState surcharge(12%of permit fee)'.
4- ga41.QXi TOTAL PERMIT FEE.
Authorized signature: � I This permit application expires if a permit is not obtained within 190
I Date: 09/15/2022 days after it lies been accepted as complete.
Print name:Brittany Burian Number of inspections allowed per permit.
I iBmlthnglPermrtstE LC_PermitApp_EI.R_ERE dos Rev 06/17/2015
440-4615T(1 I I05/CO M/W EB
RECEIVED
Electrical Permit Application—City of Tigard OCT 1 8 2022
Paget—SupplementalInformation Celli OFTKtHHli
Limited Energy Permit Fees: BUILDING DIVISIOIRenewable Energy Permit Fees:
FEE SCHEDULE
RESIDENTIAL WORK ONLY: Description I Qtr. I Each I Tow I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5kva or less 100.70 2
Check Type of Work Involved: 5.o1 to is kva 133 56 2
❑ 15.01 to 25 kva 200.34 2
Audio and Stereo Systems*
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
® Garage Door Opener* >100 kva(fee in accordance 552 26 2
with OAR 918-309-0040)
El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 I 7.42 I 13
>100 kva-no additional charge 0.0 `I 3
❑ Vacuum Systems* Each additional inspection over allowable in an of the above:
0
Other: Each additional inspection is 66.25 hr I 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00"hr
specifically listed PA hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): I
Fee for each commercial system: $75.00 • Number of inspections allowed per permit,
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
in Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1\Building\Pe`mits\ELC PennnApP ELR ERE doc Rev 06:172015
Plumbing Permit Application T C I� 4
Building Fixtures OCT ] 8 702"l i t ii. l,i , I, ; "' "" ,,
City of Tigard Received Noaht+o'
13125 SW Halt Blvd.,Tigatd,OR 97223 CITY OF 11(.7H e,Review
Phone: 503.718.2439 Fax: 503.598.1960 ,,i',n, tpeklBy; °tiff Permit No.:
Inspection Line: 5036394175 F.3UILDINC DMMReodyinv: ,ek ta Sae Pap 2rot
Internet wwwtigardorgov NailRaNM.tthed:
Se nl In formation
Mitit'4 r A Cg,. - Afigtheittri s .CPa a a .�. 3{3 �: %,"U
0 New cotshustbm 0 Demolition For:pedal Jnforme ion use eNeeltlst
Deseripdon 1 Q . 1 Ea. I Total
❑Additio&alteration/replacentont 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection)
WI!4"''ta+Tntri ". , .. Tatar t -:, '4 SPR(1)bath 312.70
N� SPR(2)bath 1 437,78 437.78
®1-and 2•fa ily dwelling 0 Comtnercial/indushiel SPR(3)bath 500.72
❑Accessory building 0 Multi-family Each additional bath/kitchen 1 25.02 25.02
❑Master builder ❑tea f�9 •
Piro sprinkler.( sq.ft.) Paget
rrIOiAN 4s35y y t4fi '. .,, Siteotalde31
Catch basin or area drain 18.76
Job site address: 15124 SW D e e p b roo k Lane
Drywall,leach line,or trench drain 18.76
City/State./ZIP:Tlgerd/OR/97224 Footing drein(no.llnoar ft.:1,111 Paget 87.55
Suite/bldg./apt.no.: I Protect name: River Terrace Crossing Manufactured home utilities 50.03
Cross street/directions to job site:" Manholes 18.76
Rain drain connector I 8.76
Sanitary sewer(no.linear it.:_J Page 2
Storm sewer(no.Wear ft.:__, Page 2
Water service(no.linear 8.:_,_) _ Page 2
Subdivision: River Terrace Crossing I Lot no., 27 Paiute oritem;
Taxmap/parcel no.: 25110DA11400 Backtlow pleventer -4 1 I 31,27 31.27
. � `
A.r .1 `' BaokvaMrvalva 12,51
Clothes washer 1 25.02 25.02
New Construction SFR to be buih-2747sf. 2 bed+owners retreat,2.5 bath,2nd ,
Diahwmhor l 25.02, 25.02
fir Retreat,1st•flr Study,Basement GameRoom,366sf 2 car gar,50sf rear patio on Drinking fountain _ _ 25.02
1st fir,26sf front porch,167sf basement rear deck Ejectors/amp 25.02
-7 --1-4 i i t F :jib i7 �'
�7 ri'o4daiF:1 P#rt' Expansion tank 12,51
Fixture/sewer cap 25.02
Name:David Weekley Homes
Floor Maki/door sin iebub 25.02
Address:1905 NW 169a Plate Suite 102 Garbage dim 1 25.02 25.02
City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04
Mono:(503)213-1415 Fax:( ) Ice maker 1 12.51 12.51
y.i i'% k,4edt .,^ '-r� nii ,k,... '^Wit-.S ,6 ,af i<3'-k^"_.' r Interceptwlgrease trap 25A2
"' ' "'anao:David
"' ': Medical gas(value:5_) Paget
Business name:D Weekley Homes
Primer 12.51
Contactmune: Maria Hasty Roof drain(cominorcial) , 12.51
Address:1905 NW 160 Plate,Suite 102 •
• 3inklbutnllavatory 6' 25.02 150.12
City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54
Phone:l 503-213-4428 I Fez::( ) Tub/shower/shower pan 2 12.51 25.02
E-mail, MHasty@DWHomes.com Urinal I 23.02
: Water closet 3 25.02 75.06 •
... t -''''' .` 41. Water heater 1 37.52 3732
Business name:Malmedel Plumbing Water piping/DWV 56.29
Address:PO Bar 207 Other: 25.02
City/State/21P:Banks/OR/97106 Sabtotal 1006.95
Phone:(503)324-0759 Fax:( ) Minimum pc,mh the: $7230 72.50
Plan review(25%of permit fee)
CCB Lic,:102535 Plumbing Lie.no.:34-276PB State swohsrge(12%ofpennh the)
-
Authorizedaignatusa CardbsaMalnedal i628/ e^-� ^3 -- TOTAL PERMIT FEE
Print name:Corolla*Malmedal Date:'Q9/15/2022 Mb permit application expires If a permit h not obtained witeinlat hers
after a as Year eenpted m samploa.
°Pee methodology sal by Ti-Comity Balk iog Ninny Service Bond
tiedldtrormitis'LMW'aeiaApp.doo Iaa1N9 44O I6iPr(10b2a:0MIW8l)
''" City of Tigard
111 " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
en
Building Permit #: ❑ Verified in Accela
Site Address: S (2� -r �& O Y'OOk L''�
J� lecC,2, CVSSlitl . Lot/Unit #: 2" �G
Project Name: � Zone: Alf
Proposal (include housing type): N
edWRequired Site Plan Elements:
co es of site plan on min 11x17" a ree protec ion
1 Drawn to standard scale VStreet and site trees shown / labeled
North arrow t maturity
jof
Site address, project name, lot # ( or
Street names • ble)
pplicant name and phone # ision clearance triangleof and setback dimensions 'Utility locations & easements
Property corner elevations
�' ootprint of new structure and FFE �'[LDA (>1,000 sf disturbance)
Lot
area
dimensioned rosion control
Lot area and lot coverage percentage
Required Elevation Plan Elements:(Fo street-facing) Garage doorsdimensioned
r S R: calcs needed only on e
Summary le with calculations for:
1Fraven to standard scale f�Total façade area
uilding height dimensioned otalwindow and door area
Façade dimensioned ❑ Total garage area
in-Windows and doors dimensioned
summary table that includes
ReVd Floor Plan Elements: �otal floor area
ch story dimensioned iefach story floor area calculated Floor area per story
Planning Review
The following standards have been met 2-0
:
Setbacks Front: \Z Rear: • 10 Side: Min/Max Street Side: 9 / Garage:
ht Z1'Max. Height: Proposed Height: �
Hei _—
Yes 0 N/A Landscape
Di.es�N/A Screening (Quad 0Yes 0 N/A % Window Coverage
,6Yes ❑ N/A Garage (SFR Only)
Parking (Other Res)
As 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes/N/A Other building design standards (Rowhouse only)
❑Yes I4/A Accessory Structure Standards
❑Yes cyNo Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
0 Yes 0 N A Unit Count:
❑Yes ❑ N/A t Width and Size
❑Yes ❑ N/A Path
Additional standards o d Units and Cottage Clusters only:
❑Yes ❑ N/A ' Area:
❑ Yes ❑ Floor Area (per story)
N/A Courtyard
❑ Yes ❑ N/A Fence
❑ Yes 0 No/A-'
Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes ❑ No /A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No r
Applied For: 0 Yes ❑ No, stop intake
2Sensitive Lands: ❑ Yes 121-1Slo
¢'Cand Use Case #: � (J�� - J� Q�A i �
< --1' 'Conditions met prior permit issuance
Notes
By Planning: '�/(S '
Date:
Revision 1: ElAp oved ❑ Not Approved —
Revision 2: ❑ Approved ❑ Not ApprovedDate:
Date:
Building Permit Submittal
Original Submittal Date:
Site Plans #:
Building Plans #:
Building Permit #: tuilding per_mit # entered on page 1
Workflow Routing: planning Engineerin
Workflow Sign-off: hero e from pator�guew)
�gn-off for Planning (include notes from planning review)
Route Documents: ❑"€n meerin 9 g: (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 c Iculations nd trust etails, if applicable, etc.
c
Permit Technician:
Notes: Date: l
Engineering Review
A lope at 4
buildingS/SPad: ��®
/U� Conditions met prior to issuance of permit
eEDt sements (encroachments) per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes rX),IVo
Assess Water Quantity Fee in-lieu: 0 Yes
`/ LIDA Facility on lot: �,�Vle
Final Plat Recorded 0Yes 4o Add Fee: ❑ Yes ❑ No
❑ NOT Approved:
Notes: Date:
Approved By Engineering:
Revision 1: 0 Approved of Approved
Date: //q/,_�
Revision 2: 0 Approved Date: — __A '
❑ Not Approved
Date:
Permit Coordinator Review
Conditions met prior to permit issuance
'Approved, NOT Released: Pm.-
❑ ENG Revisions Required: �
Date notified applicant: )Z/n IZo4+—
Date notified applicant:
\SDC Exemption: ❑ Applied for D Received
oes not apply
Eli SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: i Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes
N/A
170K to Issue/Approved by Permit Coordinator:
Revision 1: 0 Approved ❑ Not A Date: 17 t S ZpZy
Revision 2: ❑ q pproved Date: _
Approved ❑ Not Approved Date:
City of Tigard
lik " Deferral
Until Occupancy Request
(-MT) Transportation and Parks System
, ,,_ n it 0Washington County Transportation Development Tax ,
Development Charges (SDCs)
This form is to be signed and submitted prior
building
d ragOr permit iinancessuoance
or,if no building permit is required,then
21-0
upon land use approval(TMC 3.24,as amendedby
Date: 10/2512022
Site Address: 15124 SW Deepbrook Lane
MST2022-00406
Project River Terrace Crossing Building Permit Land Use Case or
Name: (David Weekley Homes)
Tax Lot Total Parks $11,830.00
2S108DCO2600 Amount*:
#: Lot 27
TDT Total TSDC $12,004.00
Amount:
Amount*:
*The total TSDC amount shown above is the sum of$
7 7Bo_00 for TSDC-Improvement,$448.00 for TSDC-
Reimbursement,and$_3,7g$.00.—for TSDC-Rives Terrace,if applicable..
f6 812.00 for Parks-Improvement,$ 1 887 00 for Parks-
*The Reimbursement,and
and amount shown abovefor Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace.
Reimbursement,and either$ Nl--�--
! This constitutes my request to defer payment of thelTDT,TSDC,and Parks SDCs, as provided above,tol
prior to final inspection.
Payment issuance of the
ancy permit. In
tiof TD TSDC,dder ntaa d Parks that any deferred TDT,TSDCs may be deferred C,Iand Parks SDCs mustb p id prior to final
requesting thisoption,
inspection.
TDT may only be deferred+f the TD t t e t r 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 bath the Property Owner and the Developer must sign this request.
c---_ ,L
:: - --
Permit10I2512022
Coordinator: Date:
Agnes Lindor
From: Agnes Lindor
Sent: Wednesday,, October 26, 2022 10:21 AM
To: Hasty, Maria
Cc: Boris Piatski; Hope Pollard;Jenny McGinnis
Subject: MST2022-00406/ MST2022-00407
Attachments: MST2022-00407 Lot 56.pdf; MST2022-00406 Lot 27.pdf
Hi Maria-
Please see attached deferrals that need to be signed by both the property owner and developer. These permits have
been approved but cannot be released until these conditions are met:
07. Prior to commencing site improvements,the Applicant must submit a preliminary intersection sight distance
certification for the intersections between SW Everglade Ave and SW Hawk Ridge Rd and between SW Missouri Ave and
SW Hawk Ridge Rd. The certification shall be prepared and stamped by a registered professional engineer,and in
accordance with County Standards, as well as a detailed list of improvements necessary to obtain adequate intersection
sight distance.
10. Prior to final plat approval,the Applicant must submit a final intersection sight distance certification for the
intersections between SW Everglade Ave and SW Hawk Ridge Rd and between SW Missouri Ave and SW Hawk Ridge Rd
indicating that intersection sight distances are still adequate. The certification shall be prepared and stamped by a
registered professional engineer,and in accordance with County Standards.
If you have questions related to these COAs, please contact Boris copied on this email. I believe that Boris did reach out
to Pacific Community Design about this and they are working on it. Thanks,
Agnes Lindor Senior Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard,Oregon 97223
Phone: 503.718.2429
Email:AgnesL@tgard-or.aov
1