Permit City of Tigard
Deferral Until Occupancy Request
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: 10/17/2022 Site Address: 15143 SW Coolwater Ln
Project River Terrace Crossing Land Use Case or
Name: (DW Homes) Building Permit#: MST2022-00361
Tax Lot 2S1080004900 Total Parks $11,830.00
#: Lot 54 Amount*
TDT NIA Total TSDC
Amount Amount*: $12,004.00
*The total TSDC amount shown above is the sum of$7.760.00 for TSDC-Improvement,$448.00 for TSDC-
Reimbursement,and$3 796 00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$6,812.00 for Parks-Improvement,$ 1,887.00 for Parks-
Reimbursement,and either$ NIA for Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC,and Parks SDCs,as provided above,to
prior to final inspection.
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.
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: Date:
/U-1 —ZZ
Developer: Date: 7 Z_
Permit Coordinator: Date:Date: 10/17/2022
Agnes Lindor
From: Agnes Lindor
Sent: Monday, October 17, 2022 1:44 PM
To: Boris Piatski; Hasty, Maria
Cc: Hope Pollard
Subject: MST2022-00360-362 Lots 45 , 54, 64 River Terrace Crossing
Attachments: MST2022-00362 Lot 64.pdf; MST2022-00360 Lot 45.pdf; MST2022-00361 Lot 54.pdf
Good afternoon-
Please see attached deferrals. Please have the owner and developer sign on each form. Please work with Boris on
getting the conditions related to preliminary and final sight distance met. I cannot issue these until the conditions are
met.Thanks,
Agnes Lindor Senior Planner
City of Tigard Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesL@tigard-or.gov
1
BuildingPermit A lication Checklist FOR OFFICE USE ONLY
One- and Two-Family Dwelling Recei ed
Da1elBY: •
City of Tiga Associated permits.its.
IIIIIIIIIIIIIIII
2 13125 SW Hall Blvd.rd,Tigard,OR 97223 Plumbing ® Mechanical
® Elecoical
Phone: 503.718.2439 Fax: 503.598.1960 Other:
24-Hour Inspection Line' 503.639.4175
TIGARD Internet. www.tigard-or.gov 1es No N/A
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ►c 0 0
►Z� 0 ❑
1 Land use actions corn•leted. See'urisdiction criteria for concurrent rev news. ill►, ��
2 Zonin:. Flood .lain,solar balance .oints seismic soils desi•nation historic district,etc. �� 0
3 Verificationdis ct a•a•royal
roved .tat/lot.
isiN
4 Fire district a• •royal uired. Namen of district ���
0 0
5 Se tics stem •ermit or authorization for remodel. Existin_s stem ca.aci ■ ■
6 Sewer •district
►�� r] 0
78 Water •ort.cM royal. 0
permit required. Include drainage-way protection,silt fence design and location of catch- ® 0
8 Soils re�ort. Must c ori:final a..licable slam. and si�nature on file or with a..licatron.
9 Erosion control ®Plan 0 q hcable local and state El 0 0
basin .rotectio etc. conformance to app
10 3 Complete sets of legible plans. Must be drawn to scale,showing
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 0 0
co. ri•ht violations exist. corner elevations(if
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property
there isd more;footprint a of structure(including decks);location of wells/septic tsys ems;utility locations;direction
2-fl.intervals);location of nts
and catorwot area;building lot building coverage area;percentage of coverage;impervious area:existing structures on site;and ® ❑ 0
surface drain.le.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0
and location.
rode etc. 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace ventilation fans .lumbin_fixtures balconies and decks 30 inches above :
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,a joists,sub
-s
roofing,roof slope,ceiling height,siding
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, g> ® 0 0
and foundation,stairs,fire.lace construction,thermal insulation etc.
e is greater o four foot at building envelope.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations
must reflect the foundl ation elevation if the s ge inwithcross references are acce.table. ® 0 0
Full-size n addendums s path) Must indicate details and locations;for non-
l6 Wall bracing thanl(prescriptive isr path)and/orfic bons analysisalc plans. ® 0 0
•rescri.[ive .ate anal sis aovide s.ecifications and calculations to en:ineerin_standards. and bearing
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing, 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ® 0 EJ
s stems see item 22 "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ►, � 0
over 10 feet Ion:and/or an beam/oist ca in:a non-uniform load.
20 Manufactured floor/roof truss design details. schematic is required ® 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping c b an engineer or El 0 El
four or more a..liances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped
architect licensed in Ore•on and shall be shown to be a.•licable to the .rd ect under review. ►, ��
JURISDICTIONAL SPECIFICS ►_� r�' 0
23 Three 3 site .tans are re.uired for Item 11 above. Site .lans must be 8-1/2"x 11"or 11"x 17". ® 0 0
24 Two 2 sets each are rem uired for Items 16, 19,20 and 22 above. IIItans will not be acce.ted. ►-t 0 ❑
25 Buildin_ .tans shall not contain red lines or ta.e-ons. "Mirrored"buildn: ►_, ��
26 "Reversed"buildin: •lans must meet criteria outlined in the Permit&S stem Develo•went Fees document. 0 0
applicable),and City of Tigard
278 "Drawn to includeu teistandard, andd location per approved project street tree plan(ifpP )
28 Site plan tree size,type0 0
Street Tree List.
and•roection measures must be drawn to scale and must include the •ro'ect arborist's Si: attire of a.•royal. 0 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,drip lines,
ent form
s required for all building additions,
El
30 A ludingddecks patio covets(over non-ive Area mpervious'ng Site surface)and accessory trruct Tres to existing residential dwellings
on a lot of record a..roved •rior to Se•tember 9 1995.
1.\Building\Permits\BUP-RESPermitApp doe 02/24/2011
4404613T(11/02/COM/WEB)
Mechanical Permit Application 1 OR OFFICE 1 SF ONL\
eceived
Date/By:vePermit No.:
City of Tigard R Rec
11111.t' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date:By. ]yell. 0 See Page 2 for
Line: 503.639.4175 Date Ready,By
7 i ��I:I) Inspection p Notified/Method: Supplements/Information
Internet: vvww.tigard-ocgov
COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
TYPE OF WORK Mechanical permit fees"are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
CI Demolition ❑Other: Value:S 350,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
Far special information use checklist
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Description I Qty. I Ea. L Total
CI Multi-family0 Master builder ❑Other: _
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 1 4675 46.75
Furnace 100,000 BTU(duets/vents) 1 46.75 46.75
Job site address: 15143 SW Coolwater Lane Furnace 100,000+BTU(duets vents) sa 9l
OR 97224
City/State/ZIP: Tigard, Heat pump 61.06
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Ductwork 23.32
Hydronic hot water system 23.32
Cross street/directions to job site: 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
Other: 23.32
Subdivision:
River Terrace Crossing I Lot no:54 Other fuel appliances:
Water heater 1 23.32 23.32
DESCRIPTION
Tax maplparcel no.: 2S110D Gas fireplace/insert 1 33.39 33.39
DESCRIPTION OF WORK Flue vent for water heater or gas
New construction SFR to be built-2559sf. 2 beds+Owners Retreat,2.5 bath fireplace 23.32
_ Log lighter(gas) 23.32
2nd fir Retreat,1st fir Study,416sf 2 car gar,143sf rear patio,120sf front porch Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other 23.32
Environmental OWNER 1 0 TENANT Environmental exhaust and ventilation:
Range hood/other kitchen 33.39
Name:David Weekley Homes equipment I 33.39
Address:1905 NW 169th Place,Suite 102 Clothes diver exhaust 1 33.39 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP:Beavertail/OR/97006 toilet compartments,utility rooms) 23.32
Phone:(503)213-4415
Fax( ) Attic/crawlspace fans 23.32 0 CONTACT PERSON Other:
23.32
® APPLICANT Fuel piping:
Business name:David Weekley Homes 514.15 for first four,S4.03 for each additional
Maria Hasty Furnace,etc.
Contact name: Gas heat pump
Address:1905 NW 1691°Place,Suite 102 Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater
Fireplace
Phone: 503-213-4428 I Fax:( ) Ranee
E-mail: MHasty@DWHomeS.Com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:David Weekley Homes MECHANICAL PERMIT FEES'
Subtotal 216.99
Address:1905 NW 169ts Place Suite 102 Minimum permit fee(ubtotal 90.00
16.9
City/State/ZIP:Beaverton/OR/97006 Plan review(25%ofpermitfee)
Phone:(503)213-4415 I Fax( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB tic.:213653 This permit application expires if a permit is not obtained within 180
' / days after it has been accepted as complete.
Z�i1_ . _ 7(/ ' Fee methodology set by Tri-County Building Industry Service Board
Authorized signature: ! ,GC�LL�� )' r
IPrint name: Maria Hasty I Date: 09/15/2022
1\palteringtEemricslhffe_permanpp_oaol a doe
440-46177(11ro2 COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial& Multi-Famil Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$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 d
$254 for each the47.71 for additional$100.00 first$10,000.00 nor
fraction thereof,to and including
$50 000.00.
$50,000.01 to$100,000.00 $ .363.71adt 50,000.00 d249 for for the
nal$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.
IABuilding\Permits\MEC_PermitApp_040113.doc 2
L.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FEE SCHEDULE
RESIDENTIAL WORK ONLY: Description I Qtr. I e.n I Tee I
•
Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 100.70 2
5 kva or less
Check Type of Work Involved: 5.01 to 15 kva 133,56 2
0
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 55226 2
with OAR 918-309-0040)
® Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7 42 I I
3
>100 kva-no additional charge 00 3
❑ Vacuum Systems* Each additional inspection over allowable in an of the above:
Each additional inspection is I 66.25-hr i
1
0 Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00•hr
specifically listed('A hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page I): 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
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
0 Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
11.BoadinglPemnts5ELC Pem'rtApp_ELR_ERE doc Rev 061R 2015
RECEIVE®
City of Tigard SEP 2 8 ZDz2
'° COMMUNITY DEVELOPMENT DEPARTMENT CIT OFri,
River Terrace - . Single Detached O , Ntal
I
�` gl��rz rC C ekSS i Jr
Building Permit #: =' + `W° uc Project Name:
Site Address: jcT, 3S cj 1C JA1
Lot #: Total Existing Units: D One ❑ Two ❑ Three
New Configuration: a Single Detached 0 Duplex ❑ Triplex ❑ +ADU
Land Use Case: _ FR �,"L- Liu ��
"y�
Single Detached Standards
Setbacks ❑ Front: 12 Porch: 8
❑ Side: 3 Street Side (public): 8 Street Side (alley): 3
❑ Rear: 15 Rear (alley/private street): 0 Rear Covered Patio: 10
Garage (public street): 20 Garage (alley/private street): 3-5
Height ❑ Max. Height: 35_ Actual Height:
Landscape ❑ Landscape Area: 20%
0 Lot Coverage Max: 80%
Entrance ZSL back no more than 8' from street-facing wall
Ai'Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12% of area of all street-facing facades
Garage Garag oor is behind widest street-facing wall
es
❑ No, and one of the following is met:
❑ Door extends no more than 5' from wall and there is a covered porch
extending beyond garage.
❑ Door extends no more than 5' from wall and there is a 12 sq ft.
window above garage on 2nd floor.
Garage door width is:
❑ 12' or less
0% or less of facade
❑ 6 0% or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset
❑ 1' Roof eave 0 Roof offset ❑ Fire shingles
❑ Lap Siding ❑ Gable, hip, gambrel roof ❑ Dormer
❑ Roof pitch ❑ Accent siding ❑ Window trim
❑ Window recess ❑ Window projection ❑ Balcony
I''BtelAmg FscWBApPemmRrn'_ROW Supyle mem'l 0'.J'L