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Permit (T1.5-c Zc52L LSC53 City of Tigard 1(0-ial Celesczac� Lxt III Deferral Until Occupancy Request c A}, n 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: 9/21/2022 Site Address: 16791 SW Colorado Lane Project South River Terrace Land Use Case or MST2022-00340 Name: Bldg 1 Unit 2 Building Permit#: Tax Lot 2S107AD05200 Total Parks $6,336.00 #: Tract H Amount*: TDT A Total TSDC N/Amount: Amount*:. $7,002.00 *The total TSDC amount shown above is the sum of$ 4,527.00 for TSDC-Improvement,$261.00 for TSDC- Reimbursement,and$2,214.00 for TSDC-River Terrace,if applicable.. *The total Parks SDC amount shown above is the sum of$5,129.00 for Parks-Improvement,$ 1,207.00 for Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$ N/A 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: Owtaw ALo.w•i.Akio-WA-qv(Taylor Morrison NW) Date: 09/22/2022 Developer:Owu r ALo vwv Alyo7.4- a y(Taylor Morrison NW) Date: 09/22/2022 Permit Coordinator: p? (iIC/ Date: 9/21/2022 7111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00340 Date Issued: 12/15/2022 T i r.-,A R it 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05200 Jurisdiction: Tigard Site address: 16791 SW COLORADO LN Subdivision: SOUTH RIVER TERRACE Lot: H Project: South River Terrace,Tract H,Building 1, Unit 2 Project Description: New attached dwelling(2 of 2)Units. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID. BUILDING _ Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1242 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 24,5 Bathrooms: 2 Second: 0 si Garage: 281 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Total: 1242 sf Value: $204.361.37 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters; 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bcktlw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Fum>=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'I 500 sf: 2 201-400 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 SFA VB R-3 1242 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 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $14,677.49 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 I uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR a Ao_nn Lnnin Ihrm 1 AP q5! v Min a rnna nf in,.n AAe nr dirarf ni iacennc to ni iNC by',Ain,'sn1 ell 1eA7 nr 1 Ann'AT)y'iAA Issued By: � Permittee Signature: . Call 503. .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. I1 CITY OF TIGARD SEWER CONNECTION PERMIT r1 = ' COMMUNITY DEVELOPMENT Permit#: SWR2022-00134 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2022 Parcel: 2S107AD05200 Jurisdiction: Tigard Site address: 16791 SW COLORADO LN Project: South River Terrace,Tract H,Building 1 Subdivision: SOUTH RIVER TERRACE Lot: H Project Description: Sewer connection for new attached dwelling (2 of 2 units) Contractor: Owner: TAYLOR MORRISON NORTHWEST LLC 703 BROADWAY ST STE 510 VANCOUVER, WA 98660 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 12/15/2022 $6,625.00 Sewer Inspection-Residential 12/15/2022 $35.00 Type of Use: SFA Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $6,660.00 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 OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: r>a .fin Ilff��f� 11 C -4 6 0Call 503.6 9.4175 by 7:00 a.fl.fv7the next available inspection date. /1' 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. • Electrical Permit Application "�� " a City of Tigard Received y ,tt 13125 SW Hall Blvd.,Tigard,OR 97223 `UJ ro Date'B Permit#: Phone: 503.718.2439 Fax: 503.598.19 Ter Plan Review _ Data+B Related Permit#. TIGARD Inspection Line: 503.639.4175 t,ITY OF -1 1(.....,-,. Ready Date/By: lens: e internee ww'w.tigard-or.gov Notified/Med. See Page 2 for TI�Ir-' f`" Notified/Method. Supplemental Information TYPE OF WORK PLAN REVIEW ®1 New construction ❑ Addition:alteration'replacement Please cheek all that apply(submit 2 sets of plans wruenis checked): ❑ Demolition El Other: ❑Service or feeder 400 amps or more 0 Building over three stories. CATEGORY OF CONSTRUCTION where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or Q Land 2-Tamil) dwellingP ❑Fluting buildings. Commercialr'Industrial ❑ACcesson buildingless to ground,or exceeds 14,000 ❑Commercial-use agricuhural 0 Multi-fancily ❑Master builder amps for all other installations, buildings. ❑Other: ❑Fire pump. ❑Installation of 150 K V A or JOB SITE INFORMATION AND LOCATION °Emergency system. larger Jobseparately derived Job site address. 16791 SW Colorado LN ❑100HP or more manor load of system IOOHPormore. ❑ City/State/ZIP! Tigard,OR 97140 0 Six or more residential units occupancy ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.a: Building 1 I Project name: South River Terrace ❑Hazardous locations ❑Supply soltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more 600 volts nominal FEE,'SCHEDULE Description I Qt.. I Each I Total I ,:: New residential single-or multi-family dwelling unit. Subdivision: South River Terrace I Lot4. Tract II Includes attached garage. Tax mapipaicel#: 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK Ea.add'I 500 sq.ft.or portion 3 33.92 101.76 i Limited energy,residential New Construction.Type SFU (with above sq.ftJ 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75,00 2 ® PROPERTY OWNER I 0 TENANT : Renewable Energy I 0 See Page 2 Services or feeders installation,alteration,and/or relocation Taylor Morrison Northwest LLC. 200 amps or less 1 I 100.70 100.7 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 260.34 2 Phone:( 360 )946 8674 601 amps to 1 amps 301 04 2 I Fax:( ) Over 1,000 amps or volts 552,26 2 Email: OAtarniAtwuhafs a taylormorrison.com-PermitSubmittals�taylormorrison.txlm Temporary'services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 201 amps to 400 amps intended for sale,lease,rent,or exchange.according to ORS 447,449.670,and 701. 1 25.08 1 125.08 2 Owner signature: - Date: 401 amps to 599 amps 168.54 2 0 APPLICANT 0 CONTACT PERSON Brunch circuits—new,alteration,or extension,per panel Business name:Taylor Morrison Northwest LLC. A.Fee for branch circuits with above service or feeder fee, Contact name: Omar Alami Abouhafs each branch circuit 7.42 2 B.Fee for branch circuits without Address: 703 Broadway.St..Ste 710 service or feeder fee,fist branch circuit 56.18 2 City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360 )946 8674 Fax: :( ) Miscellaneous(service or feeder not included) Each manufactured Of modular Email:OAlamiAbouhafsa ta}lonnorrison.com-PermitSubmittals(t tavtormor ' dwelling,service and/or feeder 67.84 2 nson.com Reconnect only 67.84 2 - CONTRACTOR _ Pump or irrigation circle 67.84 2 Business name: A L-a G D f'L L.. ) r- , �ry t c { y C , Sign or outline lighting 67.84 L- TS 4--r,.'i-�t� Ir-r 19-4- 2 Address: 3 1 5 Ne (-tit `�..h_ �� Signal circuits)or limited-energy ensionergy 0 �P 2'1 r a-1 panel,alteration,or extension. � 2 City/State/ZIP:F'C r,_-.rLrc -n t ;•� ^] 1-Lr�— Each additional inspection over allowable in any of the above_ Phone:(S l �j ; 3 19, Zl V Fax:( ) Additional inspection(1 hr min) 66.25/ter Investigation(I ter min) 90.00/ter Email: sc.' i_ rnx ,(.r0 M Industrial plant(I hr min) 78.18/ter CCB Lie.: Inspections for.vhich no fee is �� Electrical Tic.: 'Suprv.Lic.: ��'� speclficdlls listed 0,9 hrmin) 9000/ter Suprv,Electrician signature.required: �,�Z 7 // /� ELECTRICAL PERMIT FEES Print name:'j ✓ ( !� Subtotal. $202.46 ,A,vr 1...;STF Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee). Authorized signature: rb�m�n�1015MA TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 186 Print name: PA-'a'E. -T-1'1 D rtn eS ov„) I Date: I days atter it has been accepted as complete. e Number of inspections allowed per permit I16uildinalPermitatEi.0 PernisApp ELR-ERE doe Rev 06/I 7R015 440.4615T(i1/O5/COM/wE6 Plumbing Permit ApplicationL..lr = Building Fixtures FOR OFFICE USE ONLY City of Tigard AO 2: Received Permit No.: 111 N 13125SW Hall Blvd.,Tigard,OR97223r•iTYnF ,, Plan Review a Phone: 503.718.2439 Fax: 503.598.19 Other Permit No.: Inspection Line: 503.639.4175 ,',,_D I I`)^, Date/By: T I G A R D Internet: www.ligatd-ocgov "' r' hate Ready/By: lm$: See Page 2 for Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. . Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 XI.and 2-familSFR(2)bath 437.78 y dwelling 0 Commercial/industrial SFR(3)bath 1 500.32 500.32 ❑Accessory building 41-Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16791 SW Colorado LN Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIT':Tigard,OR 97224 Footing drain(no.linear ft.: ) 1 Page 2 Suite/bldgJapt.no.:Building II 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 It:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision South River Terrace I Lot no.: Tract H Fixture or item: Tax map/parcel no,: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New construction-Type SFU Dishwasher 1 25.02 25.02 Drink' fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02 Floor chain/floor sink.huh 25.02 Address:703 Broadway St.,Ste 510 _ City/State/ZIP:Vancouver,WA 98660 Hose H be disposal 25.02 Hose bib 2 25.02 50.04 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Taylor Morrison Northwest LLC. Medical gas(value:$ ) Page 2 Contact name: Omar Alami Abouhafs Primer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZlP: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:permitsubmittalstrttaylorrflorrison.corn Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal 600.40 Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50 CCB Lic:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: � i L 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. I:uBt ang.Penses0.MtI-PerauIApp.dm 10/01N9 440-0616T(10M/COM Wt:9) Plumbing Permit ApplicatiECEIVED Building Fixtures I l OCT1 Z 2022 Received /��-- IllCity of Tigard Date/By: f C l a D . - Permit No.:!""/t etc ja_0(:'›, q%) • 13125 SW Hall Blvd.,Tigard,OR 97223 Planatm Review // ,t Phone: 503.718.2439 Fax: 503.598.1 OF TIGARD D 'By /014/22 444 Other Permit No.: u Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris. 0See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE" SCHEDULE [I New construction 0 Demolition For special information use checklist - Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 131 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fires sprinkler p (1242q.ft.) 1 Page 2 121.9C JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16791 SW Colorado LN Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:---_) Page 2 Suite/bldg./apt.no.: Bld 1 1 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 River Terrace j Lot no.:1-#2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 • Permit - MST2022-00340 clothes washer 25.02. Dishwasher 25.02 Multi-Purpose Fire Sprinklers Drinking fountain 25.02 Ejectors/sump 25.02 la PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Fixture/sewer cap I 25.02 Name: Taylor Morrison . Floor drain/floor sink/hub 25.02 Address: 703 Broadway St unit 510 Garbage disposal 25.02 City/State/ZIP: Vancouver, WA 98660 Hose bib 25.02 Phone:(360) 695-7700 Fax:( ) Ice maker 12.51 [j1 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Wolcott Plumbing Medical gas(value:$_) Paget Primer 12.51 Contact name: Cliff Bowman Roof drain(commercial) 12.51 Address:1075 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale, OR 97060 Solar units(potable water) 62.54 Phone:(503)-667-1781 ext. 3081 Fax::( 503-667-9891 Tub/shower/shower pan 12.51 UE-mail: cliffb@wolcott.pro Water W 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Wolcott Plumbing Water piping/DWV 56.29 Address:1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale, OR 97060 Subtotal 121.90 Phone:(503)-667-1781 ext.3081 Fax:(5031667-9891 Minimum permit fee: $72.50 Plan review (25%of permit fee) 30.48 CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB State surcharge(12%of permit fee) 14.63 Authorized signature:C fr z96G(tfiZCLlfi TOTAL PERMIT FEE 167.01 Cliff Bow 10/10/22 This permit application expires if a permit is not obtained within 180 days Print name: Date: after it has been accepted as complete. ',Fee methodology set by Tri-County Building Industry Service Board. I:1Buildio*\Permits'PLML'-PermitApp.doc 10/01/09 440-4616T(10/OVCOM/WEB) r . City of Tigard '" COMMUNITY DEVELOPMENT DEPARTMENT III a . TIGARD River Terrace South Rowhouse Supplemental Building Permit #: mc- 2- OO {O Project Name: (C6 Site Address: \0 M sw CO\P(o1do at. Lot #: 11Rh(A 0 .;\Oil ( (J ilVd 2 Land Use Case: PDR2021-00003 Rowhouse Standards Units XEach rowhouse group consists of 2-3 attached units Lot Size '5,000sf - 8,000 (duplex) or 11,000sf (triplex) (Max 125,000sf in Area A) Lot Width IC 20 ft ___ • Setbacks gFront: 12 Porch: 8 Side: 0 Street Side (public): 8 Street Side (alley): 3 `Rear: 10 Rear (alley/private street): 0 Garage (no parking): 4 II Garage (parking): 20 Height Max height: 35 Actual Height: 26(• S ` Definition li6ach dwelling unit includes one of the following on the street-facing façade: ❑ Roof dormer min. 4 ft in width ❑ Balcony min. 2 ft depth, accessible from interior ❑ Bay window that extends a min. of 2 ft from facade rr'(1._Offset of the façade min. 2 ft in depth from neighboring unit `� Entrance Opens onto front porch (can be located on side elevations) Porch/ Balcony dirach dwelling unit includes one of the following: Porch, min. 48 sf with no horizontal dimension less than 6 ft ❑ Balcony on same façade as main entrance, min. 48 sf, min. 8 ft in width, 15 ft above grade, accessible from interior living space Roof eloped, pitch between 4/12 and 14/12 Staircases to exterior staircases to stories above the first story Windows ' f inimum 12% of area of all street-facing facades k'j'j , 1IRm!dlnnAForrus\Rld,PermiIRes_ROW Supplemrnial U7II722 Parking Oer Parking Plan Exhibit C, Sheet 10.1 and 10.2 Off street parking is accessed through: ❑ Triplexes: Tandem driveways that meet the following: ❑ Shared access drive of 20-24 ft with parking behind rowhouse units* * Exceptions: Area A: 16 ft. Areas B, D, E, and I: 12 ft (See Exhibit C of PDR) ❑ Alley access drive at least 10' wide Duplexes: Tandem driveways that meet the following: ' No more than 1 access is provided for every two units (rounded up) psTandem driveway is 28.5 wide paced at least 23.75 ft apart Parking spaces are at least 20 feet from street property lines, except alleys Pathway Accessible path provided from sidewalk to main entrance NOTE: Single detached houses and rowhouses with frontage on River Terrace Blvd must meet all building design standards of 18.640.070.E (River Terrace Building Permit Review Addendum). Those with side lot lines on River Terrace Blvd must meet all except 18.640.070.E.3 - Entrances Approved By Planning: ----`'— Date: m /i /1 C r City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review - Residential Building Permit #: /t'IL 003�O Site Address: to'1a1 Sw CoVo(aala lan Project Name: h Teriqt Lot #: )(00l kl Proposal: bAnl \,rt , Utv► t 'L Q,xnfroi Land Use Case: la7-941r1 - 03 Zone: te5--9 Required Submittal Elements \ISI. 3 copies of site plan aSq.uare-foetage..nf,buildings to be demolished 'N_Drawn to standard scale iZLFootprint of new structure and FFE North arrow , drip line / tree protection NKI Site address, project name, lot # ISI_Street trees shown / labelled 'Street names 'Sidewalk / driveway shown and dimensioned KLApplicant name and phone # 'RUtility locations & easements (new / additions) Lot and setback dimensions o atioa -wells / septic systems +� EIsting_ctri� --roS._efl s + __ 'El. Lot area and lot coverage percentage Erosion control 'Q Corner elevations (2' contours if > 4' differential) &Vision clearance triangle shown 'Ground slope at building pad calculated / shown Planning Review " ,Verify address / suite # active in Accela. '6LClean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: ❑ Yes 'No Received: El Yes 0 No Nublic Facilities Improvement (PFI) Permit: Required: ❑ Yes b•No Applied For: ❑ Yes ❑ No, stop intake Sensitive Lands: ❑ Yes `INo Type: Housing Supplemental Sheets Completed ❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad ❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse ❑ Cottage Cluster Type II (1 per unit) ❑ Small Form Residential / ADU ❑ Courtyard Units Type II (1 per building) kl.3iver Terrace Addendum ❑ Conditions met prior to issuance of building permit ('!` te Approved By Planning: Date: ,/( /2Z Notes _ Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: I\Building,Pavns`.61dgPermilRvw_Res_070722_dacx . , Building Permit Submittal Original Submittal Date: l//L2— Site Plans #: Building Plans #: -"t Building Permit #: © Building permit # entered on page 1 Workflow Routing: 0 Planning .E Engineering .❑+Permit Coordinator--0 Building Workflow Sign-off: 0 Sign-off for Planning (include notes from planning review) Route Documents: B Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ,E1 Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: I% /2 (/t r--/rA,74A Lid ��'✓�1����:. r Date: r/%` 2L Notes Engineering Review Slope at building pad verified Slope: 2fi {/ Conditions met prior to issuance of permit 'Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes C{d''No Assess Water Quantity Fee in-lieu: ❑ Yes L4'No LIDA Facility on lot: ❑ Yes 19'Jo Add Fee: ❑ Yes ❑ No I"Final Plat Recorded ❑ NOT Approved Date: Notes Approved By Engineering: Date: < reZ Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review Conditions met prior to issuance of permit ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: jd SDC Exemption: ❑ Received t3 Does not apply X SDC Fees Entered: Wash Co Trans Dev Tax: elf Yes ❑ N/A Tigard Trans SDC: ,'Yes ❑ N/A see, cf p,p , Parks SDC: (Yes ❑ N/A LIDA ❑ Yes %N/A A OK to Issue/Approved by Permit Coordinator: t `' Date: ct[210(WI_ Revision 1: ❑ Approved ❑ Not Approved Date: 1 Revision 2: 0 Approved 0 Not Approved Date: