Permit City of Tigard
Deferral Until. Occupancy Request
T 1 G A R D Washington County Transportation Development Tax (1'DT),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: 10/26/2022 Site Address: 15534 SW Peace Ave
Project River Terrace Crossing Land Use Case or MST2022-00420
Name: (Iehijo) Building Permit#:
Tax Lot 2S108DC06000 Total Parks $11,830.00
##: Lot 66 Amount*:
TDT N/A 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$ N/A 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.
1'DT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of PDT 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: . -.1a-d/CiA . Date: 10/28/2022
Developer: /%%C Date: 11/02/2022
Permit Coordinator: A1_1 ./) 6.J14eii J Date: 10/26/2022
CITY OF TIGARD MASTER PERMIT
y Permit#: MST2022-00420
N . ' COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12l29/2022
Parcel: 2S108DC06000
Jurisdiction: Tigard
Site address: 15534 SW PEACE AVE
Subdivision: RIVER TERRACE CROSSING Lot: 66
Project: River Terrace Crossing, Lot 66
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 4 First: 1164 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 3 Second: 1512 sf Garage: 440 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 Yes
sf Right: 3 Detectors:
Total: 2676 sf Value: $435,562.32 Rear: 10
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
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckfiw Prevntr: 0
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/0 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
Other: N Other Description: Ecom P 9�asin Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2676
Owner: Contractor:
ICHIJO USA CO.,LTD. ICHIJO USA CO LTD Required Items and Reports(Conditions)
3800 SW CEDAR HILLS BLVD,STE 3800 SW CEDAR HILLS BLVD STE 130 1 Ersn Cntrl 503-639-4175
131 BEAVERTON,OR 97005 2 (2)layers of 2x fire blocking
BEAVERTON,OR 97005 at sides-no eave vents
PHONE: 503-430-7413 PHONE: (503)430-7413
FAX:
Total Fees: $24,872.38
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
Q59-nn1_not n thrnu P OF9-nf nu, w nhfain a ennu of the.n dac nr dirp't nucetinnc In ill INC by rollinn FM 110 1 QA7 nr 1 Ann q17 9.1dd
< L
Issued By: � Permittee Signature: /e Y ' 1p)t cal-, ov)
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 lob site at the time of each inspection.
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1" 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee: __
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum ice$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge--1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantit'by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath: Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
•
Other Fixtures:
l:\Building\Permits\PLMF PerrnitApp.doc 08/04/2011 2
et iD Il—1 I?2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: l-w1 2OV"OD'-47O
Site Address: j W-V-eL(C-e. /Verified in Accela
Project Name: 44,1,--t , crossivi Lot/Unit #: (SW
Proposal (include housing type): 14_,tV 1)6o10W . 1N�"� Zone: C -G
Required Site Plan Elements: J Fi
,116 copies of site plan on min 11x17"
Drawn to standard scale .-RCLailieJ bt e,,-drip line/ tree protection
North arrow Z Street and site trees shown / labeled
Site address, project name, lot # maturity
Street names (WA for SfR)
Applicant name and phone # ew yarrl rectangle dimensioned (if applicable)
4Lot and setback dimensions fa'2 sion clearance triangle
'�estirrg stPGcfur e J 6tility locations & easements
.❑ Footprint of new structure and FFE fr-Property corner elevations
Sidewalk/driveway dimensioned fif LIDA (>1,000 sf disturbance)
, Lot area and lot coverage percentage 1 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Summary table with calculations for:
EirBuilding height dimensioned 'Total facade area
Facade dimensioned 6-Total window and door area
L1 indows and doors dimensioned `f; Total garage area
Required Floor Plan Elements: 4ummary table that includes.
,erEach story dimensioned Total floor area
Each story floor area calculated Floor area per story
Planning Review
The following standards have been met:
Setbacks ErFront: 12 Rear: Side: Min/Max Street Side: U / Garage:
Height �J T1ax. Height: ti)A Proposed Height:
Mes ❑ N1A Landscape
❑ Yes N/A Screening (Quad only)
s , Yes ❑ N/A % Window Coverage
es ❑ N/A Garage (SFR Only)-{S 7„ W lri\C\'t'1i 1('�1 u'1 d\iVt
Parking (Other Res)
Yes ❑U N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes/N/A Other building design standards (Rowhouse only)
❑ YesZN/A Accessory Structure Standards
❑ Yes Ve-No Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional stan rds for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes Unit Count:
es ❑ N/A • and Size
❑ Yes D N/A Pathway
Ad itional standards Courtyard Units and Cottage Clusters only:
❑ Ye N/A • rea:
❑ Yes ❑ Floor Area (per story)
❑ Y N/A Co and
❑ es ❑ N/A Fence
❑ Yes ❑ No‘A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No,lcl/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes El No, stop intake
,B'Sensitive Lands: ❑ Yes 1No ,vv�5
'Land Use Case #: -ZDllp- 000U �r,n
, , rYr11��' 0�dl /Conditions met prior permit issuancesu/
Approved By Planning: V\ \ bl\C\v&- Date: Id- �- 2nc7
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 10120/2077
Site Plans #:
Building Plans #:
Building Permit #: a Building permit # entered on page 1
Workflow Routing: s nning elEngineering it Coordinator B'Suilding
Workflow Sign-off: ',CI Sign-off for Planning (include notes from planning review)
Route Documents: ,+3 Engineering: (1) copy of permit application, (1) site plan, (1) building plan
ariginal plan review routing form.
4i Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: V/2J-I/7029
Notes:
�Enngineering Review
H Slope at building pad: '0/ °ya
//'Conditions met prior to issuance of permit
l basements (encroachments) per engineering conditions of approval and plat
(Hater Quality/Quantity Facility: ,1
Assess Water Quality Fee in-lieu: ❑ Yes 11'No
Assess Water Quantity Fee in-lieu: ❑ Yes ki/No
LIDA Facility on lot: ❑ Yes €No Add Fee: ❑ Yes 0 No
inal Plat Recorded
❑ NOT A Date:
Notes: .
Approved By Engineering: _ _ Date: .L f�IZC��L
Revision 1: ❑ Approved of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
fonditions met prior to permit issuanc
, pproved, NOT Released: Date notified applicant: {0121424) ZZ.
❑ ENG Revisions Required: Date notified applicant:
'SDC Exemption: ❑ Applied for El Received R(Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: /Yes 0 N/A
Tigard Trans SDC: zi Yes ❑ N/A Zr Deferred
Parks SDC: PIYes ❑ N/A ,✓1 Deferred
LIDA ❑ Yes A N/A
/OK to Issue/Approved by Permit Coordinator: Date: II 1111 3 !20-7rb
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved _ Date: