Permit City of Tigard
Deferral Until Occupancy Request
Washington County Transportation Development Tax (IDT),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: 16621 SW Darling
Project Creekside at SRT Land Use Case or p
Name: Building Permit#: IVIS 1T
2022-00397
Tax Lot 2S107AD08200 Total Parks $8,699.00
#: Amount*:
TDT Total TSDC
Amount: N/A 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$ N/A 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: Ow w Ata*vt,Abyixkafy(Taylor Morrison NW) Date: 10/17/2022
Developer:Omar A(.a m.i,Ab kciFy(Taylor Morrison NW) Date: 10/17/2022
Permit Coordinator: 10/17/2022
114 M CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permk#: MST2022-00397
Date Issued: 12/15/2022
T I t;A II 11 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD08200
Jurisdiction: Tigard
Site address: 16621 SW DARLING LN
Subdivision: CREEKSIDE AT SOUTH RIVER TERRACE Lot: 8
Project: Creekside at South River Terrace, Lot 8
Project Description: New single family detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1113 sf Basement: 91 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1111 sf Garage: 422 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2315 sf Value: $374,765.51 Rear: 15
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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckfiw Prevntr: 0
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Times Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvelFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 4 201-400 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/vok: 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: Ecom easing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2315
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 Geo Tech Required
VANCOUVER,WA 98660 VANCOUVER,WA 99660 2 Ersn Cntd 503-639-4175
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $22,993.70
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 160 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon I t uires you...,to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
OF,An1-mmn e,.n, ..OAR QF911 I •• , m,nhfain a rnm,of fho Hart nr rlirprt a„actinne rn Al Wri M,rollinn Fn- 917 10R7 nr 1 Ann 117 71dd
Issued By:i L Permittee Signature:
Call 503.639 175 by 7:00 a.m.for the next available Inspection date. . _
This permit card shall be 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.
CITY OF TIGARD SEWER CONNECTION PERMIT
• COMMUNITY DEVELOPMENT Permit#: SWR2022-00161
Date Issued: 12/15/2022
Tic;A R ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD08200
Jurisdiction: Tigard
Site address: 16621 SW DARLING LN
Project: Creekside at South River Terrace, Lot 8 Subdivision: REEKSIDE AT SOUTH RIVER TERRAC Lot: 8
Project Description: Sewer connection for new detached dwelling.
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: SF
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
t.
t r
Issued By: 'Permittee Signature: `7 e- ? f't mot,. c`h
Call 503.639.4175 by 7:00 .m.for the next available inspection date.
This permit card shall be kept in a conspi ous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plu ing Permit ApplicationRECElVE l
Building Fixtures C FOR OFFICE USE ONLY
Cityof Tigard SEP 2 9 ' ' Received
pate/B Penmit No.:
't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: SD3.718.2439 Fax: 503.598.19tT patNBy: Other Permit No.:
T i G A R D Inspection Line: 503.639.4175 '(7�II�[t1.l ; ���� T)) pate ReadyBy: orris: F8 See Page 2 for
Internet: www.tigard-or.gov Notificd/Met od: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description L Qry. L Ea, I Total
❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
,,r�yr CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
t B 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/❑Accessory building 43-Multi-family SFR(3)bath 1 500.32 500.32
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: 16621 SW DARLING LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 16.76
Footing drain(no.linear ft.:_) 1 Page 2
Suite/bldg./apt.no.: 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 fr,: ) Page 2
Subdivision: Creekside at South River Terrace Lot no.: g 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
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510 Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660
Hose bib 2 25.02 50.04
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
�' APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S_) Page 2
Contact name: Omar Alami Abouhafs Primer 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Siok/bas n4avatory 25.02
City/State/ZIP: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:permitsubmittals@taylormorTison.corrl Urinal 25.02
CONTRACTOR Water closet _ 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water pip ng/DW V 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: S72.50
CCB Lie.: 184372 Plumbing Lie,no.:pb634
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 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 sot by Tri-County Building Industry Service Board.
1:lBaildia PmmrtsPLMU-PernitAw.doe I 0/o1409 440.46 16Tt 104021COMWEM
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: 9/27/22 _