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Permit City of Tigard Deferral Until Occupancy Request T I G A R D 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: 11/23/2022 Site Address: 15754 SW Vanderwood Ave Project River Terrace Crossing Land Use Case or Name: (Pacific Lifestyle Homes) Building Permit#: MST2022-00400 Tax Lot 2S108DCO2000 Total Parks #: Lot 20 Amount*: $11,830.00 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. 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: Teil Massie Date: Dec 1,2022 Developer: Signere AlM C4MT Date: 11/28/2022 Permit Coordinator: Date: 11/23/2022 Signature: --- Email: TeilM@buildplh.com MST2022-00400 Lot 20 Final Audit Report 2022-12-01 Created: 2022-12-01 By: Summer Dowell(SummerD@buildplh.com) Status: Signed Transaction ID: CBJCHBCAABAAzGkGWriKBEdpilChGgbCUG2oHt0Q45h1 "MST2022-00400 Lot 20" History 6p Document digitally presigned by Foxit Software Inc. (foxit-sign-certs@foxit.com) 2022-11-29-1:24:26 AM GMT-IP address:50.39.202.90 ,t Document created by Summer Dowell (SummerD@buildplh.com) 2022-12-01 -4:56:59 PM GMT-IP address:50.39.202.90 '4 Document emailed to Teil Massie (TeilM@buildplh.com)for signature 2022-12-01 -4:57:40 PM GMT n Email viewed by Teil Massie (TeilM@buildplh.com) 2022-12-01 -4:59:40 PM GMT-IP address:104.47.5b.126 6® Document e-signed by Teil Massie (TeilM@buildplh.com) Signature Date:2022-12-01-5:05:47 PM GMT-Time Source:server-IP address:173.11.13.53 0 Agreement completed. 2022-12-01 -5:05:47 PM GMT Adobe Acrobat Sign CITY OF TIGARD MASTER PERMIT tt COMMUNITY DEVELOPMENT Permitft: MST2022-00400 Date Issued: 12/28/2022 T I t_-,A R T": 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DCO2000 Jurisdiction: Tigard Site address: 15754 SW VANDERWOOD AVE Subdivision: RIVER TERRACE CROSSING Lot: 20 Project: River Terrace Crossing Lot 20, Project Description: New detached dwelling with 140sf patio cover. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1204 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25.5 Bathrooms: 3 Second: 1323 sf Garage: 580 st Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 st Right: 3 Detectors: Total: 2527 sf Value: $422,42325 Rear: 10 PLUMBING Sinks: I Water Closets: 3 Washing Mach: I Laundry Trays: 1 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 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=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/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 SF VB R-3 2527 Owner: Contractor: CND-RIVER TERRACE LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 1111 N POST OAK RD 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $24,568.56 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 day 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 Notific tion Center. Those rules are set forth in OAR Q59-not-nntn fhrnnnh(lAP oc .nnt-nnQn Vnn ma, '+yrnnv of the nine nr rtimrt ni iaetinnc in r I Air by rollinn Sn 9't9'I01%7 nrr"II arm 119 9914'l'1 Issued By: fr�sss^+1//.. -- Permittee Signature: °- - i tR�I�L'( �� ll 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 Job site at the time of each inspection. I Building Permit Application Checklist • • One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Pe i1 Date/ByM 13125 SW Hall Blvd.,Tigard,OR 97223 AssociatedIII i permits Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mechanical I IG,A Pi I) Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW lcs \O N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 ❑ 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 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 copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements 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 surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ 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 and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 ❑ prescriptive path analysis provide specifications and calculations to engineering 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 systems,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 long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, Li 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:1Building\Pennits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Received • - . City of Tigard Date/By: Permit No.. • 13125 SW[Tall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960UPI Date/By: Other Permit: T I G ARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF at ).; Mil ON REM DEfir'iL iUtPMENT/SYS 1 h.MS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑Multi-family El Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:15791SW Vanderwood AVE Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:River Terrace 20 Duct work 23.32 Cross street/directions to job site: Hydmnic hot water system 23.32 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 Subdivision:River Terrace Lot no.:20 Other 23.32 Other fuel appliances: r� Tax map/parcel no.:R,5 I®8 C (72..._ODD Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 1 23.32 Log lighter(gas) 1 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other. 23.32 Environmental exhaust and ventilation: Name: Pacific Lifestyle Homes Range hood/other kitchen equipment 1 _ 33.39 Address:11815 NE 99th St Suite 1200 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 6 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 r APPLICANT /: CONTACT PERSON Other 23.32 Fuel piping: Business name:Pacific Lifestyle Homes p P $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator _Furnace,eta . Address:11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)573-8081 Fax: :(360)574-6401 Fireplace 1 Range 1 E-mail:permits@buildplh.com Barbecue 1 CONTRACTOR Clothes dryer(gas) Business name: j Other: MECHANICAL PERMIT FEES* Address: I Di 1..O tf i Sine7 6 Col ulribicc le-i vek +-ko y Subtotal City/State/ZIP: ()/xjtt /o I - 'T l v L an review permit fee($90.0e) Plan review(25%of permit fee) Phone: Fax: State surcharge(12%of permit fee) CCB lic. tWO i/ ZO zi It t& TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature' * Fee methodology set by Tn-County Building Industry Service Board Print name:Summer Dowell Date:10/6/2022 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB) s Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total:Valua ` Perq i $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 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 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_PemutApp_040113.doc 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY - Cityof'Tigard and Received g Davy. Permit No.: It13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Axis: El See Page 2 for Internet. www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. --- Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCT1O11 SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15754 SW Vanderwood AVE 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.: I Project name:River Terrace 20 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 1 Sanitary sewer(no.linear ft.: ) 1 Page 2 Storm sewer(no.linear ft.: ) 1 Page 2 Water service(no.linear ft.: ) 1 Page 2 Subdivision:River Terrace Lot no.:20 Fixture or item: Tax map/parcel no.:2S108 Backflow preventer 1 31.27 Backwater valve 1 12.51 Clothes washer 1 25.02 New SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11815 NE 99th ST.Suite 1200 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)573-8081 Fax:( ) Ice maker 12.51 ® APPLICANT i CONTACT PERSON Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator-Summer Dowell Roof drain(commercial) 12.51 Address:11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 7 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)904-8130 Fax: :(360)574-6401 Tub/shower/shower pan 4 12.51 E-mail:permits@buildplh.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:Wolcott Water piping/DWV 56.29 Address:1075 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troutdale,Or 97060 Subtotal Phone:( ) Fax:( ) 'li,r/LI Minimum permit fee: $72.50 ���/ Plan review (25%of permit fee) CCB Lic.: 11220 Plumbing Lic.no,g4,� State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FEE Print name:Summer Dowell Da :10/6/2022 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:\Building\Pemnis\P MU-PermitApp.doc 10/01/09 440-46 16T(10/02/COM/WEB) 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 Value ,Permit:Fee: Storm&Rain Drain-1st 100' 62.54 S 1.00 to$5,000.00 Minimum fee$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 S I.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 S742.00 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed:.. Capped Added Relocate q g. Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thm ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Rcfrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:\Job Folders\Oregon\Subdivisions\River Terrace\Lot 20\Permits and Ins2ections\PLB_PermitApp.doc City of Tigard lig .. COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Cross+` Single Detached Supplemental Building Permit #: Project Name: CL‘Vtir telArlaCe Ciasc w1 y Site Address: \S1S'\ \J 'fV1ci f J Lot #: 20 Total Existing Units: i One ❑ Two ❑ Three New Configuration: ,L21' Single Detached ❑ Duplex ❑ Triplex ❑ +ADU Land Use Case: PDR201P1 - OQQQ6 , T D-20lSo - OOORo Single Detached Standards Setbacks Front: 12 Porch: 8 ❑ Side: 3 Street Side (public): 8 Street Side (alley): 3 J ear:_L Rear (alley/private street): 0 Rear Covered Patio: 10 Garage(public street): 20 Garage (alley/private street): 335 Height eerMax. Height: Actual Height: 25 .5' Landscape Landscape Area: 20% VLot Coverage Max: 80% Entrance JZ'Set back no more than 8'from street-facing wall El Parallel to street or offset 45 degrees or less Windows 1Minimum 12% of area of all street-facing facades is .37 <I . Garage Garage door is behind widest street-facing wall Yes ❑ 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 71-5O%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ 1' Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Gable, hip, gambrel roof ❑ Dormer ❑ Roof pitch ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony I Building FormnVl1dgPcnN[Rve_ROW Supplcmcnetl 07D72 7 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit--Residential Submittal Requirements TIGARD v..yea, _? r"xi'.7EF.,. "'m =Yas .,.i�"" �.a'�,e..°. .ra . zfad3' ____ 5uiiSL''Cor9-m,-Ead3."R 'a_.z Required Site Plan Elements: ❑ 3 copies of site plan on grow 11x17" El Drawn to standard scale ❑ Retained trees, drip line / tree protection ❑ North arrow ❑ Street and site trees shown / labeled ❑ Site address, project name, lot # 0 Table calculating tree canopy at maturity ❑ Street names (N/A for SFR) ❑ Applicant name and phone # ❑ Courtyard rectangle dimensioned (if applicable) ❑ Lot and setback dimensions ❑ Vision clearance triangle ❑ Existing structures & square footage ❑ Utility locations & easements ❑ Footprint of new structure and FFE ❑ Property corner elevations ❑ Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbance) El Lot area and lot coverage percentage ❑ 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: ❑ Building height dimensioned ❑ Total facade area ❑ Facade dimensioned ❑ Total window and door area ❑ Windows and doors dimensioned ❑ Total garage area Required Floor Plan Elements: El Each story dimensioned ❑ Summary table that includes ❑ Each story floor area calculated ❑ Total floor area ❑ Floor area per story • City of Tigard RECEIVED _ COMMUNITY DEVELOPMENT DEPARTMENT (-TT 1 3 2022 Building Permit Review - Residential CITY OFTIGARD TIGARD BUILDING DIVISION Building Permit #: /Vte9 J U�"V`LtO Site Address: `SASy Sw 4rwudv�y 30Ool Ave El Verified in Accela Project Name: `)-we'Y IPM(`akQ CA013 1 Lot/Unit #: `1 0 Proposal (include housing type): 14Qk PeUtarstd SvNek"41 Zone: S-C., Required Site Plan Elements: n to•, 14 L}r copies of site plan on i . 17" AlDrawn to standard scale , ee protection North arrow .0'Street and site trees shown / labeled /Site address, project name, lot # Cp'Street names (N/A for SFR) Applicant name and phone # i app .0vLot and setback dimensions ,PJ Vision clearance triangle re footagetility locations & easements Footprint of new structure and FFE )Property corner elevations 7'Sidewalk/driveway dimensioned ,LIDA (>1,000 sf disturbance) XLot area and lot coverage percentage 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: Zl Building height dimensioned , ' tal facade area acade dimensioned NA ❑ Tota ' ow and door area pi Windows and doors dimensioned ❑ Total garage a Required Floor Plan Elements: Summary table that includes ,0'Each story dimensioned .2'Total floor area REach story floor area calculated .l1loor area per story Planning Review The following standards have been met: Setbacks /Front: 12 Rear: VD Side: J Min/Max Street Side: 4 / Garage: 1-0 Height 'Max. Height: N4 Proposed Height: ZS •S es El N/A Landscape El Yes, J�N/A Screening (Quad only) El Yes El N/A % Window Coverage IS-1j14I• , Yes ❑ N/A Garage (SFR Only) <SD/, U\)\GI BF ,cookoiQ, Parking (Other Res) 7(Yes El N/A Entrance (SFR, Rowhouse, Quad only) SeFOacti- VWMJ'1 -1l off WtliAI. ProilteAto SIYCd El YesgN/A Other building design standards (Rowhouse only) El YesZ N/A Accessory Structure Standards El Yes 7 No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters,•Rowhouses, and Quads: N/A Unite El�Yes t-W tlx Size 'Gb ❑ N/A Pathway Additional standards for Courtyard Units and Cottage Clusters only: ❑ Yes.(Q N/A Unit Area: ❑ Yes El A,. Floo per story) ❑ Yes ❑ N/A t and Cam❑ N/A Fence ❑ Yes ❑ No 'A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes 0 No �j/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: 0 Yes 0 No, stop intake ❑ Sensitive Lands: ❑ Yes 0 No Land Use Case #: ?DP-7,ot1,0-prVic FDP-20 IS "01045 ❑ Conditions met prior permit issuance Approved By Planning: Date: (V /I3/11 Notes Ole- +.J to kvv./a:K - StYVV'v AN7 WIN '{+r �ifv✓T eWYm+-f faAf Revision 1: iS1 Approved ❑ Not Approved . Date: dvlg I Revision 2: '.Approved ❑ Not Approved C-e 1 Date: k/...1 15 yr/-- Building Permit Submittal Original Submittal Date: Site Plans #: Building Plans #: Building Permit #: ❑ Building permit # entered on page 1 Workflow Routing: 0 Planning 0 Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: 0 Sign-off for Planning (include notes from planning review) Route Documents: 0 Engineering: (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 calculations and trust details, if applicable, etc. Permit Technician: Date: Notes: En ineering Review L9'Slope at building pad: .2 if, /(/`/9-12'Conditions met prior to issuance of permit Easements (encroachments) per engineering conditions of approval and plat 1?:(Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes di(Vo Assess Water Quantity Fee in-lieu: ❑ Yes !.3/ o � LL LIDA Facility on lot: ❑ Yes 1 No Add Fee: ❑ Yes ❑ No CVrinal Plat Recorded O NOT Approved: Date: Notes: Approved By Engineeriny� Date: // Revision 1: 'Approved 0 ot Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review "conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: DC Exemption: ❑ Applied for ❑ Received ❑ Does not apply t SDC Fees Entered: Wash Co Trans Dev Tax: C Yes ❑ N/A Tigard Trans SDC: C Yes ❑ N/A ❑ Deferred Parks SDC: L Yes ❑ N/A ❑ Deferred LIDA ❑ Yes❑ Yes C�V� f�JOK to Issue/Approved by Permit Coordinator: Date: ` ( - Z f Revision 1: ,'Approved ❑ Not Approved Date: IL l2- 2'Z-- Revision 2: ,pproved 0 Not Approved Pcl— Date: '2, Z FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i _ ' Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Summer Dowell/Tim Pendell DEC 0 5 2022 COMPANY: Pacific Lifestyle Homes CITY OF TIGA iQ PHONE: 360-904-8130 BUILDING DIVISIO'I�� EMAIL: permits©buildplh.com I RE: 15754 SW Vanderwood AVE MST2022-00400 (Site Address) (Permit Number) River Terrace Crossing#20 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Plot plan Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: moved house to satisfy comments 1 &2. FOR OFFICE USE ONLY Routed to Pe ' Te Date• 1.- t')l/ZZ Initials: Fees Due: sir a ee Descrt tton: Amount Due: \ D 0 L z___------ ss (75_____ Special Instructions: %/ Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: Date: /A /Lf %`Z.7 Initials: FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT " Transmittal Letter T I G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DA RECeD DEPT: BUILDING DIVISION DEC 1 5 2022 FROM: Summer Dowell CITY OF TIGARD BUILDING DIVISION COMPANY: Pacific Lifestyle Homes PHONE: 360-904-8130 By., _J EMAIL: permits@buildplh.com RE: 15754 SW Vanderwood Ave MST2022-00400 (Site Address) (Permit Number) River Terrace Crossing 20 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 1 Revisions: Plot plan with set backs called out Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 4'set backs called out on the plot plan. FOR OFFICE USE ONLY Routed to Permit Technic' Date: I(ZZ Initials: Fees Due: ❑ Yes No( Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes No ❑ Done Applicant Notified: � — Date: (1—/J/2 2 Initials ' Nick Peets From: Agnes Lindor <agnesl@tigard-or.gov> Sent: Wednesday, October 12, 2022 3:51 PM To: Nick Peets Subject: Projections Hi Nick- As discussed,the eave may project into the 3' setback.Thanks, Agnes Lindor I Senior Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesL(a tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1