Permit CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2022-00378
Date Issued: 01/09/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S107AD07700
Jurisdiction: Tigard
Site address: 16691 SW DARLING LN
Subdivision: CREEKSIDE AT SOUTH RIVER TERRACE Lot: 3
Project: Creekside at South River Terrace, Lot 3
Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1113 st 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
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Terms Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 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 add1500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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: Ecompasing:
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 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required
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 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
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Issued By: Permittee Signature: y e'>° u pi)
Call 503.639.4175 by 7: .m.for the next available inspection date.
This permit card shall be kept in a co picuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
RECEIVEr-.
Plumbing Permit Application
Building Fixtures SEP 2 9 202Z FOR OFFICE USE ONLY
City of Tigard CITY OF fluMtiL Received
Daterey: Permit No.:
IN C
II13125 SW Hall8 Blvd.,Tigardx:.o503R.598.19 9722(6NLDING DIVISIOI` Plan Review
Phone: 503.71 2439 Fa pale/By Other Permit No.:
.i.l GAR D Inspection Line: 503.639.4175 Date Ready/By: turn: Pt See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE OF WORK FEE' SCHEDULE
CI New construction ❑Demolition For special information use checklist
Description I Qty. 1 Ea. f Total
❑Addition/alteration/replacement ❑Other. New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
❑Accessory building �rviulti-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other. Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
lob site address: 16691 SW DARLING LN Catch basin or area drain 18.76
City/StatefZlP:Tigard,OR 97224 DMvell leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) 1 Page 2
Suite/bldg./apt.no.: I Project name:South River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
6 IL r frie L A/ -- a ve_ 4,y-ii`Y _ Rain drain connector 18.76
t �U /�` !//� Storm sewer sewer(no.linear
ft.: ) Page t
l Storm (no.linear ) Page 2
Water service(no.linear ff.: ) Page 2
Subdivision: Creekside at South River Terrace Lot no.: 3 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 1 25.02 25.02
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC. Floor ilain/iloorsinkhub 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
Primer 12.51
contact name: Omar Alami Abouhafs
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 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
Urinal 25.02
E-mail:permitsubmittals®a taylormorrison.Com
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water pip nglDW V 56.29
Address:P.O.Box 92 ` €`4T-! / Other. 25.02
City/State/ZIP:St.Paul,OR 0 V Subtotal 600.40
Phone:(503)868-1 Fax:(971)727-8170 Minimum permit fee: 572.50
CCB Li ' `v i1 /114 Plumbing Lie.no.:pb634
Plan review (25%of permit fee)
l�wr� State surcharge(12%of permit fee)
Authorized signature: ; t 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.
1nBuildin5U'amhs?LMU-PermirAppdoe 10/0 PM 440.4616T(I0'02/C:OM'WEB)
Building Permit Submittal
Original Submittal Date: ' ( - 1 �22
Site Plans #: 3
Building Plans #:
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: `B Planning Engineering 'a.P rmit Coordinator-Building
Workflow Sign-off: Sign-off for Planning (include notes from planning review)
Route Documents: EL Engineering: (1) copy of permit application, (1) site plan,
(1) building plan and original plan review routing form.
Vil Building: original permit application, site plans, building
pins, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: � `_ Date:
la/S/22
Notes
Engineering Review
tit/Slope at building pad verified Slope: "007.):,
A/I I 'Conditions met prior to issuance of permit
EWEasements (encroachments) per engineering conditions of approval and plat
' Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 1=Mo
Assess Water Quantity Fee in-lieu: ❑ Yes I,,c,�,�o
LIDA Facility on lot: ❑ Yes L71Vo Add Fee: El Yes ❑ No
b Final Plat Recorded
❑ NOT Approved: Date:
Notes --------
Approved By Engineering: Date: le°7//drZZ
Revision 1: CIApproved ❑ Not pproved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
yr-Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
L1 SDC Exemption: ❑ Applied for 0 Received 2 Does not apply
.P(SDC Fees Entered: Wash Co Trans Dev Tax: e,2I Yes ❑ N/A
Tigard Trans SDC: ,gIYes ❑ N/A 5Deferred
Parks SDC: ) Yes ❑ N/A A Deferred
LIDA ❑ Yes EN/A
AfrOK to Issue/Approved by Permit Coordinator: � Date: lOIlt120lL
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
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: 9/26/22