Permit City of Tigard
1111 . ' Deferral Until Occupancy Request
• Washington CountyTransportation Development Tax Ill Transportation and Parks System
T[GARD � P p ( �� p y
® 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: 11/14/2022 Site Address: 16673 SW Beemer Ln
Project Northside View SRT Land Use Case or
Name: Building Permit#: MST2022-00456
Tax Lot 2S107AD06400 Total Parks
#: Lot 4 Amount*: $8,699.00
TDT Total TSDC $12 004.00
Amount: N/A Amount*:
*The total TSDC amount shown above is the sum of$ 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,$ I,887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ NIA 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 IUT 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: Omar ALa.vwi.Abou4.0 fy(Taylor Morrison NW) Date: 11/14/2022
Developer:Owuu ALa vvvi.Abov4..o_ s,(Taylor Morrison NW) Date: 11/14/2022
Permit Coordinator: // r,p� OCA/VteGZJ Date: 11/14/2022
/ i
Mechanical Permit Application FOR OFFICE USE,ONLY
r it City of Tigard Received
1)atc/By. Perma No.: .
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
-
• Phone: 503.718.2439 Fax: 503.598.1960 Daieigiy. Other Permit:
7I{"r/s 1:17 Inspection Line 5g3.639-4175 Dale Reid iB lueis: 0 Sec Page 2 for -
I Y y
nterne: evww.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USECHECKI.iST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:8
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
I j Multi-family 0 Master builder ❑Other Description
I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 16673 SW BEEMER LN Air conditioning46.75 46.75
Furnace 100,000 BTU(ducts/vents) i 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dnctstvents) _ 54.91
Suite/bldg./apt no.: Project name: Northside View at SET Heat pump 61.06 61.06
-
Duct work 23.32
Cross street/directions to job site: Hydronic 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: Northside View at SRT Lot no.: 4 Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacefinsert 33.39
' Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fueplace/insen 23.32
Chimney/liner/flue/vent 23.32
la PROPERTY OWNER 0 TENANT O 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 33.39
Address:703 Broadway St.,Ste.510 - equipment 1 33.39
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, ], 23.32
toilet compartments,utility rooms) / 23.32
Phone:(360)695-7700 Fax:( ) Attivierawlspace fans 23.32
M APPLICANT D CONTACT PERSON Other:
23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
Contact name: Omar Alami Abouhafs SI4.I5 for first four;S4.03 for each additional
Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas beat pump
Wall/suspendednunit heater
City/State/ZIP:Vancouver,WA 98660
Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace ]
E-mail:permitsubmittalsgaylormorrjson.corn Range 1
Barbecue
( CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
�7 This permit application expires if a permit is not obtained within 180
GLQ. b .n.. days after it has been accepted as complete.
Authorized signature: ' Fee methodology set by Tri•Counry Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
r-tRnMina\Prnn,,\MFr tM,,Ann a°ni 11,i.,, .in°e i re,,.w,,r...m,re,
Plumbing Permit Application
, Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received
DataB Permit No.:
r 13125 SW Hall Blvd.,Tigard.OR 97223 Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By Other Permit No.:
71 G A R D Inspection Line: 503-639.4175 Date ReadyBy: Avis; 0 See Page 2 for
Internet: www.ligard-or.gov Notiricd/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑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
9t1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 41-Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/tdtchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.fr.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16673 SW BEEMER LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dry well,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) 1 Page 2
Suite/bldg./apt.no.: I Project name:Northside View at SRT 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: Northside View at SRT I Lot no.: 4 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
Dunking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. Fixmrdsewercap 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:$ ) 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/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:permltsubmittals®taylormorrjSon.corn Urinal 25.02
CONTRACTOR Water closet 25.02 J Water beater 37.52
Business name:G&B Plumbing&Sons Inc o"
Water piping/DWV 56.29
Address:P.O.Box 92 Other
25.02
City/State/ZIP:St.Paul,OR 971 C Subtotal 600.40
Phone:(503)868-1 `•fZlA�aS 41!!x:(971)727-8170 Minimum permit fee: $72.50
CatLic' 372 to 04 ley Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: ; Cd4 TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires If a permit Is not obtained within ISO days
after it has been accepted as complete.
'Fee methodology set by Tri•County Building Industry Service Board.
I:tBuldurglPcnuis PLMU•PermirApp.doc I O/01/04 440-461611 t&g2/COM/WEB)
RECEIVED
City of Tigard , C1 A 2022
- " COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
Building Permit Review - Residential BUILDING DIVISION
TIGARD
Building Permit #: ,1'4' `D-0.)"9-- 00`'t�7
Site Address: 16673 SW Beemer Lane Verified in Accela
Project Name: Northside View at South River Terrace Lot/Unit #: (4-
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-C
Required Site Plan Elements:
�3 copies of site plan on min 11x17"
'Drawn to standard scale --Retained trees, drip line /tree protection
North arrow VStreet and site trees shown/ labeled
Site address, project name, lot # Table calculating tree canopy at maturity
Street names (N/A for SFR)
VII Applicant name and phone # -61-Courtyard rectangle dimensioned (if applicable)
' Lot and setback dimensions -a-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)
Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SIR: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Syinmary table with calculations for:
Building height dimensioned sO,Total façade area
‘grFasade dimensioned • ,Total window and door area
Windows and doors dimensioned "PJ Total garage area
Required Floor Plan Elements: si,Summary table that includes
Each story dimensioned NITotal floor area
Each story floor area calculated C'Floor area per story
Planning Review
The following standards have been met:
Setbacks ❑ Front: 8 Rear: 0 Side: 3 Min/Max Street Side: 8 / NA Garage: 3
Height ❑ Max. Height: 35 Proposed Height: 23.5
VfYes El N/A Landscape
❑ Yes Cd N/A Screening (Quad only)
''Yes ❑ N/A % Window Coverage
Yes ❑ N/A Garage (SFR Only)
,../ Parking (Other Res)
V Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes yJ N/A Other building design standards (Rowhouse only)
❑ Yes E( N/A Accessory Structure Standards
❑ Yes d No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes I 'N/A Unit Count:
❑ Vest/N/A Lot Width and Size
0 Yes 9/N/A Pathway
Additiopal standards for Courtyard Units and Cottage Clusters only:
0 Yes gN/A Unit Area:
0 Yes 0(N/A Floor Area (per story)
❑ Yes f N/A Courtyard
0 Yes 0 N/A Fence
❑ Yes ❑ NoV /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes CINoN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes c/No
Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approved By Planning: � .«— Date: 10/20/2022
Single etached ouse and Pownouses wan frontage ver Terrace a.must meet all miming
buing design standards of i 8.b4U.0 tu.t.(haver terrace building Permit
Notes R=view Addendum).Thnsn,vi -s,de'chines-on-Ri„er Bk,d'w at ,eratal'except-38.6an mn E nos
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal /.
Original Submittal Date: i 11] g(
Site Plans #:
Building Plans #: ?j
Building Permit #: 'X Building permit # entered on page 1
Workflow Routing: 1Y1 Planning N Engineering I Permit Coordinator 0 Building
Workflow Sign-off: elit Sign-off for Planning (include notes from planning review)
Route Documents: ,Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
>1,Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: \t ( / U( •)`
Notes:
Enn ineering Review
glizSlope at building pad: 2th a/o
Nl/t ® 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 0./No
Assess Water Quantity Fee in-lieu: ❑ Yes CeNo
LIDA Facility on lot: ❑ Yes el-No Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /V 4,// z.
Revision 1: ❑ Approved of Approved Date: G
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:
JeSDC Exemption: ❑ Applied for ❑ Received /Does not apply
JdSDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: /Yes ❑ N/A /Deferred
Parks SDC: Yes ❑ N/A /6 Deferred
LIDA ❑ Yes /N/A
grOK to Issue/Approved by Permit Coordinator: Date: (I `t't fzo ,v
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: