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: 1 0/1 7/2022 Site Address: 16679 SW Darling
Project Creekside at SRT Land Use Case or
Name: Building Permit#: MST2022-00399
Tax Lot Total Parks
#: 2S107AD07800 Amount*: $8,699.00
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.a.t- ALam.i,A y (Taylor Morrison NW) Date: 10/17/2022
Developer:Oww-- AL i i.Abot4 o ..(Taylor Morrison NW) Date: 10/17/2022
0/17/2022
Permit Coordinator: 1)atc:
1
CITY OF TIGARD MASTER PERMIT
N . , COMMUNITY DEVELOPMENT Permit#: MST2022-00399
T I C;A R Il 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2023
Parcel: 2S107AD07800
Jurisdiction: Tigard
Site address: 16679 SW DARLING LN
Subdivision: CREEKSIDE AT SOUTH RIVER TERRACE Lot: 4
Project: Creekside at South River Terrace, Lot 4
Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 91 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1113 sf Garage: 422 sf Front: 12 Smoke
Dwelling Units: 1 Third: 1111 sf Right: 3 Detectors: Yes
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
•
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 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+ampNalt: 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: $22,987.70
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance, or if work is suspended for more
the 180 days. ATT I N: Oregondd law requires you t oliow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nnl-nnln e,r ,nh!1A c7_nnt V may nhtai rnnv of fha n,lac nr,lirnrt no eeennc In ell If lf:by Tallinn WV;9Z9 10R7 nr 1 Ann 4'J9 9R44
Issued By: — — Permittee Signature: J � erp 1 t C etr D 1
Call 503.639.4175 7:00 a.m.for the next available inspection date.
This permit card shall be kept i conspicuous place on the job site until completion of the project.
Approved plans are required on the iob site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard Received
g.. Tigard, Daffy. Permit No.:
'1 13125 SW Hall Blvd., OR 97223 Plan Review
r� Phone: 503.718.2439 Fax: 503.598.1960 Oak/By: Other Permit:
T 1 tiAlt I} inspection Line: 503.639.4175 Date Ready/By: lutist ® Sec Page 2 for
Internet: www.tigard-or.gOV Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
I j Multi-family ❑Master builder ❑Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 16679 SW DARLING LN Furnace 100.000 BTU(ducts/vents) 1 46.75 46.75
City/Slat./ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt no.: Project name: Creekside at South River Terrace Heat pump 1 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: Creekside at South River Terrace Lot no.: 4 Other 2332
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
DESCRIPTION OF WORK Gas fireplace/insert 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 tireplacefinaert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ElTENANT Other 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equ lxnent 1 33.39 33.39
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 1 23.32
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
C APPLICANT. ❑ CONTACT PERSON Other. 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway St,Ste 510 Gas heat pump 1
WalVsuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater 1
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1
Ranee 1
E-mail:permstsubmtttals(gtaylormorrlson.com Barbecue
IVCONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Aloeiek Dr,Ste.1104 Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
A. This permit application expires if a permit is not obtained within 180
VWQi b ..tl. days after it has been accepted as complete.
Authorized signature: • see methodology set by Tri•County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
I\Anildiml.lmlir[tivmf ym,wi♦nn namlt rin. A All.•..117lI rn,rn.rnrn;o,
Plumbing Permit Application
$uilding Fixtures FOR OFFICE USE ONLY
City of Tig
ard d Received
:III
g Date/B Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 plan Re
al Review
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ions: I ® See Page 2 for
Internet: www.ligard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Oty. 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
,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
ElAccessory building VIAulti-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: 16679 SW DARLING LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,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
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:___,) Page 2
Storm sewer(no.linear fr.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Creekside at South River Terrace Lot no.: 4 Fixture or item:
Tax map/parcel no.: Backllow 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 Monson Northwest LLC. FixNrdsewereap 25.02
Floor drain/floor sinkiltub 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 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:permitsubmittals@taylormorrison.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 9 C17t.X V Subtotal 600.40
Phone:(503)868- (/t Fax:(971)727-8170 Minimum permit fee: 572.50
CCB ' ..184372 Plan review (25%of permit fee)
iy `� Plumbing]ic.no.:pb634 State surcharge(12%of permit fee)
Authorized signature: (_ ( tA..� TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires If a permit is not obtained within 188 days
after it has been accepted as complete.
'Fee methodology set by Tri•County Building Industry Service Board.
l:tauild'mg\PermasPLMO-PennnApp.dne I(121109 440-4616T(I8l02/COM'WEH)
RECEIVED
•
City of Tigard -" ? `� ?0?2
• �� COMMUNITY DEVELOPMENT DEPARTMENT P N ITY OF TIGARD
TIGARD
Building Permit Review - Residen"i '�NGiNEERING
m
Building Permit #: MS(2llZj'1/ OO' '
Site Address: 16679 SW Darling Lane
Project Name: South River Terrace Lot #: 4
Proposal: New detached dwelling
Required Submittal Elements
vf3 copies of site plan ❑ 3M�u f �l�y, of buildings to be demolished
Drawn to standard scale 1 Footprint of new structure and FFE
qf North arrow ❑ Rctaincd trccs, drip line / tree protection
(Site address, project name, lot # 'Street trees shown / labeled
Vr Street names Sidewalk / driveway shown and dimensioned
Applicant name and phone # 'Utility locations & easements (new / additions)
qf Lot and setback dimensions u 0f wells / septic systems
❑ C,.;At;.. i'Lot area and lot coverage percentage
CV'Erosion control VCorner elevations (2' contours if > 4' differential)
Vision clearance triangle Ground slope at building pad calculated / shown
Planning Review
'i, 'Verify address / suite # active in Accela.
Vf Zone: RES-C
Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995)
Required: ❑ Yes NIZI No
Received: ❑ Yes El No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes NizrNo
Applied For: El Yes ❑ No, stop intake
Sensitive Lands: El Yes c'No
Type:
VI'Housing Supplemental Sheets Completed
❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse
El Cottage Cluster Type II (1 per unit) Wf Small Form Residential / ADU
El Courtyard Units Type II (1 per building) 0 River Terrace Addendum
Land Use Case #: PDR2021-00003 Conditions met prior permit issuance
Approved By Planning: Date: 9/27/22
Notes
Revision 1: 0 Approved El Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
I'.‘Budding\ForrnsEldgPermaRvw Res 08162022.docx
Building Permit Submittal
Original Submittal Date:
Site Plans #:
Building Plans #:
Building Permit #: ❑ Building permit # entered on page 1
Workflow Routing: El Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: El 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.
El Building: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: Date:
Notes
Engineering Review
l/Slope at building pad verified Slope: 2&/'"
/LJ/14 [2/Conditions met prior to issuance of permit
'Easements (encroachments) per engineering conditions of approval and plat
A-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes tk'No
Assess Water Quantity Fee in-lieu: El Yes 0-No
LIDA Facility on lot: ❑ Yes 1q'No Add Fee: El Yes El No
ise'Final Plat Recorded
El NOT Approved: Date:
Notes
Approved By Engineering: Date: l�//4/2�
Revision 1: 0 Approved 0 of Approved Dat(
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
0 Conditions met prior to permit issuance
El Approved, NOT Released: Date notified applicant:
El ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for 0 Received ' J Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes N/A
19
tOK to Issue/Approved by Permit Coordinator: ( 1 Date: to-
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace South Single Detached Supplemental
Building Permit #: MS1211/2- 003j,q Project Name: South River Terrace
Site Address: 16679 SW Darling Lane
Lot #: 4 Total Existing Units: s One El Two ❑ Three
New Configuration: t Single Detached El Duplex ❑ Triplex 0 +ADU
Land Use Case: PDR2021-00003
Single Detached Standards
Setbacks Front: 12 Porch: 8
Nyi Side: 3 Street Side (public): 8 Street Side (alley): 3
'Rear: 15 Rear (alley/private street): 0 Rear Covered Patio: 10
Garage (public street): 20 Garage (alley/private street): 335
Height qi Max. Height: __35 Actual Height: 23' 1.5"
Landscape $ Landscape Area: 200/0
Lot Coverage Max: 80%
Entrance 'Set back no more than 8' from street-facing wall
Parallel to street or offset 45 degrees or less
Windows VMinimum 12% of area of all street-facing facades 26%
Garage Garage door is behind widest street-facing wall *Garage not on front facade,
Yes located at rear with alley access
❑ 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.
Ga door width is:
O 12' or
❑ 50% or less o de
❑ 60% or less and inclu e f following:
❑ Covered porch ❑ Recess trance ❑ Wall offset
❑ 1' Roof eave 0 Roof offset ❑ Fire shingles
❑ Lap Siding ❑ Gable, hip, gambrel roo ormer
❑ Roof pitch ❑ Accent siding 0 Win im
❑ Window recess ❑ Window projection 0 Balcony
I:\Bud ding'formsBldgPermitRvw_ROW Su pplememn1070722