Permit CITY OF TIGARD MASTER PERMIT
14 • COMMUNITY DEVELOPMENT Permit#: MST2022-00394
Date Issued: 01/09/2023
TIC,A It.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD07900
Jurisdiction: Tigard
Site address: 16665 SW DARLING LN
Subdivision: CREEKSIDE AT SOUTH RIVER TERRACE Lot: 5
Project: Creekside at South River Terrace, Lot 5
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
Yes
Dwelling Units: 1 Third: 1111 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
Bckflw Prevntr: 0
Footing Drain: 100 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel TYPOS 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 ad l 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 1',
d
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 8 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 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 98660 2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $22,987.70
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. KIT TION: Oregon law ' s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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issued By: • Permittee Signature: l€ 'D 1% c- to 4i
Call 503.639. Yr$Ti�7:00 a.m.for the next available inspection date. r l
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 lob site at the time of each inspection.
•
Plumbing Permit Application g�
Building Fixtures REC FIVED FOR OFFICE USE ONLY
City of Tigard l �22 Received
Date/By: Permit No.:
,r 13125 SW Hall Blvd.,Tigard OR. 9722 Plan Review
tt Phone: 503.718.2439 Fax: 503.598.1960 Date/By; Other Permit No.:
Inspection Line: 503.639.4175 CII1 01- IIGARD
T I G A R D Date Ready/By: hem El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifted/Method: - Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description 1 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(I)bath 312.70
1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
❑Accessory building Multi-family
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: 16665 SW DARLING LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dirt/ell,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 ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Creekside at South River Terrace Lot no.: 5 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 r 0 TENANT Expansion tank 12.51
Fixtunlsewer cap 25.02
Name: Taylor Morrison Northwest LLC. Floor drain/floor sit l mub 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
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
E-mail:permitsubmittab@taylomiorrison.com Urinal 25.02
CONTRACTOR Water closet25.02
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,0 3.7 51t/ A. V Subtotal 600.40
1/1 permit fee: S72.50
Phone:(503)868- I ax:`971) 8170 Minimum pe
CCB Lie• 372 ( t/ " L(k-/1�7�' Plumbing�Lic.no.:pb634 Plan review (25%of permit fee)
`e e+^ _ State surcharge
TAL of permit
FEE
ee)
A horized signature: - -- TOTAL PERMIT FEE
Print name:Steve Fowler Date: 1 0/30/20 This permit application expires It a permit is not obtained within 180 days
after it has been accepted es complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IM1Buildiog\PermitaPli U-PemtirApp.doc I0i0109 440.46167110,02/C0MrWEB1
Building Permit Submittal f
Original Submittal Date: cf1 -9!
Site Plans #:
Building Plans #:
Building Permit #: ABuilding permit # entered on page 1
Workflow Routing: 131,,Planning V Engineering KPermit Coordinator kl Building
Workflow Sign-off: 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.
*Building: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: `' r- `A` Date: I D( 13 I a-��
Notes
Engineering Review
0
Slope at building pad verified Slope: 2��
/4 Conditions met prior to issuance of permit
*Easements (encroachments) per engineering conditions of approval and plat
IJ'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes lt'No
Assess Water Quantity Fee in-lieu: ❑ Yes I4No
LIDA Facility on lot: ❑ Yes 8/No Add Fee: ❑ Yes 0 No
'Final Plat Recorded
❑ NOT Approved: Date:
Notes
Approved By Engineering: Date: /2:7/We a
Revision 1: ❑ Approved ❑ of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Et Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
DC Exemption: El Applied for ❑ Received ODoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes CIN/A
Tigard Trans SDC: Yes ❑ N/A VDeferred
Parks SDC: Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes E "/A
Q` ra
.I.K to Issue/Approved by Permit Coordinator: Date: 1V - I r ZZ
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: