Permit (5) FOR OFFICE USE ONLY—SITE ADDRESS: \5 4 to\ Sykl \f(knC,Le,r 3 oO6 tate,
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
Tit;nttu 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION P rr;7 ®7
7-1
FROM: Tony Stammen
3 2023
COMPANY: Pacific Lifestyle Home
CITY OF TI \, .1
PHONE: 419-852-2796 F11
EMAIL: Tonys@buildplh.com
RE: 15461 SW Vanderwood Ave. MST2023-00203
(Site Address) (Permit Number)
River Terrace Crossing Lot 5
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description: „ .,.;
Additional set(s) of plans. 3 Revisions: ss
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: S6 sheet has been updated
FO• OFFICE USE ONLY
Routed to Permit Technic' : Date: 5/23 f z,1 Initials:
Fees Due: Yes No Fee Description: Amount Due:
- Nt't
Special
Instructions:
Reprint Permit(per PE • Yes No r '11 . ❑ Done
Applicant Notified: Date: Ind I ) 'ij 'IA • ri�(X1\P� ,1 LOAM]• Initials: tta
eu
II CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2023-00203
Date Issued: 06/29l2023
T t G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC14000
Jurisdiction: Tigard
Site address: 15461 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot: 5
Project: River Terrace Crossing, Lot 5
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1153 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 4 Second: 1209 sf Garage: 607 st Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2362 sf Value: $404,773.43 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories; 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Dis 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
9 P 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 2
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'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+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Ecompasing:
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2362
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
11815 NE 99TH ST#1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98686 VANCOUVER,WA 98682 2 Geo Tech Required
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $23,984.25
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 app, ved 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. ATTENTI : Ore aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc7_nn1_nnln thrn,In AR OF') 1_nnon V brain a rnnv of the r,[lac nr rl hart nnnctinn<to('a!MC ha ranlnn Fns 747 10137 nr 1 eon R19 9'3dd
Issued By: f' Permittee Signature: Y -
Call 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.
Building Permit ADDlicat I"lCI CE /E
Residential V I c)I/of Fu I I SE ONLY
City of Tigard MAY 1 5 2023 D«BYa ` f d lAr t a7S.—tea
Permit No..
' 13125 SW Hall Blvd.,Ti OR 97223Review I !i� A7,d,7 q A „, O Q Q
Phone: 503.7182439 Fax: 503.59�.+ tr'OF TIGARD Date/By: Dt 1 (1 l
TIGARD Inspection Line: 503.639.4175 Date Rea B n aim: ® See Page 2 for
Internet: www.tigardocgov BUILDING DIVISION Notified/Method: b�� ��ti3.1�Y Supplemental lvformation
r:lY\gi .g.4 Utloiei
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alterationheplasment ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
stat
Valuation: $ ;000
® 1-and 2-family dwelling ❑Commerciafindustrial t) 9713''
❑Accessory building El Multi-familyNumber of bedrooms: 4
❑Master builder ID Other: Number of bathrooms:,..d:s'l-('JOB SITE INFORMATION AND LOCATION Total number of floors: 2 te /^
Job site address: 1.5461 SW VANDERWOOD AVE New dwelling area: 2362 square feet'n[,�o,�^f�
City/State/ZIP:Tigard,OR Garage/carport area: 607 square feet ! J `"/�
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 42 square feet ,•"J//yyy
Cross street/directions to job site: Deck area: 229 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing Lot no.:5 Permit fees*are based on the value of the work performed.
Tax map/parcel no2S108D('00600 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SFR Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99i'Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name. Pacific Lifestyle Homes (Please refer Is fee schedule)
Structural plan review fee(or deposit): rl`J f. I)
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address:11815 NE 99th Street,Suite 1200
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application:
Phone:(360)213-0809 tax: :( ) Amount received:
E-mail:peroitsCa buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name.Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same Solar Installation Specialty Code checklist.
City/State/ZIP:Same Permit Fee(includes plan review $180,00
and administrative fees):
Phone:( ) Fax: )
State surcharge(1 2a h of permit fee): $21.60
CCB lie.:173524
Total fee due upon application: $201.60
Authorized signature: .. ' �4_24 This permit application expires if a permit is not obtained
0 /A. within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:5/12/2023 "Fee methodology set by Tni-County Building Industry
Service Board.
l:\Building\Penults\BIJP-RESPemntApp.doe 02/24/2011 440-4613T(I1/02/COM/WEB)
e:.wx a........
Mechanical Permit Applicati FOR OFFICE USE ONLY •
City of Ti and �� � .' ' Received Pen
III 13125 SW Hallivd.,Tigard,OR 97223 i`��� oO��
Phone: 503.718.2439 Fax: 503.598.1960 MAY 15 2023 Plan ReviewDate/By: Other Permit..
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: hale:
Internet www.ti and-or. ov r.r,l� o S See Page 2 for
8 g CITY OFT. Notified/Method: Supplemental Information
TYPE OF Wiii COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
®New construction Addition/alteration/replacement lacemen[ Mechanical permit fees*are based on the value of the work
❑ eP performed.Indicate the value(rounded to the nearest dollar)of all
['Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Z-alue:5
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT(SYSTEMS FEES*
® I-and 2-family dwelling ❑Comtnercialiindustrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
tow
Air conditioning 46.75
Job site address: 15461 SW VANDERWOOD AVE Furnace 100,000 BTU(duets/vexes) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000*BTU(ducts/vents) 54.91
Heat pump I 61.06
Suite/bldg./apt.no.: Project name:River Terrace Crossing 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:River Terrace Crossing Lot no.:5 Other. 2332
Other fuel appliances:
Tax map/parcel no.:2S108DC00600 Water heater 2332
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
New SIR fireplace 2332
Log lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
Oth23.32
El PROPERTY OWNER El TENANT S
Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
equipment I 33.39
Address: 11815 NE 99th St.,Suite 1200 Clothes dryer exhaust I 3339
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 6 2332
Phone:(360)573-8081 Fax:I i Attic/erawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 2332
Business name:Pacific Lifestyle Homes Fuel pipit:
514.15 for first four,54.03 for eacy additional
Contact name:Permit Coordinator-Kellie Franklin Furnace,etc.
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater •
Phone:(360)213-0809 Fax::( ) Fireplace I
Range 1
E-mail:permitsrk:buildplh.corn Barbecue
CONTRACTOR Clothes dryer(gas)
•
Other:
Business name:Wolcott Plumbing
MECHANICAL PERMIT FEES"
Address:1075 West Historic Columbia River HWY Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum permit fee($90 00)
Plan review(25%of permit fee)
Phone:(503)667-1781 Fax:( ) Stare surcharge(12%ofpermit fee)
CCB tic.:112220 TOTAL PERMIT FEE
This permit application expires if.permit is not obtained within tan
/,7. •
days after it has been accepted as complete.
Authorized signature:�t9��� p ., WY ai U.� .. ` Fee methodology set by Tri-min bnl ty Building uciry Service Board
Print name:Kellie Franklin r Date:5/112023
L"Boilding` enuits\MEC PermitApp 04a1,3 doe 440d617T(t1,e21COFGWE3)
,DECEIVE `
Electrical Permit Applicatio �^- FOR OFFICE USE ONLY
Cityof TigardMAY 15 2023 Received 3 oil 77
- mteiv ��• o
13125 SW Hall Blvd.,Tigard,OR 97223 plan Renew.
Phone: 503.718.2439 Fax: 503.598.19 Date/B - Related Permit#:
R
TIGARD Inspection Line: �.e: 503.639.4175 p1 I I OF T� `�'� 1 Ready Date/B frail y: ® See Page 2 for
e, Internet www.tigard-or.gov BU ,,,,ILDING Notified'Method: Supplemental Information
TYPE' PLAN REVIEW
®New construction ❑Addition/alterationireplacemenl Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories
0 Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or 0 Floating buildings.
less to ground,or exceeds 14.000 0 Commercial-use agricultural
Eli-and 2-family dwellin ❑Commercial,/industrial 0 Accessory but Whig
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pomp. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job 4: Job site address:15461 SW VAN DERWOOD AVE I00HP or more. ❑-A", F","l-z","t-3",
City/State/ZIP:Tigard, OR ❑Six or more residential units. Recoccreational vehicle
❑Health-care facilities. 0 parks.
Suite/bldg./apt.4: Project name:River Terrace Crossing 0 Hazardous locations ❑Supply voltage for more than
0 Sen ice or feeder WO amps or more. 't/n col rs''''rural
Cross street/directions to job site: FEE SCHEDULE
Description I Oar. I Each I tonal I
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing I sal 5 Includes attached garage.
Tax map:parcel R:2S108DC(1O61N) l•�sq•ft''than -
2 168.54 4
Fa add'l 500 sq.ft or portion 2 33.92 I
DESCRIPTION OF WORK Limited energy,residential
New SFR (with above sq.ft) 75.0(1 2
•
Limited energy,nmlti-family 75.00 2
residential(with above sq.ft.)
® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 100.70 2
Address:11815 NE 99th St., Suite 1200 201 amps to 400 amps 1 133.56 2
401 amps to 600 angss 200.34 2
City/State/ZIP:Vancouver,WA 98682 601
amps to 1,OOD amps 30I.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,aadlor
Email:permits(buildp1h-coo
relocation
Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
Ig] APPLICANT ® CONTACT PERSON A.Fee for branch circuits with
Business name:Pacific Lifestyle Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name:Kellie Franklin B.Fee for branch circuits without
Address:11815 NE 99th St.,Suite 1200 service or feeder fee,fffst 56.18 2
branch circuit
City/State/ZIP:Vancouver, WA 98682 Each add.(branch circuit 7.42 2
Mbcdlaaeom(service or feeder not included)
Phone:(360-213-0809 Fax: :( I Each manufactured or modular 67.84 2
' dwelling,service atd'or feeder
Email:permits@buildplh.com Recomneci only 67.84 2
CONTRACTOR Punip or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave. Signalel.chcutionis)orlixtensienergy 0 See Page 2 2
panel.alteration.or extension.
City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable hi any of the above
Additional inspection((lir min) 66.25/hr
Phone:(S03)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email:permit�garnerelectric.com Industrial plant(I hr min) 78.18i'hr
Inspections for which no fee is 90. /hr
CCB Lie.: 121159 Electrical Lie.: 34-305C Suprv.Lic.: 3707-S specifically listed(1:In min)
��s ELECTRICAL. PERMIT FEES
Suprv.Electrician signature,required.
�flL— Subtotal:
Print name: Charles Gamer Dat Z/1 2/2023 0 Plan Review Required(25%of permit tee):
State surcharge(124i,of permit fee):
Authorized signature: g aao4iau TOTAL PERMIT FEE:
' This permit application expires if a permit is not obtained within ISO
Print name: Brittany Burian DateS/112023 days after it has been accepted as complete.
" Number of inspections allowed per permit.
L'HmWmg.PermifrELC PemniApp ELR_ERE.doe Rev 06/17/2015 4404615T(i1/05/COM/WEB
•
Plumbing Permit Application
Building Fixtures RECEIVr FOR OFFICE USE ONLY
City of Tigard Received Permit NuM ap?'77-` 0-0z7
13125 SW Hall Blvd.,Tigard,OR 97223M AY 15 2023 Date/By.
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No:
Dote/By:
(.I O,It U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/yr. Juns: ® See Page 2 for
Internet'. www.tigard-or.gov _ a r e Notifled'\tethud Supplemental Information
TYPE OF W s, ,•..;,;R,... " ,.. „.... FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qtr. I Ea. I Total
❑Additionlalteratiotrreplacement ❑Other: New 1-2-ramify dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION .sr . SFR(1)bath 312.70
I ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bat/hitchen 1 25.02
•
•
❑Master builder ❑Other:
The sprinkler sq.ft.) Page 2
' JOB SITE INFORMATION AND LOCATION Site utilities:
•
Job site address: 15461 SW YANDERWOOD AVE 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:River Terrace Crossing Manufactured home utilities 50.03
•
•
Cross street/directions to job site: Manholes 18.76
Rain drain connector 8 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:River Terrace Crossing I Lot no.:5 Fixture or Item:
Tax trap/parcel no.: 25108DC00600 Backflow presenter 1 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 1 25.02
New SFR
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/slump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name.Pacific Lifestyle Homes Fi*nre/setP-er cap 25.02
Floor drain/floor sinkrhub 25.02
Address: 11815 NE 99th Street,Suite 1200 Garbage disposal 1 25.02
City/Stale/ZIP:Vancouver,WA 98682 }lose bib 2 25.02
Phone:(360)213-0809 Fax:( ) Ice maker 12.51
® APPLICANT O. CONTACT PERSON Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:S_) Page 2
Pinner 12.51
Contact name:Permit Coordinator-KeUle Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 994'Street,Suite 1200 Sink/basin/lavatory 8 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/showedshower pan 3 12.51
E-mail:permits a buildplh.com Urinal 25.02
Water closet 4 25.02
CONTRACTOR
Water healer 1 37.52
Business iiamc:Wolcott Plumbing
Water pipinglDW V 56.29
Address: 1075 West Historic Columbia River HWY Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:112220 Plumbing Lie.no.:it,•$ e49 lJ Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: �p/ F-6...aattotaiti TOTAL PERMIT FEE
Print name:Kellie Franklin Date:5/11/2023 This permit application expires if a permit is not obtained within i80 days
after it has been accepted se complete.
'fee medndology set by Tri-County Building Industry Service Board.
I:Buildvyr.Penaars PLan?-Penait_1pp.doc tOO1/09 440-0616i(10/02/COM/WEB)
City of TigardRECEIVED
•
" COMMUNITY DEVELOPMENT DEPARTMENT MAY 1 5 2023
r r°
Building Permit Review - Residential CITY OF TIGARD
BUILDING DIVISION
Building Permit #: — 0 U G 77
Site Address: 15461 SW Vanderwood Ave ❑ Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 5
Proposal: New Detached SFR Zone: RES-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex❑Triplex❑ ADU) ❑ Rowhouse❑Cottage Cluster❑ CYU :Quad ❑Other
Required Site Plan Elements:
❑ 3 copies of site plan on max 11x17"
O Drawn to standard scale ti Reidhied uees, di ip line / Lree pi�lettivii
O North arrow 0 Street and site trees shown / labeled
❑ Site address, project name, lot # ❑ Table calculating trcc canopy at maturity
O Street names (N/A for SFR)
❑ plicant name^^ud hon # ❑ Courtyard rectangle dimencioned (if applicable)
Lot and setbacIMMVArdgack to front porch v l t„engle
5-6,51i3 ❑ :x;3t;i.g ate eCtul es A cq,t i e Utility locations &easements
�Fo9tprint of new structure and FFE ❑ Property corner elevations
Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbance)
O Lot area and lot coverage percentage 0 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) S7rn> table with calcul r:
O Drawn to standard scale ❑ Total faSa
O Building height dimensioned window and door are
e dimensioned
❑ Windows dimensioned
age doors dimensione
oor Plan Elements:
(Not required for able that includes
❑ Each story dimensions lour area
oor area calculated ❑ Floor area per s
Planning Review
The following standards have been met:
12'; 8 porch 8' ubli
Setbacks 0 Front: Rear: 10' Side: 3' Min/Max Street Side: , p Garage: 20'
Height 0 Max. Height: N/A Proposed Height: 26' 3"
3 privat
❑ Yes ❑ N/A Landscape Garage and window standards (garage width,
A Screening (Quad only) etc.) do not apply. These standards were
❑ Yes ❑ N/A • ow Coverage optional at the time of approval.
❑ Yes ❑ N/A Garage (SF ar " Other Res) See pg. 35 36 of PDR2016 00016
❑ Yes ❑ N/A Entrance (SF , nly) section 18.660.070.E.2 in which "high-
El• Yes ❑ N/A Ot i ding designign standards (Row o 'd', g
❑ Yes ❑ Accessory Structure Standards rchitectural features" was not opted for
s ❑ No Qualifying pre-existing unit exempt from standards (Cottage unit
itional standards for Courtyard Units, Cottage Clusters, Rowhouses, an s:
❑ Yes Unit Count:
❑ Yes ❑ N/A Lo ' h and Size
❑ Yes ❑ N/A Pathway
Additional standards for Courtyar • Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor per story)
❑ Yes ❑ N ourtyard
N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
t O Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: O Yes ❑ No
Applied For: ? l Yes 0 No, stop intake
O Sensitive Lands: 0 Yes O No
O Main Land Use Case #s: PDR2016-00016; PDR2018-00005 0 Conditions met
D Applicant notified of land use expiratio • /2 926--
Approved By Planning: ] Date: S/el2 7
Notes
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal Original Submittal Date: 5/1 SI/
7?
Site Plans #:
Building Plans #:
Building Permit #: Id,Building permit # entered on page 1
Workflow Routing: IRkPlanning NI Engineering k Permit Coordinator [Building
Workflow Sign-off: A 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.
Ilk Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: 5/1 a l
Notes:
Engineering Review
O PFI Permit:
/f"Slope at building pad: j_{
i-Conditions met prior to issuance of permit
li'Easements (encroachments) per engineering conditions of approval and plat
water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Ig'No
Assess Water Quantity Fee in-lieu: ❑ Yes iio
LIDA Facility on lot: 0 Yes fJ No Add Fee: ❑ Yes 0 No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: - l/l�7Z�
Revision 1: 0 Approved ❑ of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
O ENG Revisions Required: Date notified applicant:
SDC Exemption: 0 Applied for ❑ Received /Does not apply
�] SDC Fees Entered: Wash Co Trans Dev Tax: .21'es /N/A
Tigard Trans SDC: Yes ❑ N/A WDeferred
Parks SDC: .des ❑ N/A Deferred
LIDA ❑ Yes EN/A
"OK to Issue/Approved by Permit Coordinator: l,`Q^ Date: 5 I lA2 5
Revision 1: ❑ Approved 0 Not Approved UUUU Date:
Revision 2: 0 Approved 0 Not Approved Date:
DomSign Envelope ID:OBABE211-D9F2-4DA5-97BD-B55C68A1A009
MAY 15 2023
City of Tigard CITY OF TIGARD
.N • Deferral Until Occupancy Request ,UjLDING DIVISION
j f;A tc n Washington County Tt nspotation Development Tax(ID'!),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: 5/15/2023 Site Address. 15461 SW VANDERWOOD AVE
Project Land Use Case or
Name; River Terrace Crossing • MST2023-00203
(Paciac Lifestyle Homes) Bnrldtng Permit#:
Tau Lot 2S108DC00600 Total Park
#: Lot 5 Amount*: $11,830.00
TDT Total TSDC
Amount: NIA 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 laf$6,812.00 far Pnrks•lmprovemenr,$ 1,887.00 for Parks-
Reimbursement,and cithcr S 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,
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.
TI)T may only be deferred if the TDT i6_yreater than the amount for a siggie-fsunity residencg. 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 hob the Property Owner and the Developer must sign this request,
5o«uagn..by:
ASs t�Lalaln 5/11/2023
Property(hurter: ntArrcssnauts Dare:
Nate"- GV tSiW Date: May 12 2023
Developer:wallsr Watson(M 2)aV 1023 14:02 t.f1)
Permit Coordinator: Date: 5/15/2023