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Permit (18) CITY OF TIGARD MASTER PERMIT , _ : 11 a COMMUNITY DEVELOPMENT Permit#: MST2023-00260 T I[;A R. f 7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2023 Parcel: 2S108DC17600 Jurisdiction: Tigard Site address: 15090 SW COOLWATER LN Subdivision: RIVER TERRACE CROSSING Lot: 41 Project: River Terrace Crossing, Lot 41 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 6 First: 1317 sf Basement: 574 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1803 sf Garage: 554 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3694 sf Value: $602,663.96 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 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: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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 add'I 500 si: 7 201-400 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3694 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) BY CHICAGO TITLE COMPANY OF 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 OREGON LAKE OSWEGO,OR 97035 2 Geo Tech Required Prior To ATTN KEARNEY,MOLLY Pour 1500 NW BETHANY BLVD STE 301 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $29,971.74 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. ATTENTI : Oregon law requires you so follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QF911n1-nnln thrre inh AP c911M-nnGn vnn n hai nnv of the ndoc nr riirn t ni mctinne to fll INr:by nollinn Af11 919 1QR7 nr 1 Ann 1.19,9'Wd Issued By: 1 ' C Permittee Signature: N C �tpp f �i t c.4.[r'lh/ Call 3.639.4175 by 7:0 a.m.for the next available inspection date. , This permit card shall be kept in a aplcuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each inspection. • Building Permit Application Residential J3251 FOR OFFICE USE ONLY City of Tigard RTC41 Received Permit No. p • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieDate/By: lir 4 e� — `O Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7 OtherPermita _ Tic;\r,0 Inspection Line: 503.639.4175 II�-�' �I°�'"' Date ReadyBy. vris � r Internet: www.tigard-or.gov R��L���6... Notified/Method: +I g�'GU'lj3-F1p Supplemental Information TYPE OF WOM 7 2023 REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑ Demolitign Permit fees*are based on the value of the work performed. ( ; Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ©;�L'�ylier equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this plication. Q/ X❑ 1-and 2-family dwelling ❑ Commercial/industrial Valuation p $ ^��f t r ,..� ,_l tY ❑Accessory building 0 Multi-family Number of bedrooms v FYI ❑Master builder ❑Other: Number ofbathroomsN JOB SITE INFORMATION AND LOCATION Total number of floors: 3 LiZyt' Job site address:15090 SW Coolwater Ln. New dwelling area: 3,694 square feet l S63 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 554 square feet /} ll Suite/bldg./apt.no.: Project name: River Terrace Crossing Front Covered porch area: 89 square feet Gila Cross street/directions to job site: ja 11r�80 square feet �!t6wE (9) square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: River Terrace Crossing Lot no.:41 Peuuit fees*are based on the value of the work performed. I Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New, single family residence Valuation: $ Would like to request SCD deferral Existing building area: square feet New building area: square feet ICI PROPERTY OWNER 0 TENANT Number of stories: Name: Stone Bridge Homes NW, LLC Type of construction: Address:423-Galewood St. Suite#100 Occupancy groups: City/State/ZIP: Lake Oswego, OR 97035 Existing: Phone:(503)387-7577 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Stone Bridge Homes NW, LLC Structural plan review fee(or deposit): Contact name: Permit Tech FLS plan review fee(if applicable): Address: 4230 Galewood St. Suite#100 Total fees due upon application: City/State/ZIP: Lake Oswego, OR 97035 Amount received: Phone:( 503) 387-7577 Fax: :( ) E-mail: portlandpermits@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego, OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)387-7577 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201.60 Authorized signature: _J . (/ �/ This permit application expires if a permit is not obtained LCL%�Zf.Y, within 180 days after it has been accepted as complete. 6-8-2023 *Fee methodology set by Tri-County Building Industry Print name: Tiana Rudolf Date: Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: Permit No.:,/P(�' 1 'y� �® 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / /:dC !, �j Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 RECEIVED Date Ready/By: Juris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work X❑New construction ❑Addition/alteratioetaaepenGARD performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: pl.!" n " r?` ",n mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 15090 SW Coolwater Ln. (requires site plan showing placement) 1 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: River Terrace Crossing Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 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 Subdivision: River Terrace Crossing Lot no.: 41 Flue/vent for any of above 1 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas 2 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 lil PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen equipment 1 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:( 503)387-7577 Fax:( ) toilet compartments,utility rooms) 7 23.32 0 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: Stone Bridge Homes NW, LLC ' 23.32 Fuel piping: Contact name: Permit Tech S14.15 for first four;$4.03 for each additional Address: 4230 Galewood St. Suite#100 Furnace,etc. 1 Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone:(503) 387-7577 Fax::( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Range 1 CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer(gas) Other: Address: 1032 NW Corportate Dr. MECHANICAL PERMIT FEES* City/State/ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee($90.00) Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee) COI lie.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: ""V '',' L�✓._r,r, This permit application expires if a permit is not obtained within 180 Y days after it has been accepted as complete. Print name: David Heldstab Date:6-8-2023 * Fee methodology set by Tri-County Building Industry Service Board I\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(11102/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY ,`'� City of Tigard k ived Permit • e 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVE telly: �IVI • g Plan Review ar�� 0v�v I Phone: 503.718.2439 Fax: 503.598.1960 Related Permit a: 2023 Ready TIGARD Inspection Line: 503.639.4175 7 LU ReadyDateBy: raris: ® See Paget for v Internet: www.tigard-or.gov .. Notified/Method: Supplemental Information TYPE OF WORK err(OF 1IGARD PLAN REVIEW r.....tnt1 ❑X New construction 0 Addition/alteration/re tA)4t _ 1',c Please check all that apply(submit 2 sets of plans w/items checked): -... ❑ Demolition ❑ Other: CI Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. X❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural, amps for all other installations. buildings. ❑ Multi-family ❑ Master builder 0 Other: ❑Fire pump. 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#:3251 Job site address:15090SWCoolwaterLrl. l0OHPormore. ❑ 'A",°'E","I-2", '1-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 Qty. 1 Each 1 Total I • New residential single-or multi-family dwelling unit. Subdivision:River Terrace Crossing Lot#:41 Includes attached garage. 1,000 sq.ft.or less 3 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 2 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New, single family residence Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2 Address:4230 Galewood St. Suite#100 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego, OR 97035 601 amps to 1,000 amps 301.04 2 Phone:( 503) 387-7577 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: portlandpermits@stonebridgehomesnw.com relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 IX1 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension, r er panel A.Fee for branch circuits with Business name: Stone Bridge Homes NW, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Permit Tech B.Fee for branch circuits without service or feeder fee,first Address: 4230 Galewood St. Suite#100 branch circuit 56.18 2 City/State/ZIP:Lake Oswego, OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503)387-7577 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 - -- Signal circuit(s)or limited-energy Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503)648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr Email: chelsea@garnerelectric.com Industrial plant(I hr min) 78.18/hr sins for which no fee is 90.00/hr CCB Lie.: 2322591 Electrical Lie.:34-305C Suprv.Lic.: 31 Q l S specifically listed(V hr min) �p ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ekas[.p e€. g(1.411.0.4 Subtotal: Print name: Charles Garner Date:6-8-2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): ��� � �/� TOTAL PERMIT FEE: Authorized signature: . /r�`zzz , /ltii 24 This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date:6 8-2023 days after it has been accepted as complete. * Number of inspections allowed per permit. L\Building\PermitswELC_PermitApp ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application *Aiding Fixtures FOR OFFICE USE ONLY City of Tigard Received r Date/B Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223REV"� . , y' f`�?-jD !/�a(a[J Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Permit No. Inspection Line: 503.639.4175 JUN i 4 y Date ReadBy. ®orris: See Page 2 for TICARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORT CITY OF Tir,,, FEE* SCHEDULE ®New construction 0 hemolition For special information use checklist Description I Qty. Fa. 'Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312,70 I] 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 1 25.02 ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15090 SW Coolwater Ln. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:River Terrace Crossing 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: River Terrace Crossing I Lot no.:41 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New, single family residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 121 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02 Address: 4230 Galewood St. Suite#100 Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02 Phone:(503)387-7577 Fax:( ) Ice maker 12.51 IJ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Stone Bridge Homes NW, LLC Medical gas(value:$_) Page 2 Contact name: Permit Tech Primer 12.51 Roof drain(commercial) 12.51 Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 8 25.02 City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54 Phone:(503 )387-7577 Fax:: ( ) Tub/shower/shower pan 4 12.51 E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02 Water closet 4 25.02 CONTRACTOR Water heater 1 37.52 Business name: Edward Mullen Plumbing Water piping/DWV 56.29 Address: S. E. River Road Other: 25.02 City/State/ZIP: Hillsboro, OR 97113 Subtotal Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 92689 Plumbing Lic.no.: 34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Jeremy Crace Date:6-8-2023 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tn-County Building Industry Service Board. 1:\Building\Permits\PLMU-Perm@App doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard II " COMMUNITY DEVELOPMENT DEPARTMENT g Building Permit Review - Residential TIGARD Building Permit #: /5?-0477 _DC) T 60 Site Address: 15 o g 4 S Cool wa{2S /...f/1r_ /Verified in Accela Project Name: R,i 1btCC CSoss')h_ Lot/Unit #: 4 1 Proposal: '" Zone: R€S-c Housing Type: L3'SFR(❑ Single Detached ❑ Duplex ❑Triplex❑ADU)❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑ Other Required Site Plan Elements: IJ 3 copies of site plan on max 11x17" dprawn to standard scale North arrow Street and site trees shown / labeled Site address, project name, lot # ❑ T�R.lati gti-ee-co apy at m tuuity lI,Street names (N/A foi SFR) IV Applicant name and phone # dLot and setback dimensions IZVision clearance triangle Utility locations &easements ootprint of new structure and FFE d Property corner elevations Sidewalk/driveway dimensioned laLIDA (>1,000 sf disturbance) L(Lot area and lot coverage percentage dErosion control Elevation Plan Elements: (For SFR: caics n / on street-facing) Summary table with tions for: ❑ Drawn to standard scale a facade area ❑ Building height dimensioned ❑ Total window and door area ❑ Facade dimensio ❑ Windo doors dimensioned rage doors dimensioned Req oor Plan Elements: (Not required for ❑ Su at includes ❑ Each story dimensioned I floor area ❑ Each s area calculated ❑ Floor area per s Planning Review The following standards ghavePbeen met: Setbacks 51 Front: Ia Rear: �h10 Side: 3 Min/Max Street Side: 34 / Garage: �c) Height EZI,Max. Height: 3 S Proposed Height: I-; ' RI ❑ Yes N/A Landscape ❑ Yes N/A Screening (Quad only) ❑ Yes N/A % Window Coverage ❑ Yes N/A Garage (SFR Only) Parking (Other Res) ❑ Yes N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes N/A Other building design standards (Rowhouse only) ❑ Yes N/A Accessory Structure Standards ❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only) itional standards for artQard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes U ' unt: ❑ Yes ❑ Lo ' h and Size s El N/A Pathway ditional standards for C ya Units and Cottage Clusters only: ❑ N/A Unit Ar . ❑ Yes ❑ N r Area (per story) ❑ Yes and s 0 N/A Fence ❑ Yes 0 No I$.1/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995) Ayes ❑ No ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: X Yes ❑ No, stop intake on,oinn IS(Sensitive Lands: ❑ Yes lg No IR.Main Land Use Case #s: I'DP- 43I,6—coo 1 I. / 'fJR 3-0IS- 1:)DOo5 0 Conditions met E-Applicant notified of land se q' do ate: '2./ozD-/a-o a`b Approved By Planning: _ .Date: b/ `14/ O -3 Notes bPttnoi cAcitk c ar•As Act- Appl;c,b\t \-o Rtc l' Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Building Permit Submittal / Original Submittal Date: 6r / Site Plans #: 5 Building Plans #: 3 Building Permit #: N.-Building permit # entered on page 1 Workflow Routing: K Planning [!,Engineering 119,Permit Coordinator cgL Building Workflow Sign-off: ill Sign-off for Planning (include notes from planning review) Route Documents: 0 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. kBuilding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: Date: +o(l 7e3 Notes: Engineering Review ❑ P I Permit: Slope at building pad: 2©X Conditions met prior to issuance of permit Easements (encroachments) per engineering conditions of approval and plat /'GVater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes allo Assess Water Quantity Fee in-lieu: ❑ Yes Z[�'No LIDA Facility on lot: ❑ Yes kl.No Add Fee: ❑ Yes ❑ No Final Plat Recorded 0 NOT Approved: Date: Notes: Approved By Engineering: Date: 0�- '4S Revision 1: ❑ Approved 0 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: ❑ ENG Revisions Required: Date notified applicant: SDC Exemption: ❑ Applied for 0 Received >EIDoes not apply DC 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 ____)%'`Nn/A 1 fk\K to Issue/Approved by Permit Coordinator: �``A�0 Date: — Revision 1: 0 Approved 0 Not Approved Date: ( Revision 2: 0 Approved ❑ Not Approved Date: RECEIVED J3251 City of Tigard RTC41 JUN 1 2 2023 1111 " Deferral Until Occupancy Request CITY OF TIGARD BUILDING DIVISION 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: 6-8-2023 Site Address: 15090 SW Coolwater Ln. Project River Terrace Crossing Land Use Case or MST2023-00260 Name: (Stone Bridge Homes) Building Permit#: Tax Lot 2S108DC17600 Total Parks $11,830.00 #. Lot 41 Amount*: TDT Total TSDC Amount: N/A Amount*: $12,004.00 *The total TSDC amourAt4hwg�yyrto�above is the sum of$ 7,760.00 for TSDC-Improvement,$ 448.00 for TSDC- Reimbursement,and$ 4'i 6. 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$ 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, 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: Katy R Lt3 Date: 6-8-2023 f'azx 'aizi 06/08/2023 Developer: Signer ID:AlMMC4MTX8... Date: Permit Coordinator: Date: 7/12/2023