Permit (4) III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00015
Date Issued: 08/16/2023
T[GAI,.„D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD10800
Jurisdiction: Tigard
Site address: 14644 SW 169TH AVE
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 20
Project: Creekview at South River Terrace, Lot 20
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: 960 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1573 sf Garage: 393 sf Front: 8 Smoke Yes •
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
•
Total: 2533 sf Value: $409,526.70 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
Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 WI Svc or Fdr: 0
Ea add]500 sf. 4 201-400 amp: 0 201-400 amp: 0 WIG Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
801-1000 amp: 0 601+amp-1000v: 0
1000+amphrolt: 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 2533
Owner: Contractor: Required Items and Reports(Conditions)
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $35,230.84
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica' enter Th rules are set forth in OAR
OG9_nM-M1 n 1hrn,,nh flaP _nnl_nnOn Vnn may nhfain n rnnu of that mine nr rlirpr4 nuactinnt 1n f l INC..by railinn c 9'i9 1 R7 1 ran 9-add
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection da e.
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.
•
, Plumbing Permit Application RECEIVED
Building Fixtures JAN 1 8 2023 FOR OFFICE USE ONLY
City of Tigard Received
Date/By: P _ 00t9 I i
m 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGAR I Plan Review r 7
• ■ Phone: 503.718.2439 Fax: 503.598.1960UILDING DIVISIOther Permit No.:
line: 503.639.4175 D I Da�-
t�r,,:l:n InspectionDate Ready/By: rmu: (asee Page 2 for
Internet www.tigard-or.gov Notifed/Method: Su
pplemental Intormaaon
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special injormaaon use checklist
Description I Qty. I Ea. 1 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
ty t-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/❑'Accessory building -Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other.
Firer sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14644 SW 169TH AVE Catch basin or area drain 18.76
Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) 1 Page 2
Suite/bldgJapt.no.: I Project name:Creekview at 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 R: I Page 2
Water service(no.linear ft: ) Page 2
Subdivision: Creekview at South River Terrace I Lot no.: 20 Fixture or item:
Tax map/parcel no.: Bacldlow prevaihx 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
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC.
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:S ) Page 2
Contact name: Omar Alum 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&Sous Inc Water piping/DWV in Roy 56.29
lt/D
Address:P.O.Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal 600.40
Phone:(503)868-1417 I Fax:(971)727-8170 Minimum permit fee S72.50
Plan CCB Lie.:184372 J Plumbing Lic.no.:pb634 revia (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 180 days
after It has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
1:\&uldingsPermneFLMU-PermisApp.doe 10/01/09 440-e616T(IQ02/COM/WSB)
,
❑ Yes ❑ Nok,I41/A Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995)
CIYes 0 NOON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes El No
Applied For: 0 Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes 9No
yr Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approved By Planning: ✓ Date: ' ` I V/ ?,0 2 3.
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: tit alt)'%7
Site Plans #:
Building Plans #: -9
Building Permit #: !Q Building permit # entered on page 1
Workflow Routing: X Planning IX Engineering 18.Permit Coordinator A Building
Workflow Sign-off: 14 Sign-off for Planning (include notes from planning review)
Route Documents: Igf Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
0 Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. j
Permit Technician: J,i Date: i 417,
Notes:
Engineering Review Dp
Slope at building pad:
// D / %
////f Conditions met prior to issuance of permit
''Easements (encroachments) per engineering conditions of approval and plat
kWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I711,No
Assess Water Quantity Fee in-lieu: ❑ Yes iti4Jo
LIDA Facility on lot: ❑ Yes g'No Add Fee: ❑ Yes ❑ No
thl-fi-nal Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: �-r' Date: 4/23
Revision 1: ❑ Approved Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
onditions met prior to permit issuance
Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
DC Exemption: ❑ Applied for ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: p Yes 0 N/A Deferred
Parks SDC: ❑ Yes 0 N/A Deferred
LIDA El (Yes N/A
k\\\\\\
K to Issue/Approved by Permit Coordinator: \--\ ' b\\C�\( Date: k- -S-2
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
City of Tigard
" Deferral Until Occupancy Request
T 1 G A R D Washington County Transportation Development Tax (1'DT),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: 1/25/2023 Site Address: 14644 SW 169th
Project Land Use Case or
Name: Creekview @ SRT Building Permit#: MST2023-00015
Tax Lot 2S107AD10800 Total Parks $8,699.00
#: Lot 20 Amount*:
TDT Total TSDC $12,004.00
Amount: NSA 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,$ 1,887.00 for Parks-
Reimbursement,and either$ NIA 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 IDT 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 ALo-wti'Ahou a-FY (Taylor Morrison NW) Date: 01/25/2023
Developer:Owta r Ala '4'A120141-a. (Taylor Morrison NW) Date: 01/25/2023
Permit Coordinator: /( Date: 1/25/2023