Permit (3) CITY OF TIGARD MASTER PERMIT
I . COMMUNITY DEVELOPMENT Permit#: MST2023-00012
Date Issued: 08/16/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 107AD 10500
Jurisdiction: Tigard
Site address: 14618 SW 169TH AVE
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 17
Project: Creekview at South River Terrace,Lot 17
Project Description: New detached dwelling.
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 StormSewer: 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
Drywell-Trench Drain: 0 Other Fixtures: 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
Fum<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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?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: NI 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 2533
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 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 Notification Cent . hose rules are set forth in OAR
0c911m-nntn thrni,nh f t QF7J1 Min Yn,I may nhtain a rnnv of tha rulac nr,1irart m,acting to r11 IMr.by Tallinn FOZ 9A9 10 nr nn .7 2Ad
Issued By: 7
Permittee Signature:
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 Application RECEIVED
Lar 1 '7
Residential JAN 1 8 2023 FOR OFFICE I 'NI.O.I 1
CReceived /p '7 1 aoa�--o� ►�-
Ity of Tigard Re Date/By. ' ( O P.,'!
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review r 2 1141,90.13 .3
,.+
Phone: 503.718.2439 Fax: 503.598.196�UILDING DIVISIONDa��Y� I/ 2 7-j �J"�af �'3"0c o d -7
T I Ci A R p Inspection Line: 503.639.4175 Date Ready/By:11 / ru�is. B See Page 2 for
Internet'. Www.tigard-or.gov Notified/Method: bj / J }3j D ? Supplemental Information
VVu'1 i ( al I^,s
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/alterationireplacement ❑Other:
equipment,materials,labor,overhead,and the profit for the O
CATEGORY OF CONSTRUCTION work indicated on this application. Li
oCy (r
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: a248 77/1 7-.. V
0 Accessory building ❑Multi-family Number of bedrooms: 4 2
0 Master builder El Other. Number of bathrooms: )
JOB SITE INFORMATION AND LOCATION Total number of floors:2 2°12(e
Job site address: 14618 SW 169TH AVE New dwelling area: 2,533 square feet I L7"73
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 393 square feetq(,,
Suite/bldg./apt.no.: Project name:Creekview at South River Terrace Covered porch area: square feet /I
Cross street/directions to job site: Deck area: (Zfl square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Creekview at South River Terrace Lot no.: 17 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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 Construction/Type: SFU (3041B) Valuation: s
Please defer TSDC and Parks SDC until occupancy. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St., Ste 710 Occupancy groups:
City/State/ZIP:Vancouver, WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Taylor Morrison Northwest LLC Meese refer toter reamule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 710
City/State/ZIP:Vancouver, WA 98660
Total fees due upon application:
Phone:(360)946-8674 Fax::( )360 693-4442 Amount received:
E-mail: OAIamiAbouhafs altaylormoRison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
:Fi T e ^ o . _F ti ,'; 3$ Commercial and residential prescriptive installation of
,� i.. , .3-r-, f , r„� - AF, ':^,r,< .w, 3 eta: , a._ , ,,. >rx f= roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St., STE 710 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
// - Total fee due upon application: $201.60
Authorized signature: �ht:a 1.irQkyjtG"'MB"�G/LC[ This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 01/18/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l I/02/COM/WEB)
I .
Mechanical Permit APA$C ECEIVED FUR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 9722)AN ' 8 2023 Plan cRev �3 �Od (3
iew
Phone: 503.718.2439 Fax: 503.598.1960 By:
Inspection Line 503.639.4175 Date/By: Other Permit.
riCFi.it�, Inspection CITY OF TIGARD Date Ready/By heir: RI See Po 2 for
Internet www.tigard•or.gov BUILDING DIVISION Noti&ed/Mrrbod: s nt lInf
Aeppkmea4l Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE'— USE C "*r**uT
(0 New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
RESIDENTIAL EQUIPMENT/SYSTMS FEES+
1. 1-and 2-family dwelling 0 Commercialfindustrial ❑Accessory building For special information use checklist
I J Multi-family ❑Master builder 0 Other. Description
Qty. Ea, Total
JOB SITE INFORMATION AND LOCATION Heatingieooling:
Job site address: 14618 SW 169TH AVE Air conditioning I 46.75 46.75
Furnace 100,000 BTU(duoahents) 1 46.75 46.75 _
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt no.: Project name: Creekview 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 -
bydronic) 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: Creekview at South River Terrace Lot no.: 17 Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
— DESCRIPTION OF WORK Gas fireplace/basal 3339
Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 23.32
Chimney/Una/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other 23.32
• Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/o herkitchen 33.39
Address:703 Broadway St.,Ste.510 equipment 1 33.39
Clothes
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust 1 33.39 23.32
exhaust(bathrooms
toilet compartments,utility rooms) 1 23.32 23.32
Phone:(360)695-7700 Fax:( ) Atricdrrewispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other
23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
534.15 for first four,$4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway St,Ste 510 Cns heat pump 1
City/State/ZIP:Vancouver,WA 98660 Waeadedhmit heater
Watterer h heaeater 1
Phone:(360)695-7700 Fax:(360)693-4442 Fireplace 1
Range 1
E-mail:permitsabmittals(ataylormorrjson.corn Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
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
ZWi2 ,J�'l.a.-ri, days after it has been accepted as complete.
Authorized signature:
* Fee methodology set by Tri-County Building Industry Service Board
Print name:El a Duran Date: 10/30/20
1 lliniVin'.'Pmmi,AMPr Pnrni,Ann IWn t i Ant 401 n<,n-i,,n+wv,ll.gmo,
pr ,
Electrical Permit ApplicatioRECEIVED
FOR OFFICE USE ONLY
City of Tigard q q q Received
13125 SW Hail Blvd.,Tigard,OR 97223 JAN 1 8 2023Mill
PlaPlait Rev Pe m L�� 3 �D 0�
Phone: 503.718.2439 Fax 503.598.1 Dai Review
Inspection Line: 503.639.4175TY OF TIGARD Dale By. t 2—
Rented Permit a:
TIGARD P - _
e Internet www_tigard-orgov' BUILDING DIVISION Nofi tr°ru'B� r""` td See enrol Ifor
nformation
�
Notified/b1edtod Supplemental hd
TYPE OF WORK
®New constructionw PLAN REVIEW
❑Add it ion/alteration/rep Iacement Please check all that dock,i:ubmn 2.e'c of plans or items checked?
❑Senoee or leader 400 amps or more 0 Budding over three stories
❑Demolition 0 Other'
CATEGORY OF where the available fault current 0 Marinas and boatyards.
CONSTRUCTION exceeds 10,000 amps at ISO volts or
® I-and 2-familydwelling 0 ❑Clouting ,al-use buildingsCommercial/Industrial 0 Accessobuildingless to ground,or exceeds la 0fi0 use agriauumal
❑Commercial-use Multi-family ❑Master builder ❑Other: amps for all other installations buildings
JOB SITE
'INFORMATION AND LOCATION 0 Fire pump ❑Installation of 150 K V A or
['Emergency system. largerrger separately derived
lob 4. I lob site address: 14618SW 169THAVE ❑Addition of new motor load of system.
100HP or more. ❑"A"."E" -I-2"•'1 T
City/State/ZIP: Tigard OR 97140 ❑Six or more residential unit, ruroirancy.
SUlte/bld /a t.iI: 0 Health-care facilities 0 K .inonal vehick parks.
g P ( Project name:Creekview at SRT 0 Hazard°.a Iocar,ons
Cross stfeef/directlons to Job site: ❑San ice.a larder ni�V Loopsor more
FEE SCHEDULE -... i
Ueseripnnn Q ,d
Subdivision: New residential single-or multi-family dwelling unit.
Creekview at SRT I Lot 4: 17 Includes attached garage.
Tax map'parcel 6: 1,000 sq ft.or less 16854 4
DESCRIPTION OF WORK Ea sq.0 or portion 3 3392 101.76 I
Limitedited energy,residential
New construction.Type SFL (with above sq.ft.) 75.00 2
-- Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
® PROP$iTY.OyryEli ❑TENANT Renewable Energy ❑ See Page 2
Name: Taylor Morrison WNER > st 1.1 C. Services or feeders instaLntion,alteration,and/or relocation
200 amps or less 1 100.70 100.7 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133 56 2
City/State/ZIP: Vancouver,WA 98660 401 amps to 600 amps 200 34 2
Phone:( 360 1946 8674 601 amps to 1,000 amps 301.04 2
I Fax:( ) Over 1,000 amps or volts 552.26 2
Email: OAIamiAbouhafsrdtaylormorrison.cum-PetmitSubmittalsiataylorrnorrison.coin Temporary a`rice'or feeders installation,alteration,and/or
on
Owner installation: This installation is beingmade on property200 amps
or that I own which is not 200 amps nr less 59.36 I
intended for sale, lease,rent,or exchange.according to ORS 447,449,670.and 701. I
201 amps[0 4f10 amps I25.08 I a
rs s i nor anal a rc: amps to 599 amps
Date: 401
( 168.54 2
O
❑ APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,r r panel
Business name VIJr Morrison Northwe,t LLC. A.Fee for branch circuits with
above service or feeder fee,
Contact name: Omar Alami Abouhafs each branch circuit 7 42 2
B.Fee for branch circuits wirhhow
Address: 703 Broadway St.,Ste 710 service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Vancouver,WA 98660 Each add'I branch circuit 742
2
Phone:(360 )946 8674 ( Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email:OAlamiAbouhafsc taylormorrison.com-PermitSubmittals2itaslormorrisoacom dwelling service and/or feeder 67 2
CONTRACTOR Reconnect onlc 67.84 2
A RmeD Pump orirrigation tile 2
Business name: / ,./ 67.84
i��(r,1 �� Sign• or outline lighting 67.84 2
Address: '3l/15 A,E r j i` �v_ ,c Signal circuit(s)or limited-energy
City/State/ZIP: P1p�T�f`+ t _f ��/L panel,alteration,or extension 0 2 2
H'*�a / C� q '}Zr"3 Each additional inspection over allowable in any of the above
Phone:( 5 V i Z) I Fax:( ) Additional inspection(1 hr min) 66.25/hr
` 3Investigation(1 hr min) 90.00/hr
Email: See L a�- DIndustrial plant 0 hr min) 78.18/hr
r Lei M Inspections for which no fee is CCB Lie.: 1 91 I R2 I Electrical Lie.: qm t.3-, Suprv.Lie.: 4155if eS specificaliv listed('/r hr. min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Print name: subtotal. I $202.46
Da-vE. L.;S-'TE lc... I Date: I0-5-2 i 0 Plan Review Required(25%of permit fee):
..�� State surcharge(12%of permit fee).
Authorized signature: TOTAL PERMIT FEE
Print name: Piggy n This permit application expires if a permit is not obtained within 180
G Tl'1»tin Ys 0� Date: (Q-5-21 days after it has been accepted as complete.
I.lBwIdirrglPermitstEl.0 PmnitApp EIR ERErbc Rev Oft 17120I5 • Number of inspections allowed per perni�.
440-44I ST(1 I i0S/COM/W EB
a
Plumbing Permit ApplicationRECEIVED
Building Fixtures AN 1 8 2023 FOR OFFICE 1.SE ON
EN
City of Tigard Reonved y��/ 4Z
• 13125 SW Hall Blvd.,Tigard,OR 97223 (' Den By 74 . ��/ -0 Oo I
a Phone: 503.718.2439 Fax: 503.598.19UILD OF TIGARD Plan Review Other Permit No.:
T„,,\r Inspection Line: 503.639.4175 ILDING DIVISICI Re.arlBy , Sec Page 2 for
Internet: www.tigardor.gov Notified Method: _ Supplemental(nfurmanuu
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition Far special information use checklist.
❑Addition/alteration/replacement 0 OtherDescription I Qty. I Ea. I Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-and 2-family dwelling 0 CommerciaVindustrial SFR(2)bath 437.78
❑Accessory building %•Multi-family SFR(3)bath 1 50032 500.32
Each additional bathhitchen 25.02
❑Master builder ❑Other: Fires sprinkler P (_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14618 SW 169TH AVE Catch basin or area drain 18.76
_ -- Drywell,leachor much drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) 1 Page 2
SuitrlbldgJapt.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 ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Creekview at South River Terrace I Lot no.: 17 Fixture or Item:
Tax map/parcel no.: BackfIOW 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 ❑ TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. FtxturrJscwercap 25.02
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_) Paget
Primer 12.51
Contact name: Omar.Alumi Abouhats .
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sirtk basis 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:perm)tsubmittals@taylormorrison.com U z5.o2
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 97137 Subtotal 600.40
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634
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 tax days
after It has been accepted as complete.
•Fee methodology set by Tri-County Building Industry Service Board
t\aaiidioatPermintPt.MU-PameApp.doc 1e/ntea9 4449616T(IOAJCOMNIEBI
III
IN
._ Building Division
One & Two-Family Dwelling
TIG?.RD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION I:4y 20Z
Permit #: t) 24) , oo i Plan #: r5Dt-f 1 8 Floors: o•—.
Valuation: el! ,.7o Covered Porch: Basement
Bedrooms: (-1 Deck: 12, 7 1" Floor 1.40
WC (toilets) 2J Deck Cover: ----- 2"d Floor t S-75
Lavatories S Patio Cover _ 3`d Floor
Tub/shower 3 Accessory Struct. - R-3 Total 2 S 33
Laundry Tray Water Heater t Ca r- Garage 3
Exhaust Vents C> Gas Flue Vents Total for Elec. 2
Backflow Prey. - OM/ Heat Pump AC # for Electrical
BBQ r---____. Gas Fireplace L .o-S #Fuel Lines 3
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning /
Info Proc/Arch: Lg $2.00 (over 11x17) 3
Info Proc/Arch: Sin$.50 (up to 11x17) rj
Metro CET: Residential Use �y
School CET: District: \Vrr.
Tigard CET: Admin ?SJ'-"
Tigard CET: ODHCS ✓
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: fr'-.--
12% State Surcharge 1 -
Mech. Permit: Permit Fee:
12% State Surcharge t..-------
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping
t
Notes:
I:\Building\Forms\ResPlanCheckFees.doc 12/13/22
Page 1
• City of Tigard
;lB. COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /(1( IT?...034-3 o U o i�2.
Site Address: 14618 SW 169th Ave Verified in Accela
Project Name: Creekview(South River Terrace) Lot/Unit #: 17
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-D
Required Site Plan Elements:
0 copies of site plan on min 11x17"
vt Drawn to standard scale --Retained trees, drip line/ tree protection
North arrow Street and site trees shown / labeled
Site address, project name, lot # -Table calculating tree canopy at maturity
,Street names (N/A for SFR)
VA Applicant name and phone # Courtyard rectangle dimensioned (if applicable)
VLot and setback dimensions $Vision clearance triangle
-Eifxisting structures &square footage Utility locations &easements
Footprint of new structure and FFE Property corner elevations
Sidewalk/driveway dimensioned -B-LIDA (>1,000 sf disturbance)
Lot area and lot coverage percentage 'Erosion control
Required Elevation Plan Elements:
(For S R: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Summary table with calculations for:
VEr Building height dimensioned ',Total facade area
\j/Fagade dimensioned VS Total window and door area
Windows and doors dimensioned Total garage area
Required Floor Plan Elements: Summary table that includes
Each story dimensioned VTotal floor area
Each story floor area calculated C 'Floor area per story
Planning Review
The following standards have been met:
Setbacks ❑ Front: 8 Rear: 15 Side: 3 Min/Max Street Side: NA / NA Garage: 20
Height ❑ Max. Height: 35 Proposed Height: 24'-1"
'Yes ❑ N/A Landscape
❑ Yes"N/A Screening (Quad only)
v/Yes ❑ N/A % Window Coverage
''Yes 0 N/A Garage (SFR Only)
Parking(Other Res)
Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes c/N/A Other building design standards (Rowhouse only)
❑ Yes'N/A Accessory Structure Standards
❑ Yes9'No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes VVN/A Unit Count:
❑ Yes 9,N/A Lot Width and Size
❑ Yes c N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
O Yes VN/A Unit Area:
❑ Yes l 'N/A Floor Area (per story)
❑ Yes V,N/A Courtyard
O Yes V N/A Fence
. ' ❑ Yes 0 NoN /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
O Yes 0 No1N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes 0 No, stop intake
❑ Sensitive Lands: 0 Yes ciNo
Land Use Case #: PDR2021-0 0 0 Conditions met prior permit issuance
Approved By Planning: 1 Date: I /I g /av .)--
Notes
Revision 1: 0 App oved 0 Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal /
Original Submittal Date: ( { l�j(3�
Site Plans #: "'JJJ
Building Plans #: —,
Building Permit #: Building permit # entered on page 1
Workflow Routing: Planning X Engineering I;11.Permit Coordinator AZ.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.
ttA Building: original permit application, site plans, building plans, engineer and
beam calculations,calculations and trust details, if applicable, etc.
Permit Technician:
"��3 .2 Date: I (,4f?
Notes: -//
Engineering Review
e
C(Slope at building pad: 7�
/1//A idConditions met prior to issu nce of permit
12-Easements (encroachments) per engineering conditions of approval and plat
VI-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes EtM o
Assess Water Quantity Fee in-lieu: El Yes kNo
/ LIDA Facility on lot: ❑ Yes I f No Add Fee: 0 Yes ❑ No
l Final Plat Recorded
O NOT Approved: Date:
Notes:
l y�
Approved By Engineering: �-���� Date: � � 23
Revision 1: 0 Approved 0 Noproved Date:
Revision 2: 0 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: 0 Applied for El ReceivedL ,D-Does not apply
[ADC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes El N/A 1 Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA ❑ Yes /A
st161OK to Issue/Approved by Permit Coordinator: %1`Q{C Date: '' "
Revision 1: ❑ Approved El Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
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: 1/25/2023 Site Address: 14618 SW 169th
Project Creekview @ SRT Land Use Case or MST2023-00012
Name: Building Permit#:
Tax Lot 2S107AD10500 Total Parks $8,699.00
#: Lot 17 Amount*:
TDT N/A Total TSDC $12,004.00
Amount: Amount*:
*The total TSDC amount shown above is the sum of$ 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$ 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,
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 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: 01444 t- ACcwvw Amy (Taylor Morrison NW) Date: 01/25/2023
Developer:Omar Ata-vvvi,Atyo-wk .j (Taylor Morrison NW) Date: 01/25/2023
Permit Coordinator: Date: 1/25/2023