Permit (10) 14 CITY OF TIGARD MASTER PERMIT
i.- COMMUNITY DEVELOPMENT Permit#: MST2023-00289
T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2023
Parcel: 2S108DC21300
Jurisdiction: Tigard
Site address: 15794 SW PEACE AVE
Subdivision: RIVER TERRACE CROSSING Lot: 78
Project: River Terrace Crossing, Lot 78
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 1805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 22 Bathrooms: 2 Second: 0 sf Garage: 421 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1805 sf Value: $348,480.47 Rear: 10
PLUMBING
Sinks; 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 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: i
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5
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: 3 201-400 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
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 1805
Owner: Contractor:
CND-RIVER TERRACE LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
1111 N POST OAK RD 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
HOUSTON,TX 77055 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $21,832.33
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 Center. Those rul-- . e set • 'n OAR
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Issued By: !, Permittee Signature:
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.
j • i
Building Permit Applicatio ECEI V/ED
Residential FOR OFFICE USE.ONLY
JUN 2 2 2023 Received ' iy -r 3 �p�
City of Tigard Plan Re /b P { CJ
13125 SW Hall Blvd.,Tigard,OR 972J��,,1711
Plan Review
Phone: 503.718.2439 Fax: 503.59s.V9lDY OF TIGARD D dy: `7 i 7 3 o-D}3 -Co 17 2
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: /��yyy /�,�,,� y„� loos: I RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method:,,,,, ,, .'e g j,Ot/\ nl' Supplemental Information
1 rated _���jj_,
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
U.Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: eanarno 514o�f.Q
El I-and 2-family dwelling 0 Commercial/industrial 1�1 I so
❑Accessory building ❑Multi-family Number of bedrooms 3
❑Master builder ❑Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 2.1.24.
Job site address:15794 SW Peace Ave New dwelling area: 1805 square feet i 1 c(-
City/State/ZIP:Tigard,OR Garage/carport area: 421 square feet
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 29 square feet
Cross street/directions to job site: Deck area: /,, ,.,150 square feet
t edtikurdtigd4 Val v square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing I Lot no.:78 Permit fees*are based on the value of the work performed.
fax map/parcel no2S108DC21300 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: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99'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 to fee schedule)
Structural plan review fee(or deposit):
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address:11815 NE 99th Street,Suite 1200
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98682
Phone:(360)213-0809 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@buildplh.com
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(12%of permit fee): $21.60
CCB tic.:173524 Total fee due upon application: $201.60
Authorized signature: A.--0,"AG �2CL,r4/e4L This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:6/15/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
l:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Mechanical Permit Annlic 4EC`EI 1! ED FOR OFFICE l'SF.(l\'I.1
City of Tigard Received
122=ElinEna
13125 SW Hall Blvd.,Tigard,OR 97223 II tt��II Plan Review
® Phone: 503.718.2439 Fax: 503.598.196A�i y 2 2 2023 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: 7aris: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial 0 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 46.75
Job site address:15794 SW Peace Ave Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:Tigard,OR Furnace 109,000+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
Other: 23.32
Subdivision:River Terrace Crossing Lot no.:78
Other fuel appliances:
Tax map/parcel no.:2S108DC21300 Water heater 23 32
•
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
New SFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
equipment 1 33.39
Address:11815 NE 99th St.,Suite 1200 Clothes dryer exhaust I 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;$4.03 for each 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
Range 1
E-mail: permits@buildplh.com Barbecue 1
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:( ) State surcharge(12%of permit fee)
CCB lie.:112220 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: /l W4d, fr-Tt * Fee methodology set by Tri-County Building Industry Service Board
Print name:Kellie Franklin Date:6/15/2023
I9auilding\Penn1Islh4EC PermilApp 040113.dec 440-4617T(11/02/COM/WEB)
' 'Electrical Permit ApplicationRECEIVE r FOR OFFICE ('SE ONLY
JUN
City of Tigard q qe Received P ` _co i0
't 13125 SW Hall Blvd.,Tigard,OR 97223 2 2 2023 RecPlan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARDp{P Ready DateBy: Ions: PI See Page 2 for
a Internet: www.tigard-or.gov BUILDING DIVISIO _ Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
121 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 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 D Master builder ❑ Other: Cl Fire pump. 0 installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:15794 SW Peace Ave lOOHP or more. ❑"A","E", 't-z "l-3",
City/State/ZIP:Tigard, OR ❑Six or more residential units. occupancy.
❑Healthcare facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River Terrace Crossing ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more_ 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
• New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#:78 Includes attached garage.
Tax map/parcel#:2S 108DC21300 1,000 sq.ft.or less 1 168.54 4
Ea.add'l 500 sq.ft.or portion 2 33.92 1
DESCRIPTION OF WORK Limited energy,residential
New SFR (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER I ❑ TENANT 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 amps 200.34 2
City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permits@buildplh.com relocation
Owner installation:This installation is being made on property that I 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
El APPLICANT ® CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
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 br ice ciru fee,first
braanch circcuit 56.18 2
h t
City/State/ZIP:Vancouver, WA 98682 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@buildplh.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
Address:2890 SE Brookwood Ave. Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
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:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email: permits@,garnerelectric.com Industrial plant(1 hr min) 76.18/hr
Inspections for which no fcc is 90.00i hr
CCB Lic.: 121159 Electrical Lic.: 34-305C Suprv.Lie.: 3707-S specifically listed('/ hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
A Subtotal:
Print name: Charles Gamer Date: 6/15/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ,F,_., ... 43u i TOTAL PERMIT FEE:
This permit application expires if permit is not obtained within 180
Print name: Brittany Burian Date. 6/15/2023 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:1BuddrogtPermitslEt.C_PermilApp_EI.R_ERE.doc Rev 06/17/2015 440-4615'r(II/05/COM/WEB
r
• e` -
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE ESE ONLY
• City of Tigard Received P t.,�.(1-� _00 13T
I - • 13125 SW Hall Blvd.,Tigard,OR 972i11IN 2 2 2023 Date/By:Plan Review er9'vC%I
Phone: 503 718.2439 Fax: 503.598.1960 Other Permit No.:
DateBy:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: hair ® See Page 2 for
TIGARDY Y €
Internet: www.tigard-or.gov �, ILDING Dl JISIO� Notified/Method Supplemental Information
TYPE OF WORK t✓ FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
ElI-and 2-family dwelling IDCommercial/industrial SFR(2)bath 1 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler sq.ft) Page 2
LOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 15794 SW Peace Ave Catch basin or area drain 18 76
City/Statc/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 6 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.:78 Fixture or item:
Tax map/parcel no.: 2S 108DC21300 Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
Clothes washer 1 25.02
New SFR •
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Name: Pacific Lifestyle Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99th Street,Suite 1200 Garbage disposal 1 25.02
•
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)213-0809 Fax:( ) Ice maker 12.51
® APPLICANT ® CONTACT PERSON interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Permit Coordinator-Kellie Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 5 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 2 1251
E-mail:permits@buildplh.com Urinal 25.02
Water closet 2 25.02
CONTRACTOR
Water heater 1 37.52
Business name:Wolcott Plumbing Water piping/DWV 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: $72.50
CCB Lic.:112220 Plumbing Lic.no.:1,40 .$ Plan review (25%of permit fee)
///�/I •
State surcharge(12%of permit fee)
X ,� ti1 Authorized signature: e2ay ll - TOTAL PERMIT FEE
Print name:Kellie Franklin Date:6/15/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
LIBuilding1PermitslPLMU-PermitApp.doc 10/01/09 440-4616T(10/02JCOM/WEB)
1
Building Division
.71 :
One & Two-Family Dwelling
T i c n n Fees Checklist ,
PERMIT INFORMATION: Application Date -FEE VERSION J�1y 2%2
Mw.sG--11
Permit#: (YES 12o'Z3— Q 0 Z59 Plan #: 19 65 Floors:
Valuation: 3i$, c7,8v , 4/7 Covered Porch: 11 Basement
Bedrooms: 3 Deck: j --D 152 Floor 118pS---
WC (toilets) . Deck Cover: 15`0 2nd Floor
Lavatories `?> Patio Cover 3'Floor ----
Tub/shower 2 Accessory Struct. R-3 Total I-E E
Laundry Tray J2.- Water Heater I / U�/ Elec Garage 1.ZL2(
Exhaust Vents Gas Flue Vents '--'--• Total for Elec. 2 Z
-440
Backflow Prev. \i'-AS Furnace / eat P / AC # for Electrical
BBQ Iy--Vj Gas Fireplace Q #Fuel Lines
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning ...-
Info Proc/Arch: Lg$2.00 (over 11x17) I
Info Proc/Arch: Sm$.50 (up to 11x17) 53
Metro CET: Residential Use
School CET: District: `J�
Tigard CET: Admin
Tigard CET: ODHCS 1..------
Tigard CET: AH
Electrical Permit: Permit Fee: ✓
Limited Energy: ✓
12% State Surcharge
Mech. Permit: Permit Fee: ✓^
12% State Surcharge
Plumbing Permit: Permit Fee:
12%State Surcharge
Erosion Control: w/Permit -Ping
0.3 _ (,d65 X 1 Sb, 8-7 27a1 3Z) ". .5
Notes: (,k_yZ1 o l ��(- I 2-5/ LH/ .3 s� 3'S t HSO ,y-1
1 S 30• z , 9 j 53 I , 5c)
tit_e_:.jp kt-4—r-
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 ,
Page 1
City of Tigard RECEIVED
1,1
COMMUNITY DEVELOPMENT DEPARTMENT
_ JIIN 2 2 2023
Building Permit Review - Residential
TIGARDi CITY OF TIGARD
it PI HI nIM1 niVneinnl
Building Permit #: Itil r2c -3 — 0O j 7
Site Address: 15794 SW Peace Ave X Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 78
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: X SFR(X Single Detached ❑ Duplex❑ Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad 0 Other
Required Site Plan Elements:
IN 3 copies of site plan on max 11x17"
X Drawn to standard scale ❑ R..tu:,,cd t.c..a, d,:p line/ t,cc protcction
X North arrow X Street and site trees shown / labeled
X Site address, project name, lot # T. { to --1- li9n treo at .....aturit
X Street names (N/A for SFR)
XI Applicant name and phone # 0 C..,..t,,..J I,.ul,alyl,. J1IiI IlawucJ (:f uNNI ble)
;31 Lot and setback dimensions ❑ Vision clearance trianglc
❑ C,.i,G„y .tl,.ct,..,,,, &,,,,,.,,,,. f.,.,tay„ X Utility locations &easements
X1 Footprint of new structure and FFE X Property corner elevations
X Sidewalk/driveway dimensioned ❑ LIDA (-1,000 c`dictrrbanco)
X Lot area and lot coverage percentage X Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) u able with calculations for:
XI Drawn to standard scale ❑ Total facade a
X Building height dimensioned ❑ Total window and door area
❑ Facade dimensioned
❑ MII d d
❑ Garage doors dimcncioncd
Requir Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned oor area
❑ Each story floor area calculated ❑ Floor area pe
Planning Review
The following standards have been met:
12 18'front porch , 3,
Setbacks M Front: Rear: 10• Side: Min/Max Street Side: 8 / Garage: 20'
Height 0 Max. Height: 35' Proposed Height: 21'6"
❑ Yes ❑ N/A Landscape
❑ Yes ❑ N/A Screening (Quad only)
❑ Yes 0 N/A % Window Coverage
El Yes 0 N/A Garage (SFR Only) Parking (Other Res)
❑ Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes 0 N/A Other building design standards (Rowhouse only)
❑ Yes ❑ N/A Accessory Structure Standards
❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes i N/A Unit Count:
CI Yes N/A Lot Width and Size
CIYes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
0 Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
O Yes N/A Fence
❑ Yes ❑ No XN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ NoXN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
X Sensitive Lands: ❑ Yes Xl No
I l Main Land Use Case #s: PDR2016-00016/PDR2018-00005 ❑ Conditions met
I&Applicant notified of land use ex iratipn date: 3/22/2026
Approved By Planning: - = Date: 6/22/23 6T--/)3
Notes RT PO design standards not applicab .No'tvindow%,en ance Stan ards,garage standards apply,requirements were added to the residential
ten�ar�ls un d duel 20I6 when Pp p roved
i evlsion 1: Approved o Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal �� ��
Original Submittal Date:
Site Plans #: 3
Building Plans #: �7
Building Permit #: .itt,Building permit # entered on page 1
Workflow Routing: IX Planning ti Engineering &Permit Coordinator Building
Workflow Sign-off: K Sign-off for Planning (include notes from planning review)
Route Documents: X 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: Date: 1G��1'?"la
Notes:
Engineering Review
❑ PFI Permit:
lope at building pad: 7/4
gl-Conditions met prior to issuance of permit
p-Easements (encroachments) per engineering conditions of approval and plat
ZI-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes krNo
Assess Water Quantity Fee in-lieu: ❑ Yes PNo
LIDA Facility on lot: ❑ Yes fYo Add Fee: ❑ Yes ❑ No
liffFinal Plat Recorded
❑ NOT Approved: Date:
Notes: --
Approved By Engineering: _ Date: //3�� •_
Revision 1: El Approved ❑ N Approved _ Date: cG
Revision 2: ❑ Approved 0 Not Approved Date:
mit Coordinator Review
Ad*il : ,
on o itions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for ❑ Receivedoes 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 Ll Deferred
LIDA ` LYes �.PII 7A '7
to Issue/Approved by Permit Coordinator: kT €I 11K Date:
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
DocuSign Envelope ID:08ABE211-D9F2-4DA5-97BD-855CB8A1A009 RECEIVED
Jut_ 10 2O23
City of Tigard
CITY OF TIGARD
' Deferral Until Occupancy Request BUILDING DIVISION
7 I GA IL I) Washington County Transportation Development Tax(I'D'I),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: 6/22/2023 Site Address; 15794 SW Peace Ave
Project Land Use Case or
Nazne. River Terrace Crossing Huilding Permit#: M ST2023-00289
(Pacific lifestyle Homes)
Tax Lot 2S108DC21300 Total Parks
#: Amount*: $11,830.00
TDT Total TSDC
Amount: N/A 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 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,
until occupancy.
Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance oldie 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.
n«uslgned/by��:
[JABS tit,A AtalA.
Property Owner: nFA7sr6srlOut Date: 6/22/2023
Developer: Dare: V • L Z'
Permit Coordinator: _ ' " Date: 7-10-2023