Permit (51) 114 CITY OF TIGARD MASTER PERMIT
� ' ' COMMUNITY DEVELOPMENT Permit#: MST2023-00173
Date Issued: 09/25/2023
-I-f L;A It Il 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13622 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 99
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Reaulred Setbacks Required
Stories: 2 Bedrooms: 3 First: 657 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 940 sf Garage: 390 sf Front: 12 Smoke Yes
Dwelling Units:
1 Third: 0 sf Right: 3 Detectors:
Total: 1597 sf Value: $264,507.09 Rear. 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Dist): 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
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: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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!500 sf: 2 201-400 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 1597
Owner: Contractor:
AG EHC II(NWHM)MULTI STATE 2 LLC TNHC OREGON LLC Required Items and Reports(Conditions)
BY THE NEW HOME COMPANY INC 15231 LAGUNA CANYON ROAD 1 Ersn Cntrl 503-639-4175
BY KAWANAMI,MARK SUITE 250
15231 LAGUNA CANYON RD STE IRVINE,CA 92618
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $19,890.40
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 rules are set forth in OAR
oc,nn1_nnln thmunh 9J1n1-nnon Vn tain a rnnv of the mlae nr dirart n,iaetinne in('tl IM('by rallinn Am 9't9 10117 nr 1 Ann'' )9214
issued By: [/G, -` Permittee Signature: Iti 401ritilAv
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
Residential FOR OFFICE USE ONLYII 3125
RECEIVED Received 41 A1j1623.1 Permit No.: MS 2423. l8 ii
City of Tigard Receive: l
• hone SW Hall Blvd.,Tigard,OR 972 Plan Review Siwn/ j,1l/1 i^Q 00IAI
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/B
y: .7 2,3 T 3�1 Other Perm r.SYU U1 DJ w 11
T I G A R D Inspection Line: 503.639.4175 PR 2 4 2023 Date Ready/By:
rant. 65 See Page 4 for
Internet: www.tigard-or.gov Notified/Method: `�. �� � I Supplemental Information
TYPE OF WORK, ^7,) REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑a New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
E I-and 2-family dwelling ElCommercial/industrial Valuation: t ✓Q7l
Number of bedrooms: 3
❑Accessory building ❑Multi-family
❑ Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 11 S7
Job site address:13622 SW 166th ave New dwelling area: 1571 square feetl
Garage/carport area: 390 square feet 7;tD
5—7
City/stare/zlP:Sherwood/OR/97140
suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Jean Louise Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE.CHECKLIST
Subdivision:River Terrace Lot no.:99 Permit tees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no:parcel no: 2S1060003300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Rocuosfing Deforred SDC foes
Existing building area: square feet
New building area: square feet
l PROPERTY OWNER 0 TENANT Number of stories:
Namc:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP:Irvine/CA/92618 Existing:
Phone: (503)310-7571 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240
Total fees due upon application:
city/state/zIP:Beaverton/OR/97006
Amount received:
Phone:(503 ) 310-7571 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: fsandoval@nwhm.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
Cit /State/ZIParvine/CA/92618 Permit Fee(includes plan review $180.00
y and administrative fees):
Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108 Total fee due upon application: $201.60
Authorized suture: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandova Date: cif 2,14 023 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard � ��IVC Received q
III13125 SW Hall Blvd.,Tigard,OR 97Z23 t G I Datell3y Permit No.'
vo. MS�(.d Z3.00113
Plan Review
Phone: 503.718.2439 Fax: 503.598.196b Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 APR 24 2023 Date Ready/By: tuns. ® See Page 2 for
Internet: wwwtigard-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
®Nov 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`
® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
E Multi-family ❑ Master builder E Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning 1 46.75
Job site address:13622 SW 166th ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Town Center Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW Jean Louise rd 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 Town Center Lot no.:9g Other: 23.32
Other fuel appliances:
Tax map parcel no 2s1060003300 Water heater 23.32
•
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39 _
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
equipment 1 33.39
Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax: :( ) Fireplace
Range
E-mail:fandoval@nwhm.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Pro Heating and Cooling, INC OtherMECHANICAL PERMIT FEES*
Address:4200 NW Leisy rd Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)205 4989 Fax:( )
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
7-�
days after it has been accepted as complete.
Authorized signature: PGAlti * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
1 VBuildingtPermits\MEC_Perrnir App_040113 doc 440-4617r(I I/02/COMAAEB)
•
Electrical Permit Application /'� FOR OFFICE I SE ONLY
City of Tigard �/ Date/B
�E _EIVE Received MILMIMMILIM
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
9 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit N:
Inspection Line: 503.639.4175 APR 24 2023 Ready DateiBy: loos: ld See Page 2 for
TIGARD Internet: www.tigard-or_gov Notified/Method: Supplemental Information
TYPE OF WORM+)I T L'Ir I HL'EF°sl tti PLAN REVIEW
ems.• ap,"rn-va'
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked).
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commerc al-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Other: El Fire pump. El Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job 4: Job site address:13622 SW 166th ave ❑Addition of new motor load of
100HP or more. system.
❑
City/State/ZIP:Sherwood OR 97140 in Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River Terrace Town Center ❑Hazardous locations. El Supply voltage for more than
— ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise rd Description I Qt". I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Town Center Lot#: ----' 99 Includes attached garage.
Tax map/parcel#:2s1060003300 000 sq.ft or less 168.54 4
Ea.edd'I 500 sq.ft.or portion 1 33.92 1
DESCRIPTION OF WORK Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
la PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:TNHC OREGON LLC 200 amps or less 1 100.70 2
Address:15231 Laguna Canyon Rd STE 250 201 amps to 400 amps , 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Irvine CA 92618 601 amps to 1,000 amps 301.04 2
Phone:(503 310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:fsandoval@nwhm.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
® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, ter panel
A.Fee for branch circuits with
Businessname:TNHC OREGON LLC above service or feeder fee, 742 2
each branch circuit
Contact name:Frank Sandoval B.Fee for branch circuits without
service or f
Address:15455 NW Greenbrier Parkway#240 branchcircuuiitder fee,first 56.18 2
•
City/State/ZIP:Beaverton OR 97006 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503 810-7571 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:fsandoval@nwhm.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 6784 2
Signal circuil(s)or limited-energy
Address: ID See Page 2 2
3415 N E 4th panel,alteration,or extension.
City/State/ZIP:Portland, OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503 3192192 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:SOlarpdX@me.COm Inspections for which no fee is 90.00i hr
CCB Lic.:199188 Electrical Lic.:c923 Suprv.Lic.:4754S specifically listed(' hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name:Dave Lister Date:3/17/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
7�
^1 Authorized signature: Z7e24,2- TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Dave Thompson Date:3/17/2023 days after it has been accepted as complete.
s Number of inspections allowed per permit.
1:Building\Permils\ELC_PernutApp_ELR ERE.doc Rev 06/17/2015 470-46101(11i05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
n Garage Door Opener* soot to too kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 6625/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V,hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal
permoD ease )_
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I1Budding\Permits\ELC PermitApp_ELR ERE.doe Rev 06/1 72 0 1 5
4
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLI
II City ofTigard RECEIV Permit No.:e1Ved NIgT2n23 001�(3
;IVY'
13125 SW Hall Blvd.,Tigard,OR 97223 y
SI ' Phone: 503.718.2439 Fax: 503.598.1960 n Re Review
pateiBy: Other Permit No.:
Inspection Line: 503.639 4175 ? ( ^n� Date Ready/By: mrs:
TIGARD hrM ® See Page 2 for
Internet wwty tigard-or.gov t A �•' Sotiflcd'Method: Supplemental Information
TYPE OF WORK (ITV t r if P Dr1 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(1)bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78
ElAccessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler(_sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13622 SW 166th ave Catch basin or area drain 18.76
City/State/ZIP:Sherwood OR 97140 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:River Terrace Town Center Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW Jean Louise rd 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 Town Center I Lot no.:99 Fixture or item:
Tax map/parcel no.:2s1060003300 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
NEW HOME CONSTRUCTION Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
to PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:TNHC OREGON LLC Fixture/sewer cap 25.02
Address:15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Irvine CA 92618 Hose bib 25.02
Phone:(503 $10-7571 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:TNHC OREGON LLC Medical gas(value:$_) Paget
Contact name:Frank Sandoval
Primer 12,51
Roof drain(commercial) 12.51
Address:15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/State/ZIP:Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503 )310-7571 Fax::( i Tub/shower/shower pan 12.51
E-mail:fsandoval@nwhm.com Urinal 25.02
CONTRACTOR Water closet 25-02
Water heater 37.52
Business name:G&B Plumbing & Sons, INC Water piping DWV 56.29
Address:PO BOX 92 Other: 25.02
City/State/ZIP:St. Paul, OR 97137 Subtotal
Phone:(503 868 1417 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:184372 Plumbing Lic.no.: -3 y�(„34 Plan review (25%of permit fee)
' vv State surcharge(12%of permit fee)
Authorized signature: AQ-, ��JJ
�Gf1 TOTAL PERMIT FEE
Print name:Kelly Fowler Date:3/17/2023 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.
IABuilding'Permits1PLMU-PermitApp.dot 10/01/09 440-4616T(10/02/COM/WEB)
pc.,:jr . .,,, C-...J1 -CB lei.A.-C-
, L J 4 —c„.«.--4-v k4-1-V-A" a— 4,-12-4-1
_ ° Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION el(Y 2 2- k.
Permit #: f.b-1.2 73—DO l-7 3 Plan #: 210 c CO Floors: Z_
Valuation: Covered Porch: Basement
Bedrooms: Deck: 1'Floor (-49 S`7
WC (toilets) 3 Deck Cover: 2'd Floor ,1 O
Lavatories L1 Patio Cover 3`d Floor ---______
Tub/shower 3 Accessory Struct. ---- R-3 Total l 5 17
Laundry Tray Water Heater A / Gas / ec ) Garage 31 0
Exhaust Vents 5 Gas Flue Vents _ Total for Elec. 1 9 8-7
Backflow Prey. ux ace Heat Pump /CAS # for Electrical Z
BBQ Gas Fireplace N.-Q- #Fuel Lines
FEES: Description: Fee Alp: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 0.4
Info Proc/Arch: Sm$.50 (up to 11x17)
1/ :;,...
Metro CET: Residential Use
School CET: District: /
Tigard CET: Admin ,-
Tigard CET: ODHCS V .
Tigard CET: AH ✓/
Electrical Permit: Permit Fee:
Limited Energy: ✓
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
Viz
12% State Surcharge
Erosion Control: w/Permit-Ping
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
INs " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD /'
Building Permit#: 1711
14-QUM3
Site Address: 13622 SW 166th Avenue ® Verified in Accela
Project Name: River Terrace Town Center-New Home Co. Lot/Unit #: 99
Proposal: New Detached SFR Res-C/C-C
Zone:
Housing Type: ® SFR( I Single Detached 0 Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
® 3 copies of site plan on max 11x17"
® Drawn to standard scale ce driplint / trcc N.-(, ,,l'.,.r
® North arrow ® Street and site trees shown / labeled
® Site address, project name, lot # •
® Street names (N/A for SFR)
® Applicant name and phone # )
I Lot and setback dimensions ® Vision clearance triangle
® Utility locations & easements
® Footprint of new structure and FFE ® Property corner elevations
® Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance)
® Lot area and lot coverage percentage ® Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
® Drawn to standard scale El Total facade area
® Building height dimensioned M Total window and door area
® Facade dimensioned
NI Windows and doors dimensioned
®Garage doors dimensioned
or Plan Elements:
(Not required for mmary table that includes
0 Each story dimensio al floor area
oor area calculated 7 Floor area pe
Planning Review
The following standards have been met:
8'(porch)
Setbacks ® Front: 12' Rear: 3' Side: 3' Min/Max Street Side: N/A / N/A Garage: 3'
Height ® Max. Height: 35' Proposed Height: 25'9 7/8"
® Yes ❑ N/A Landscape
❑ Yes ® N/A Screening (Quad only)
® Yes ❑ N/A % Window Coverage Garage standards not applicable-not fronting a public street
❑ 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 El N/A Accessory Structure Standards
❑ Yes ® No Qualifying pre-existing unit exempt from standards (Cottage unit only)
' nal standards for Co Units, Cottage Clusters, Rowhouses,and Quads:
❑ Yes ❑ it .
❑ Yes ❑ of Wi Size
® N/A Pathway
'trona! standards for Court nits and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes ❑ N/A ea (per story)
❑ Yes ❑ Courtyar
N/A Fence
a.
❑ Yes ❑ No ®N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No I JN/A Public Facilities Improvement (PFI) Permit:
Required: El Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake /Nnti / t-
Ix1 Sensitive Lands: ® Yes ❑ No
IJ Main Land Use Case #s: PDR2021-00004 Conditions metes''
7.
M Applicant notified of land use ex ira I n dat • Sub it n pay for all applicable dev permits by 1/313.7.m ina cc y V31/2027
Approved By Planning: _4.-- ------- a 13 Date: 4/24/2023
Notes Permit can be issued prior o final plat approval b not prior to conditions being met on PDR
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal Original
Plans Submittal#: Date: 11 lA �
I 023
U Site Building Plans #:'t Building Permit #: 2✓I/
Building permit # entered on page 1
Workflow Routing: planning ®'Engineering Q'Permit Coordinator c2"Building
Workflow Sign-off: l 'Sign-off for Planning (include notes from planning review)
-n Route Documents: l 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
ls, and original plan review routing form.
E uilding: original permit application, site plans, building plans, engineer and
l�� ..-- ,Nbeam calculationsl and trust details, if applicable, etc.
Permit Technician: -ttl►1�f l lA Date: 4 h ii I202.3
Notes:
Engineering Review
❑ PFI Permit:
It Slope at building pad: Z.iv ok
I Conditions met prior to issuance of permit
J I ❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
Final Plat Recorded
CINOT Approved:
INNotes: Date:
I.
Approved By Engineering: - ---------proved
— Date: ,���7�'3
Revision 1: ❑ Approved CI Not A proved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
v� Permit Coordinator Review
40,
er onditions met prior to permit issuance
n Approved, NOT Released: �� Date notified applicant:(D 1 [/uU:
❑ ENG Revisions Required: Date notified applicant:
ieSDC Exemption: ❑ Applied for ❑ Received oes not apply
,'SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ,2'Yes ❑ N/A 2/Deferred
Parks SDC: 1 Yes ❑ N/A %Deferred
LIDA ❑Yes )2'N/A pq
c to Issue/Approved by Permit Coordinator: t �5 J'Z� Date: f 9 702-�
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
RECEIVED
MAY 8 2023
City of Tigard CITY OF TIGARn
BUILDING DIVISION
Deferral Until Occupancy Request
T I GARD 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: 514/2023 Site Address: 13622 SW 166th
Project River Terrace Town Center Land Use Case or
Name: Building Permit#: MST2023-00173
Tax Lot Lot 99 Total Parks $11,830.00
#: Amount*:
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$ 3,769.00 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 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: y&� �' Date:
Developer: Date: y„P3
5/412023
Permit Coordinator: Date: