Permit (91) B , Permit Application RECEIVE
Residential Ik FOR OFFICE USE ONLY
Received Q ` a +'��
,� • City of Tigard AUG 1 5 2023 DateBy: O%i ✓ ' �/ J jJ Pew �j-por-f ot-t
• 13125 SW Hall Blvd.,Tigard,OR 97223IF Plan Iteview w -
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: � Z> i 1 rJ � -0 - 5
Inspection Line: 503.639.4175 BUILDING IG RIO�ateReadyBy, (� �ltot
`/I J . H SeePageJfor
T I G A IC D Jotified/Method `1 w(� 'I/ r 1 Supplemental Information
Internet: www.tigard-or.gov
(u J1I 'l V U1h,G_ 1(�CUL�h
TYPE OF WORK REQUIRED DATA: 1-AND$-FAMLLYDWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the (z/
work indicated on this application. k ^ F,u4�
CATEGORY OF CONSTRUCTION �wv
Valuation:
0 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms: 5
❑Accessory building 0 Multi-family
❑Master builder ❑Other.
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3°3 al
Job site address:12167 SW WINTERVIEW DR New dwelling area: 2610 square feet 1t.
City/State/ZIP:Tigard, OR 97224 Garage/carport area: 429 square feet \1,
Suite/bldg./apt.no.: Project name:Heights at Bull Mountain Covered porch area: W10 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL USE CHECKLIST
Subdivision: I Lot no.:HS 4 Permit fees*are based on the value of the work performed.
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.
Valuation: s
NSFR -- JASMINE FARMHOUSE_7593F Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:LENNAR NW LLC Type of construction:
Address:11807 NE 99TH ST, STE 1170 Occupancy groups:
City/State/ZIP:VANCOUVER,WA 98682 Existing:
Phone:(360 )601-1860 Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedatc)
Business name:LENNAR NW LLC Structural plan review fee(or deposit):
Contact name:TRISHA SAUERS FLS plan review fee(if applicable):
Address:SAME AS ABOVE
Total fees due upon application:
City/Sate/ZIP: Amount received:
Phone:(360 ) 601-1860 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail.TRISHA.SAUERS@LENNAR.COM
i roof-top mounted PhotoVoltaic
rcial and residential prescriptive installationof
CONTRACTOR yt a....�. „.,; Solar Panel System.
Business name:LENNAR NW LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:SAME AS ABOVE Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP: and administrative fees):
Phone:(3606911860 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:240462 Total fee due upon application: $201.60
Authorized signature: + /p A /�-- This permit application expires if a permit is not obtained
i��(Jvii within 180 days after it has been accepted as complete.
Date:8/2/23 *Fee methodology set by Tri-County Building Industry
Print name:TRISHA SAUERS Service Board.
l:lBuilding\Pernits\BUP-RESPermitApp.dac 01/25/2023 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicatiRECEIVED FOR OFFICE USE ONLY
�+ Received a
City of Tigard Date/By:
Perini II>CO.S.00 6l O
III - 13125 SW Hall Blvd.,Tigard,OR 97223 5 2023 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Allr, Date/By:
Other Permit:
T I G A It D Inspection Line: 503.639.4175 Date Ready/By: inns: El 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
N 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*
N 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use cisecklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning 1 46.75
Job site address: L2167 SW WINTER VIEW DR Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg.apt.no.: Project name: HEIGHTS AT BULL MOUNTAIN 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
Subdivision: Lot no,: 4 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert \ 33.39
Flue vent for water heater or gas
NSFR-MECHANICAL 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 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: I.ENNAR NW LLC Range hood/other kitchen
equipment 1 33.39
Address: 11807 NE 99TH ST,STE 1170 Clothes dryer exhaust I 33.39
City/State/ZIP: VANCOUVER,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32
Phone: ( 360)601-1860 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT N CONTACT PERSON Other: 23.32
Business name:
LENNAR NW LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: TRISHA SAUERS Furnace,etc. 1
Gas heat pump
Address: SAME AS ABOVE
Wall/suspended/unit heater
City/State/ZIP: Water heater 1
Phone:(360 ) 601-1860 Fax::( )
Fireplace 1
TRISHA.SAUERS�aLENNAR.COM Range 1
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other.
Business name: TBD.RifGhfieirItl1aI CkQn/^A LULJlII�a MECHANICAL PERIOTFEES*
Address:Po Uox %6 t J J Subtotal
y1‘b� Op /I1's q . Minimum permit fee($90.00)
City/State/ZIP: ff11 O . "I V
/� Plan review(25%of permit fee)
Phone:(941) C(14. I 1,1)( Fax:( ) State surcharge(12%of permit fee)
CCB lic.: g Sr A1 l)z¢ TOTAL PERMIT FEE
O" This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri•County Building industry Service Board
Print name: IV\ V, Date: '
I.1Building\Permits\MEC_PemutApp_040113.docS 44 461vr Il/�hI/WEB)
Electrical Permit ApplicatioRECEIVED FOR OFFICE USE ONLY
City O TI andReceived /�
f g AUG 2023 Date/B : Permit#1%r 0>a33' •0 6
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 DateB : Related Permit#:
Inspection Line: 503 639 4175 CITY OF TIGARD Ready Date/ny. lads ® See Page 2 fm
TIG.ARD Internet: www,tigard-or. ov BUILDING
DIVISION Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets of plans w/itcros checked):
0 Service or feeder 400 amps or more 0 Building over three stories
❑Demolition ID Other: .
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ ❑Accessory building
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job M: Job site address: 12167 SW WIN'1'ERVIEW DR ❑Addition ofnew motor load of system
100HP or more. ❑"A" "E» "1 2" "l-3"
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,OR 97224 0 Health-care facilities D Recreational vehicle parks.
Suite/bldg./apt.#: Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations. 0 Supply voltage for snore than
❑Service or feeder 600 amps or more. 600 culls nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each 1 'total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: 04 Includes attached garage.
1,000 sq.ft or less 1 168.54 4
Tax map/parcel#: Ea.add'!500 sq.ft.or portion 44 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
NSFR-ELECTRICAL 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: LENNAR NW LLC 200 amps or less 100.70 2
Address: 11807 NE 99TH ST,STE 1170 201 amps to 400 amps 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 )601-1860 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: PERMITPORTLAND ENNAR.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,le r exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date:8/14/23 401 amps to 599 amps 168.54 2
®.APPLICANT ® CON'fAC'F PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: LENNAR NW LLC above service or feeder fee, 7 42 2
each branch circuit
Contact name: TRISHA SAUERS B.Fee for branch circuits without
service or feeder fee,first
Address: SAME AS ABOVE branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )601-1 860 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: TRISHA.SAUERS(ALENNAR.COM Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: 1J311. 4E nita0., %1 ti pc';at41� Sign or outline lighting 67.84 2
Address: �l \ Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/7.1P: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25./hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: Electrical Lie.: Suprv.Lie.: specificallyp listed('/hr min)
p-- 'Ili— ELECTRICAL PERMIT FEES
�l.
Suprv.Electrician signature,required: l attaavil aycit1 eckifi. Subtotal.
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within IRO
Print name: fly4% J^"� � .� Da ` days after it has been accepted as complete.
1 + Number of inspections allowed per permit.
1-1Bu11dingWermiis\ELC_PermitApp ELR ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB
RECEIVED
Electrical Permit Application SEP 1 8 2023 FOR OFFICE I .1:0\I '
Received
City of Tigard Dates Pemtit 4: 6 a1 •1,/:0q
• 13125 SW Hall Blvd.,Tigard,OR 9722 CITY OF TIGARD PlanReview 1
Phone: 5°3'718'2439 Fax: 503 591BL99LDING DIVISION DateeB : Relayed Permit 4:
Inspection Line: 503.639.4175 Rea Date/By: ,,
'I IGAliU Ready B See Paget for
Internet: www.tigard•or.gov NetifiedMledlod' Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit jsen of plans w'aems checked).
❑Demolition ❑Other: CI Service on feeder 400 amps or e 0 Building over three stories.
Mum the available fault Harem ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling El Commercial/industrial ElAccessory building less to ground.me seeds 14,000 ❑Comore vial-use erg xuhunl
amps fon all other installations. buildings.
0 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
Job#: I Job site address:12157 SW WINTERVIEW DR ❑Addition of new motor load of system.
IOOFIPamore. ❑"A',"E',"1-2-,'i-3',
City/Stale/ZIP: TIGARD,OR 97224 ❑Six or more residential units. accapency.
SttilePold 1 1.#: ❑Health.care facilities. ❑Recreational vehicle parks.
g aP I Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations. 0 Supply voltage for more than
o Service or feeder 600 amps or snore. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Denriputa I Qtv. I Lack I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: HEIGHTS AT BULL MOUNTAIN •
Lot#: 4 Includes attached garage.
Tax map/parcel#: 1,000 sq.R.or less / 168.34 4
DESCRIPTION OF WORK En.add'!500 sq.ft or portion 5 33.92 1
Limited energy,residential 75.00 2
NSFR-ELECTRICAL (with above sq.fl.)
Limited energy,multi-family 75.00 2
residential(with above sq.fl.)
® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2
Name: LENNAR NW LLC Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: 11807 NE 99TH ST,STE 1170 201 amps to 400 amps 133.56 2
City/State/7 P: VANCOUVER,WA 98682 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(360 )601-1860 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders install*don,alteration,and/or
Email: PERMITPORTLAND@LENNAR COM
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 i
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps C 125.08 2
Owner signature: CAMERON NEWKIRK Date: 9/15/2023 401 amps to 599 amps 168.54 2
® APPLICANT I ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
Business name: LENNAR NW LLC A.Fee for branch circuits will,
above service or fader fee,
each branch circuit 1.42 2
Contact name: CAMERON NEWKIRK
B.Fee for branch circuits without
Address: SAME AS ABOVE service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: SAME AS ABOVE Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 ) 333-2513 Fax::( )
Each manufactured or modular
dwelling,service and/or feeder
Email:CAMERON.NEWKIRK@LENNAR.COM 67,84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle
67.84 2
Business name: Pe Eivc f/fk, Sign or outline lighting 67.84 2
Address: PO Box 517 Signal circuits))or limited-energy ❑
panel,alteration,or extension. Page 2 2
Cily/StateJZIP: Newberg OR.97132 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66 25;hr
Phone:( 503 ) 538-6033
1 Fax:( ) Investigation(I hr min) 90.00/hi
Email: perob20ngmailcom Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 187490 Electrical Lie,: 33666-114C Suprv.Lic.: 5012s specifically listed(lnhr min) 9000i hr
Suprv.Electrician signature,required: —''!� _ ELECTRICAL PERMIT FEES
Subtotal,
Print name: Steve Pcppmeier Date: 9/15/2023 0 Plan Review Required(25%of permit fee):
Slate surcharge(12%of permit fee):
Authorized signature: CAMERON NEWKIRK TOTAL PERMIT FEE
This permit application expires if permit is not obtained within Tall
Print name: rAMERON_ FWKIRK I Date: 9/15/2023
a`e^`• J days after it has been accepted as complete.
I1Ba4dwetPormu dn err,\ElC-PenoaAtp_ElR_ERE c 06,17:Z017 a Number of inspections allowed per permit.
441H615T(1141SKOMAVE6
M1Ax
Plumbing Permit AppliC'RECEIVED Building Fhiirxtures I�E V FOR OFFICE USE ONLY
`'r Tigardl�G i- 5 2023 Receivedt y: 3 Opu 61
. 4 31 SW Had Date/By: Pe �" 1
■ 13125 Hall Blvd.,Tigard,OR 9 2 y
IIPlan Review
Phone: 503.718.2439 Fax: 503. Other Permit No.:
F TIGARD Date/By:
Inspection Line: So3.639.a175 BUILDING DIVISION Date Juris:
TIGARD c o See Paget for
Internet: www.tigard-or.gov S Notified/Method: Supplemental Information
TYPE OF WORK 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
El I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 50032
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
E Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12167 SW WINTER VIEW DR Catch basin or area drain 18.76
City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: HEIGHTS AT BULL MOUNTAIN 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: I Lot no.: 4 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve l 12.51
•
Clothes washer I. 25.02
NSFR-PI UMR1NG
Dishwasher I 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: LENNAR NW LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 11807 NE 99TH ST,STE 1 170
Garbage disposal ( 25.02
City/State/ZIP: VANCOUVER,WA 98682 Hose bib 2 25.02
Phone:(360 ) 601-1860 Fax:( ) Ice maker I 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: LENNAR NW LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: TRISHA SAUERS Roof drain(commercial) 12.51
Address: SAME AS ABOVE Sink/basin/lavatory 5 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:(360 ) 601-1860 Fax::( ) Tub/shower/shower pan 9 12.51
Urinal 25.02
E-mail: TRISHA.SAUERSALENNAR.COM
Water closet 3 25.02
CONTRACTOR
Water heater ` 37.52
Business name: zap ii, t G P\U mbt n9 Water piping/DWV 56.29
I 605b S �ikLL
Address: W Other 25.02
City/State/Z1P: Oar) L ` IG�. Q1 Subtotal
Phone: Oar)
"l
(5�3) i i .1 /I 1Til Fax:( ) Minimum permit fee: $72.50
CCB Lie.: I�IOQ4 '- .Plumbing Lic.no.:V U� Plan review (25%of permit fee)
• State surcharge(12%of permit fee)
.viry
Authorized signature: 1 I
t,I _ : o /// TOTAL PERMIT FEE
Print name:l/ -of sal) e J Date: '/�/,L. This permit application expires if a permit is not obtained within 180 days
•/`/ after it bas been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IdBuilding'Permits'PLMU-PermilApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Ilie ` Building Division
One & Two-Family Dwelling
r i ci A R D Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION A(l' Z°
Permit#: M`Iiov (tlb(� Plan #: 1 F Floors:
Valuation: I t U 410.I b4 q Az Covered Porch: J� Basement
Bedrooms: A (• Deck: 1s`Floor t I Li J
2
WC (toilets) 3 Deck Cover: 2nd Floor I t l(i-
Lavatories Patio Cover �� 3rd Floor
Tub/shower 4 Accessory Struct. R-3 Total C b
Laundry Tray Water Heater ) (G as Elec Garage L'�q
Exhaust Vents Gas Flue Vents Total for Elec. 2[ 3/�
Backflow Prey. ` ,�� F ac Heat Pump AC ) # for Electrical Li
BBQ --- Gas Fireplace ` '�S #Fuel Lines (f
FEES: Description: Fee App: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 9 P
Info Proc/Arch: Sm$.50 (up to 11x17) .::),-----
Metro
CET: Residential Use
School CET: District: �'C , /,
Tigard CET: Admin l� `✓-7
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: c..------
12% State Surcharge c�
Mech. Permit: Permit Fee:
12% State Surcharge i f
Plumbing Permit: Permit Fee:
12% State Surcharge /
Erosion Control: w/Permit-Ping l/f
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
e
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /I/l 1 -Dd-.,- o° 1 D'+
Site Address: ryt67 5U ,.'"A 4't'`I Dr. 6dVerifiiedinAccela
Project Name: 61,45e 13Jll MdJ4 4-64,) Unit #: 4
Proposal: NQW 5 Pg. Zone: (1.lS -L
Housing Type: pr.SFR(Ier.$ingle Detached 0 Duplex 0 Triplex 0 ADU)0 Rowhouse ❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
g 3 copies of site plan on max 11x17"
Drawn to standard scale
,2f North arrow Z Street and site trees shown / labeled
g Site address, project name, lot # ❑Tab! -calculating trcc canopy-at-maturity
Street names 4446,--fer-&F12s
d Applicant name and phone #
g Lot and setback dimensions E Vision cicurartce-trienglc
Z Utility locations &easements
ZFootprint of new structure and FFE Z.Property corner elevations
,B Sidewalk/driveway dimensioned IZI LIDA (>1,000 sf disturbance)
g Lot area and lot coverage percentage „ET-Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
1gI rawn to standard scale ,dTotal facade area
uilding height dimensioned .Total window and door area
Facade dimensioned
,Windows and doors dimensioned
Garage doors dimensioned
Required Floor Plan E s:
(Not required f 0 Summ able that includes
❑ E story dimensioned ❑To floor area
Each story floor area calculated oor area per story
Planning Review
The following standards have been met:
Setbacks gf Front: 10 Rear: I S Side: S Min/Max Street Side: ( b / Garage: 2-0
Height Max., ` Height: 35 Proposed Height: 70 g z�y
Z Yes ❑ N/A Landscape - 'i't ' L'C -
❑ Yes X N/A Screening (Quad only) v
7 Yes 0 N/A % Window Coverage - 16- I fc o)
%Yes II N/A Garage (SFR Only) Parking (Other Res)— $0% d"
l, a'lr.D, g �S'�a Glpl�}S wet bee slm"�
Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
O Yes,g N/A Other building design standards (Rowhouse only)
❑ Yes Kf N/A Accessory Structure Standards
❑ Yes ErNo Qualifying pre-existin unit exempt from standards (Cottage unit only)
al standards for yard Units, Cottage Clusters, Rowhouses,and Quads:
❑ Yes ❑ N/A nt:
❑ Yes Lot Width an
s ❑ N/A Pathway
al standards for yard Units and Cottage Clusters only:
❑ Yes ❑ N/A • a:
❑ Yes ❑ Floor Area )
❑ N/A Courtyard
Yes 0 N/A Fence
❑ Yes ❑ No•IN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Yes 0 No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: 0 Yes ❑ No, stop intake
,'Sensitive Lands: 0 Yes Z No
• Main Land Use Case #s: SVI ' .va1 — OCx,03. krConditions met
0 Applicant notified of land use a pi tion date: SrbM -@r ferM;t5 by l0/->/x013-
Approved By Planning: D Date: Ig /VS/Za.13
Notes
Revision 1: El Approved El Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 8C (0.3
Site Plans #: 3
Building Plans #:
Building Permit #: Q4 Building permit # entered on page 1
Workflow Routing: lgPlanning fp Engineering .Permit Coordinator a Building
Workflow Sign-off: 51'Sign-off for Planning (include notes from planning review)
Route Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
Fp Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. o
Permit Technician: Date: 97/6 �'3
Notes:
Engineering Review
0-PFI Permit: ice/,2b -0°
lope at building pad:
.2-Conditions met prior to issuance of permit
Easements (encroachments) per engineering conditions of approval and plat
21Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes .1Ao
Assess Water Quantity Fee in-lieu: 0 Yes
LIDA Facility on lot: 0 Yes p-1Qo Add Fee: 0 Yes 0 No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: .! 1 S ! afZ� Date: er"(1
Revision 1: ❑ Approved ❑ Not Approved _ Date:
Revision 2: ❑ Approved El Not Approved Date:
Permit Coordinator Review
/Conditions met prior to permit issuance Pielat¢ all lv�
❑ Approved, NOT Released: _ Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for ❑ Received /Does not apply
l/SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: /Yes El N/A ❑ Deferred
Parks SDC: %Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes /n N/A
OK to Issue/Approved by Permit Coordinator: I „F� Date: $IlL I2z3
Revision 1: 0 Approved 0 Not Approved U Date:
Revision 2: 0 Approved 0 Not Approved Date: