Permit (66) CITY OF TIGARD MASTER PERMIT
IIII _ • COMMUNITY DEVELOPMENT Permit#: MST2023-00237
T I GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2023
Parcel: 2S1060003301
Jurisdiction: Tigard
Site address: 13751 SW 165TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 82
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 112 st Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 1173 sf Garage: 502 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 1184 sf Right: 3 Detectors:
Total: 2469 sf Value: $402,833.89 Rear: 3
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: Storm Sewer: 100
0
Tubs/Showers: 3 Garbage Disp: 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
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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=10OK: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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: 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: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feel:
NEW SF - VB R-3 2469
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 Geo Tech Required
BY KAWANAMI,MARK SUITE 250 2 Ersn Cntrl 503-639-4175
15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 1-HR FIRE RATED EAVES
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $24,015.16
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
OR7J1M_MNn rhrro,nh OAR o57-nn1-neon vni 1 TON nhtnin n rnnv of thu rule nr rlirert m actinne to ill INC by r,Ilinn con 717 10A7 nr'I son nnn',IAA
Issued By: rs\ � Permittee Signature: 4 r r of f 8• ca'�. t9
all 503.63 .4175 by 7:00 a.m.for the next available inspection date. J
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 CIV!-- FOR OFFICE USE ONLY
City of Tigard MAY 2 2 2U23 Received SQ Ot - .
Dale/B I 8
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196t1.ryOFTIGARD Date/13 : ® Ot1 ig- 3- 0• S
T I C,A R t) Inspection Line: 503.639.4175 Date ReadylBy: ® See Page 4 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:ID 2. 23 A - MI Supplemental Information
TYPE ts .44, Att.:y . ....=: REQUIRED DATA:i-AND 2-FAMILY DWELLING
5R ,i��'+ .° r5' Q ..
I 1 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/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
(81
❑� I-and 2-family dwelling ElCommercial/industrial
Valuation: 0 4d'�1 9-33
0 Accessory building ❑Multi-family Number of bedrooms: 4
❑ Master builder ❑Other: Number of bathrooms: .2e5-3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 -7A-7 l
Job site address:13751 SW 165th ave New dwelling area: 2469 square feet 1 l IBLI
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 11`13
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: square feet I 1a—
Cross street/directions to job site: Deck area: square feet
SW Jean I noise rd Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace I Lot no.:82 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:ParC21 no: 2S1060003300 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.
Valuation: $
RequPgting Deferred SDC fees
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: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 ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:TNHC OREGON LLC (Please refer to fee schedule)
- - 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
Phone:(503) 310-7571 Fax::( )
Amount received:
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.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:241108
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval Date: S//Z7i/2®Z *Fee methodology set by Tn-County Building Industry
Service Board.
I:1Building1 Permits 1BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
I
` Mechanical Permit Application RECEIVE FOR OFFICE USE ONLY
City of Tigard Received
Date By: Per 0 do13- DO 7
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 2 2023
Plan Review
Phone: 503.715.2439 Fax: 503.598.1960 Date/By Other Permit:
T 1 G A R D Inspection Line: 503.639 4175 TIGAR a Date Ready/By: Juris 0 See Page 2 for
Internet: www.tigard-or.goV CITY tified/Method' Supplemental Information
BUILDINGNG VISI0 It
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value$
CATEGORY OF CONSTRIICTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑ 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 1 46.75
Job site address: 13751 SW 165th ave Furnace 100,000 BTU(duets/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 pact 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.:82 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 ❑ 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:( I Attic/crawispace fans 2332
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
TNHC OREGON LLC
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heatpump
WalUsuspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax: :( ) Fireplace
Range
E-mail Sandoval@nwhm.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
MECHANICAL 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
/�//t,� `*7� days after it has been accepted as complete.
'^I Authorized signature: (r. 1 'ate * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
I:1BuildinglPermits\ EC_PerntitApp_040113.doc 440-0617r(Il/02/COM/WEB)
RECENED
Electrical Permit Application MAY 2 2 2023 FOR OFFICE USE ONI.l
City of Tigard Received
Tv Y pate/By: Permit a'
13125 SW Hall Blvd.,Tigard,OR 972 3CI I I OF I IGARD Plan ow ans-r 20�.3—Oo23�-
Phone: 503.7182439 Fax: 503.598. ILDING DIVISIO Date/By: Related Permit a:
i 1 _ Inspwtion Line: 503.639,4175 121 See p Internet: www.ti rd-or. ov Ready d/ a to kris: ass l for
� g MotifierVMethod: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked):
0 Service or feeder 400 amps or mom 0 Budding over three stones.
❑Demolition ID Other:
CATEGORY OF CONSTRUCTION where the available fault current 0 Marinas and boatyards.
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
le I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building teas to gourd,or exceeds 14,000 0 Commercial-me agricultural
amps for all other installations. buildings,
❑Multi-family El Master builder
❑Other: ❑Fin pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job#: Job site address: ❑Addition of new motor load of system
13751 SW 165th eve I00HPormore
City/State/ZIP: Sherwood/OR/97140 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.41: I Project name: RTTC 0 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
SW Jean Louise rd Description I on. I Earl l 2oai i .
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center I Lot#:82 Includes attached garage.
Tax map/parcel#: 2s1060003300 I,0o0 sq.B °S less 168.54 4
DESCRIPTION OF WORK Fa.add'I 500 sq.R or portion 33.92 I
Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft_) 75.00 2
PROPERTY OWNER 1 0 TENANT Renewable Energy ID See Page 2
Services or feeders installation,alteration,and/or relocation
THNC OREGON LLC
Name: 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 33.56 2
City/State/ZIP: Irvine CA 92618 401 amps to600amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(503)310-7571 I Fax:( ) Over 1,000 arms or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Fsandoval@newhomeeo.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
fij APPLICANT I 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
Business name: THNC OREGON LLC A.Fee for branch circuits with
above servichcecircuit or feeder fee,
Contact name: Frank Sandoval
each bran 7,42 2
B.Fee for branch circuits without
service°rf"d"
Address: 15455 NW Greenbrier Parkway#240fee,first
56.18 2
branch circuit
City/State/ZIP: Beaverton OR 97006 Each add'(branch circuit 7.42 2
Phone:(503)310-7571 Miscellaneous(service or feeder not included)
Fax::( ) Each manufactured or modular
Email: Fsandoval@newhomeco.com dwelling service and/or feeder67.84 2
_ Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DEA Wolcott Electrical Sign or outline lighting 67.84 2
Address: 1075 W Historic Columbia River Hwy Signalalteration,or
extension.
0 �Page2 2
panel, or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Troutdale, OR, 97060
Phone:(503)853-9420 , Fax:( ) Additional inspection(I hr min) 66.25/hr
Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@aWOLCOTT.PRO Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.:112220 I Electrical Lic.:C1272 I Suprv.Lie.:5782S specifically listed(%hr min) 90.00/hr
Suprv.Electrician signature,required:' ELECTRICAL PERMIT FEES
Subtotal:
Print name:David Campbell I Date:' 0/12/2023 ❑Plan Review Required(25%of permit fee):
/l State surcharge(12%of permit fee):
Authorized signature: 41e,,.,e 4 TOTAL PERMIT FEE:
Print name:Malachi J. Wolcott This permit application expires If a permit is tint obtained within 180
Date:1 0/1 2�2023 I Jaya sitar it has beta accepted as complete.
IaBrd1dingiermits\ELC f Number of inspections allowed per permit.
_PemdtApp E 1 ERE.doc Rev 06/172015 440-46152QI/OS/COMAVT9
g
Plumbing Permit Application C {""
Building Fixtures MAY 2 2 2023 FOR OFFI(9? 1 I. ONL5
City of Tigard Received
'�v OF TIGARD Date/BY: Permit No.:
13125SWHat!Blvd.,Tigard,(5p�i 2�r'.1 NO,: 023-C�C�2�}
' Phone: 503.718.2439 Fait: Sd�. VG DIVISION Plan Review
Date/By: Other Permit No.:
T I GA RD Inspection Line: 503.639.4175 Date Ready/By: Tara: Ed See Pa e 2 for
Internet: www.tigard-or.gov a
Notified/Method: Supplemental Information
•
•
TYPE OF WORK • FEE' SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCrtoN SFR(I)bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( __sq.ft.) Paget
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13751 SW 165th ave Catch basin or area drain 18.76
City/State/ZIP: Sherwood/OR/97140 Dry well,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: RTTC Manufactured home utilities 50.03
Cross street/directions to job site: SW Jean Louise rd 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: River Terrace Town Center I Lot no.: 82 Fixture or item:
Tax map/parcel no.: 2s 1060003300 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
Cil PROPERTY OWNER O TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewercap 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)310-7571 Fax:( ) lee maker 12.51
l j APPLICANT IBI CONTACT PERSON Interceptor/grease trap 25.02
•
Business name: THNC OREGON LLC Medical gas(value:$_) Paget
Primer 12.51
Contact name: Frank Sandoval
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::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Wolcott Plumbing Water DWV t m
P P g/ 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 Lk.: g 26824 PB Plan review (25%ofpermit fee)
112220�• , Plumbing Lie.no.:
fi/�k(\} •
State surcharge(12%of permit fee)
Authorized signature; TOTAL PERMIT FEE
Print name:Mark Baleme Date:10/12/2023 This permit application expires if a permit is not obtained within LSO days
after it has been accepted as complete. •
'Fee methodology set by Tri-Counly Building Industry Service Board
1113vildingrrermit/1PLMU-PeraulApp,doc I0Po1/09 440-4616T(10/02.COMAY5B)
a
A GEOTECHNICAL
1111 iiiii REPORT IS REQUIRED Building Division
BEFORE THE FOOTING "
• dsPEGTlON IS APPROVED'
e & Two-Family Dwelling
Fees Checklist
,00fl 40k4;NC FP tqx
PERMIT INFORMATION: Application Date - FEE VERSION j)1.( 6 ' -
Permit #: neV,ST1a23 — C. b7 7 Plan #: 2(46o (L" l U Floors:
Valuation: 4 402 33 gcl Covered Porch: B ement t 5Y L t �.
Bedrooms: Deck: �--- 151 loot Lis' i L-7 3
WC (toilets) 3 Deck Cover: �---, 2nd loor (-64 11 $y
Lavatories C Patio Cover 3`d Fl or
Tub/shower 3 Accessory Struct. R-3 T tal iLl(QQ
Laundry Tray Water Heater ) / Gas / le ' Garage 5.0 Z-
Exhaust Vents Sj. Gas Flue Vents •----- Z 7 I
Total for Elec.
Backflow Prey. Slr / Heat Pump /Sc...) # for Electrical
BBQ Gas Fireplace `J-IS
#Fuel Lines 3
/MOON RR RAZED EAVES
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning v
Info Pror/Arch: Lg$2.00 (over 11x17) ZLQ
Info Proc/Arch: Sm$.50 (up to 11x17) 9 5
Metro CET: Residential Use
School CET: District: C
Tigard CET: Admin
Tigard CET: ODHCS' ,,/
Tigard CET: AH t./
Electrical Permit: Permit Fee: L✓
Limited Energy: N..."--
12% State Surcharge v
Mech. Permit: Permit Fee:
12% State Surcharge ,//
Plumbing Permit: Permit Fee: ✓/
12% State Surcharge
Erosion Control: w/Permit- Ping
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGA.RD
Building Permit #: M 41-.)-C9: —00 3-
Site Address: 13751 SW 165th Avenue ® Verified in Accela
Project Name: River Terrace Town Center-New Home Co. Lot/Unit #: 82
Proposal: New Detached SFR Zone: Res-C
Housing Type: M SFR( l Single Detached ❑ Duplex❑Triplex El ADU) ❑ Rowhouse❑Cottage Cluster El CYU ❑Quad ❑ Other
Required Site Plan Elements:
® 3 copies of site plan on max 11x17"
® Drawn to standard scale ❑ Retained trees, drip lint/ trcc protection
lJ North arrow El Street and site trees shown / labeled
El Site address, project name, lot # El Table calculating tree canopy at maturity
® Street names (N/A for SFR)
® Applicant name and phone # ❑ Courtyard rectangle dimensioncd (if applicable)
® Lot and setback dimensions ® Vision clearance triangle
O Existing structurca &square footage El Utility locations &easements
M Footprint of new structure and FFE ll 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:
El Drawn to standard scale ll Total facade area
® Building height dimensioned E Total window and door area
® Façade dimensioned
® Windows and doors dimensioned
® Garage doors dimensioned
or Plan Elements:
(Not required for mary table that includes
❑ Each story dimensio I floor area
oor area calculated ❑ Floor area pe
Planning Review
The following standards have been met:
8'(porch) N/A N/A Garage: 3'(alley-loaded)
Setbacks ® Front: 12' Rear: 3' Side: 3' Min/Max Street Side: / Y-
Height ® Max. Height: 35' Proposed Height: 29'3 1/8"
Il Yes El N/A Landscape
❑ Yes ® N/A Screening (Quad only)
l Yes ❑ N/A % Window Coverage -Garage standards not applicable- not fronting a public street
❑ Yes ® N/A Garage (SFR Only) Parking (Other Res)
El Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ® N/A Other building design standards (Rowhouse only)
❑ Yes El N/A Accessory Structure Standards
El Yes ll No Qualifying pre-existing unit exempt from standards (Cottage unit only)
"anal standards for Co Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ it
❑ Yes ❑ otWi Size
❑ N/A Pathway
'tional standards for Court nits and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes ❑ N/A ea (per story)
❑ Yes ❑ Courtyar
N/A Fence
1 I
❑ Yes ❑ No ®N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No I N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: D Yes ❑ No, stop intake
® Sensitive Lands: ® Yes ❑ No
® Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
1 Applicant notified of land u e ex Ira I n date: Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: i/�" — Date: 5/16/2023
Notes Permit can be issued prior o final plat approval but not prior to conditions being met on PDR
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 5 (4,3
Site Plans #: 4.
Building Plans #:
Building Permit #: Building permit # entered on page 1
Workflow Routing: 1 .Planning [Engineering Permit Coordinator Building
Workflow Sign off: $..Sign-off for Planning (inc ude notes from plannindreview)
1 Route Documents: t$,Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
teBuilding: original permit application, site plans, building plans, engineer and
am calculations and trust details, if applicable, etc.
4.J
Permit Technician: Date: 6/3 I / 3
Notes:
Engineering Review
.\ ' ❑ PF Permit:
`11 Slope at building pad: 2m4 oh
❑ onditions met prior to issuance of permit
❑ asements (encroachments) per engineering conditions of approval and plat
0 ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: 0 Yes ❑ No
LIDA Facility on lot: 0 Yes ❑ No Add Fee: ❑ Yes ❑ No
0 final Plat Recorded
'l.1 ❑ NOT Approved: Date:
Notes: /
Approved By Engineering: Date: ��j2 5
Revision 1: ❑ Approved Not Approved Date: l
Revision 2: 0 Approved ❑ Not Approved Date:
V Permit Coordinator Review
4r 11 onditions met prior to permit issuance
'Approved, NOT Released: Date notified applicant: 612-91?-d2.3
❑ ENG Revisions Required: Date notified applicant:
DC Exemption: ❑ Applied for 0 Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: 'Yes ❑ N/A Deferred
Parks SDC: /Yes 0 N/A ,Deferred
LIDA ❑(YY(ess /N/A
OK to Issue/Approved by Permit Coordinator: (K` Date: O v`
Revision 1: ❑ Approved ❑ Not Approved 1 _ Date:
Revision 2: 0 Approved 0 Not Approved Date:
City of Tigard
- Deferral Until Occupancy Request
TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
=2 �.� . w �.. Yin .w . ,v - --
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: 6/26/2023 Site Address: 13751 SW 165th Ave
Project Land Use Case or
River Terrace Town Center
Name: Building Permit#: MST2023-00237
T#ax Lot Total Park
Lot 82 Amount* s $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 7 for TSDC-River Terrace,if applicable..
3,196.00
*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: Date: .1:02 "-42"3--3
Developer: Date:
Permit Coordinator: itI Date: 6/26/2023