Permit (58) CITY OF TIGARD MASTER PERMIT
111
• , COMMUNITY DEVELOPMENT Permit#: MST2023-00213
T I G A 8,0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2023
Parcel: 2S1060003300
Jurisdiction: Tigard
Slte address: 13768 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 89
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 774
sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1184
sf Garage: 502 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes
Total: 1958 sf Value: $325,739.32 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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1
Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=100K: 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: 3 201-400 amp: 0 201-400 amp: 0
W/O SvdFdr: 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 SecurityAlarm: N
Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1958
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: $21,696.37
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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. ATTENTIO • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc2nm_nnln thrni,nh c9_nn1_nnon Vol!!mm,nhtnin a,nr,,of thin rub a nr rtirnrt ni ipetinne to rll Ihlr by rallinn cm 9T)lag7 nr'I Ann IT)9'idd
Issued By: /72.‹,' ,7�/G- Permittee Signature: 5e/. eipplIC.lac-n
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 il ECE1V FOR OFFICE USE ONLY
- City of Tigard MAY 0 8 2023 Race ved 5
• 13125 SW Hall Blvd.,Tigard,OR 97223 Bate/By: f 3 X> Pe �a0a3-O i3
= PlanReview te1 2 3 Afr Phone: 503.718 2439 Fax: 503.598 196 DatGBy: (, o✓fp c - QQ I 3?�
TIGARD Inspection Line: 503.639.4175 UITY OF TIGARD Date Ready/By: 2 inns: PI See Page 4 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 10 2�1 13 AF -1'C3 Supplemental Information
�1.9,4,--LC....
TYPE OF WORK REQUIRED DATA:I-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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. Z
Valuation: ZS/2 739 f
I] I-and 2-family dwelling ❑Commercial/industrial "J
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms: 53
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 21
Job site address:13768 SW 166th ave New dwelling area: 1958 square feet`1 Sq
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet fly
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 Lou se rd Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Lot no.:89 Permit fees*arc based on the value of the work performed.
Tax map/parcel no.:parcel no: 2S 1060003300 Indicate the value(rounded tothe nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
.Regi testier}Deferred ROC fees Valuation: S
Existing building area: square feet
New building area: square feet
A 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:
Al APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:TNHC OREGON LLC (Please refer m fee scaedateJ
Structural plan review fee(or deposit): •
Contact name:Frank Sandoval
Address:15455 NW Greenbrier Parkway Suite 240 FLS plan review fee(if applicable):
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax: :( Amount received: I
E-mail: fsandoval@nwhm.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTORCommercial and residential prescriptive installation of
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 lic.: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: 5/d JZ0 23 *Fee methodology set by TO-County Building Industry
Service Board.
I:1Bui'ding 1 Perm its 1B UP-RE S Perm itApp.doc 01/25/2023 440-4613T(I1/02/COM/WEB)
Mechanical Permit ApplicECE IVED FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 9722 1AY 0 8 2023 Date/By: Pe7t*D.p ,3-0 c.- IZ
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 '7_l
Date/By: Other Permit:
1 1<I n Kr, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lens
Internet. www.tigard-orgov BUILDING S See Page 2 nr
DIVISION Na[ifiedlMethod: See
Information
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
D Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value $
® I-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑Accessory building For special Mforrrmtimt use checklist.
0 Multi-family ❑Master builder
❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
13768 SW 166th ave Air conditioning 1 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ductvvents) 1 54.91
Suite/bldg./apt no.: Project name:River Terrace Town Center Heat pump 23.32
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
SW Jean Louise rd 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:River Terrace Town Center Lot no.:89 Other: 23.32
Other fuel appliances:
fax map/parcel no.:2s1060003300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue ventfor 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 2332
0 PROPERTY OWNER 0 TENANT Other: 2332
Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Rangehood/otherkitchen
Address:15231 Laguna Canyon Rd STE 250 eCllothesoth m 1 3339
es 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
la APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
514.15 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 Other
Address:42O0 NW Leisy rd MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Phone:(971 n05 4989 Fax:( ) Plan review(25%ofpermitfee)
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
��y This permit application expires if a permit is not obtained within 180
//in_ Duz� days after it has been accepted as complete.
Authorized signature: L * Fee methodology set by Tri-County Building industry Service Board
Print name:Elia Duran Date:3/17/2023
I\Budding\Permits\MEC_PerntitApp_04o113.doe 440-4617T(1 i/02/COM/WEB)
RECEIVED
Electrical Permit Application FOR oFFiCE USE on l.l
City of Tigard MAY 0 8 2023 Reuived
11 i 13125 SW Hall Blvd.,Tigard,OR 97228 DareBy: pew�'in5T2023—002/3
Phone: 503.7182439 Fax: 503.598,1TY OF TIGARD PanRe"ew
t j Date/By: Related Permit 4:
i I r,a it P. Inspection Line: 503.639.4175 LDING DIVISION Ready Date/By: turn:
Internet. www.tigard-or.gov Notified/Method: I S See uppteme Pent l for
ml Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets Maims w/items checked)
❑Service or feeder 400 amps or more 0 Building over three stories
❑Demolition ❑OBSCr;
where the available fault current 0 Marinas and boatyards.CATEGORY OF CONSTRUCTION
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family ❑Master builder 0 Other: ❑Fi amps re ffor l other installations. buildings.
0 Installationgseparately
a of 0 riv d or
JOB SITE INFORMATION AND LOCATION
❑Emergency system. larger eparuety derived
JobJob#: Job site address: 13768 SW 166th ave ❑Addition of new motor load of system.
Cit #:tale/ZIP: lOaxPormore. ❑ A" °'E^••1 z° t s'
Sherwood/O R/97140 ❑Six or more residential units occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldgJapt.#: I Project name: RTTC 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more 600 volts nominal.
FEE SCHEDULE
SW Jean Louise rd Des notion I Pry. I Each i Total i
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center I Lot#:89 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK aid't 500 sq.ft.or portion 33.92 1
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
IR PROPERTY OWNER I 0 TENANT Renewable Energy 0 See Page 2
Name: THNC OREGON LLC Services or feeders Installation,alteration,and/or relocation
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 to 600 amps 200.34 2
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@newhomeco.com
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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
al APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, ' r panel
Business name: THNC OREGON LLC A.Fee for branch circuits with
above service feeder fee,
Contact name: each trench circuitor 7.42 2
Frank Sandoval B.Fee for branch circuits without
Address: 15455 NW Greenbrier Parkway#240 service or feeder fee,first56.18
branch circuit 2
City/State/ZlP: Beaverton OR 97006 Each add'l branch circuit 7.42 2
Phone:(503)310-7571 I Fax:;( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: Fsandoval@newhomeco.com dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigationBusiness name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting
circle 67.84 2
67.84 2
Address:1075 W Historic Columbia River Hwy Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Troutdale, OR, 97060
Phone:(503)853-9420 i Fax: inspection(1 hr min) 66.25/hr
( ) Investigation(1 hr min) 90.00/ter
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.:112220 I Electrical Lic.:C1272 I Suprv.Lie.:57825 specifically listed(Vs hr min) 90.00/hr
Suprv.Electrician signature,regtt red:'Q ELECTRICAL PERMIT FEES
,>.,�tin..«ro.• Subtotal:
Print name:David Campbell I Date:10/12/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4►w TOTAL PERMIT FEE:
I Print name:Malachi J. Wolcott This permit application expires if a permit is not obtained within 180
Date:10/12/2023 1 days after it has been accepted as a ini:de .
I-.teuildinglrenn{rs�ELC_PermitA EIAERE.doc Rev oNiyf1075 ' Number of inspections allowed per permit.
440-4615T(11/O5/COMN/E8
Plumbing Permit Application
Building Fixtures MAY 0 8 2023 FOR OFFICE I lsr: 1,)\I.1
City of Tigardai Received
TY OF TIGARDp Dale/BY,: Permit No.:415T.w23_00243
ilPi i • 13125SWHa1161vd.,Tigard,OR fi�iivG DIVISION
Phone: 503.718.2439 Fax: 503 W Plan Review
Date/By: Other Permit No.:
1"I G A R D Inspection Line: 503.639.4175 Date Ready/By: heir ®See Page 2 for
Internet: www.ligard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft for each utility connection) -.
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling 0 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 ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13768 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.: ( 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.:_J Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: River Terrace Town Center ` Lot no.: 89
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 2s.Dz
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
($ PROPERTY OWNER 0 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/Slate/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) tee maker 12.51
I81 APPLICANT IR CONTACT PERSON Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value $_) Page 2
Primer 12.51
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 Sink/basidlavatory 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
.- Water closet 25.02
' Water heater 37.52
Business name:Wolcott Plumbing Water pipinglDWV 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 Lie.: Plumbing 26824 PB Plan review(25%of permit fee)
112220 Lic.no.:
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 180 days
after It has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service board.
I:tBuildinblPermas1FLMU-PermilApp.doe 10/0I/09 440.4616T(10/02ICOMAVEB)
_. '_ Building Division
One & Two-Family Dwelling
Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION ''''S.-)1 y 202-Z-
Permit#: 1(1(>+„S'T Z02:3— DO 2l3 Plan #: 2„toct (3 CO Floors:
Valuation: 37,5173`i . 32- Covered Porch: 7 Basement
Bedrooms: 14 Deck: _____- 1"Floor '"I"
WC (toilets) 3 Deck Cover: - 2nd Floor \ 1
Lavatories S Patio Cover 3`d Floor --_
Tub/shower 3 Accessory Struct. R-3 Total l96'S
Laundry Tray — Water Heater ( / Gas( ecD Garage so D-
Exhaust Vents S Gas Flue Vents Total for Elec. ZSj CP
Backflow Prey. iff .Cece Heat Pump C A`' # for Electrical 3
BBQ Gas Fireplace 1 6S #Fuel Lines 3
FEES: Description: Fee App ' s: _ Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) ) 7
Info Proc/Arch: Sm$.50 (up to 11x17) 9‘..)'"
Metro CET: Residential Use ri
School CET: District: �� l/.
Tigard CET: Admin ✓
Tigard CET: ODHCS ✓
/
Tigard CET: AH
1/
Electrical Permit Permit Fee: /
Limited Energy: ✓
12% State Surcharge ✓
Mech. Permit: Permit Fee: ✓
12% State Surcharge
Plumbing Permit: Permit Fee: t"//
12% State Surcharge
Erosion Control: w/Permit- Ping V
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
•
City of Tigard
71 s
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: AM/r 10)-3- Q0")-1
Site Address: 13768 SW 166th Avenue R Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 89
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: 21 SFR(E(Single Detached 0 Duplex❑Triplex❑ADU) 0 Rowhouse❑Cottage Cluster❑ CYU ❑Quad❑Other
Required Site Plan Elements:
V 3 copies of site plan on max 11x17"
21'Drawn to standard scale ❑ RC LGII ICJ Li ce , Ji ip lil lc/ 11 ec NI utcdion
21 North arrow RI Street and site trees shown / labeled
21 Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity
2(Street names (N/A for SFR)
21Applicant name and phone # 0 Courtyard rcctonglc dimcn3ioncd (if applicable)
I1Lot and setback dimensions 21 Vision clearance triangle
❑ CxiA;llg st,u_tui cs Q squat a fuetcgc 21 Utility locations &easements
i1 Footprint of new structure and FFE 21 Property corner elevations
'l1 Sidewalk/driveway dimensioned %LIDA (>1,000 sf disturbance)
21 Lot area and lot coverage percentage E2'Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
cd Drawn to standard scale cfTotal facade area
21 Building height dimensioned I1Total window and door area
21 Facade dimensioned
21 Windows and doors dimensioned
V Garage doors dimensioned
Requi an Elements:
(Not required for SFR ❑ Summary table that includes
❑ Each story dimensioned tal floor area
❑ Each story floor area calculated El Floor ar
Planning Review
The following standards have been met:
// 8'porch g 3' alley
dI FFront:12'buiming Rear: 3'alley Side: 3' Min/Max Street Side: 7 / Garage:
Height lid Max. Height: 35' Proposed Height: 25'-11"
vf Yes ❑ N/A Landscape
❑ Yes [}I N/A Screening (Quad only)
21 Yes ❑ N/A % Window Coverage
21Yes 0 N/A Garage (SFR Only) Parking (Other Res)
11 Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
El Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
0 Yes N/A Fence
❑ Yes ❑ No l'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ NoON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: 1I Yes ❑ No
'Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
❑Applicant notified of land use expiratio e: Submit and pay for all pli le permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: r ate: 5/4/23 S grx-5
Notes Permit can be issued prior to fin I at approval but not pr r to con tions being met on PDR
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
4
Building Permit Submittal Original Submittal Date: 543//
3
Site Plans #:
V_ Building Plans #: al
-NIBuilding Permit #: Jk Building permit # entered on page 1
4`�; Workflow Routing: [t Planning Engineering f Permit Coordinator it'Building
Workflow Sign-off: Xi Sign-off for Planning (include notes from planning review)
Route Documents: tij Engineering: (1) copy of permit application, (1) site plan, (1) building plan
0 and original plan review routing form.
f) w Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
`� Permit Technician: Date: �J' ! 17l a'/
` Notes: //!
®`44 Engineering Review
❑ FI
( Slope atPermit:building pad: 'j°/2
❑ onditions met prior to issuance of permit
1 ❑ asements (encroachments) per engineering conditions of approval and plat
❑ ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facilitkl
y on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑"Final Plat Recorded
, 4 _
SV ❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: ��: //.-z,
Revision 1: ❑ Approved 0 N Approved Date:
Ai Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
ii0'onditions met prior to permit issuance l
,a Approved, NOT Released: Date notified applicant: 61 I (223
❑ ENG Revisions Required: Date notified applicant: 1
/SDC Exemption: 0 Applied for ❑ Received j'Does not apply
,eYSDC Fees Entered: Wash Co Trans Dev Tax: /Yes ❑ N/A
Tigard Trans SDC: f J'Yes ❑ N/A ❑ Deferred
Parks SDC: la Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes j�N/A
K to Issue/Approved by Permit Coordinator:rti
1��1(��/{ Date: ,tr 1h- /.'''
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
City of Tigard
N ° Deferral Until Occupancy Request
TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System
e 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: 5/23/2023 Site Address: 13768 SW 166th
Project Land Use Case or
River Terrace Town Center
Name: Building Permit#: MST2 02 3-0 02 1 3
Tax Lot Lot 89 Total Parks $11,830.00
#: Amount*:
TDT Total TSDC
Amount: NIA Amount*: $12,004.00
*The total TSDC amount show above is the sum of S 7,760.00 for TSDC-Improvement,$ 448.00 for TSDC-
Reimbursement,and S 3 •"0 for TSDC-River Terrace,if applicable..
3,11L•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:
Developer: ,z Date:
5/23/2023
Permit Coordinator: Date: