Permit (63) CITY OF TIGARD MASTER PERMIT
s e COMMUNITY DEVELOPMENT Permit#: MST2023-00208
Date Issued: 11/07/2023
T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13728 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 92
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 657 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 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 Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add,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: $19,889.40
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. ATTENT�gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Q59_nn1-nnln thr. ink R9_nn1_nnon vni, v obtain 7 rnm,of the r,,Ine nr/lircrt ni iuMinnc to nl INC by r.11inn Rn'i 9R9 1QR7{n'r 1 Ron'1R9 9'i46
Issued By: C// Permittee Signature: ' PQ (kw`1UlkU tm.
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 RECEIVED FOR OFFICE USE ONLY
Received Q
. City of Tigard �I,pA Dateiv : S 3� Penn �..� - �?j� aiy
n 13125 SW Hall Blvd.,Tigard,OR 97g2WiY 4 2023
Pan Review 23 /�kdh a �j —[p 77
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ik. nt �V
Inspection Line: 503.639.4175 Tl�+A r� Date Ready/By: ® See Page 4 for
TIGARD Internet. Line: gard-or.gov CITY OF t141ri s. Notified/Method:I 0 ,2'- 2.3 /)F ISM Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
E 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 i
CATEGORY OF CONSTRUCTION work indicated on this application.Valuation: 0 � J 8O�t
• I-and 2-family dwelling ❑Commercial/industrial / C
Number of bedrooms: 3
❑Accessory building El Multi-family❑Master builder 0 Other: Number of bathrooms: elf 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ( / '467
Job site address:13728 SW 166th ave New dwelling area: )5711vi1square feet ! l o
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 390 square feet ("57
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
4W.IPan I (alike rri Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
subdivision:River Terrace Lot no.:92 Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no..parcel no: 2S 1060003300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S
Existing building area: square feet
New building area: square feet
El 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:
a APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer go 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:(5031 310-7571 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
E-mail: fandoval@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 Specialry Code checklist.
City/State/ZIP: 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: $201.60
Authorized Signature'. ned
Thiswipermit adays
expiresbef a pecc pte is noto p ete.
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval Date: -/
5/u/20 z 3 *Fee methodology set by Tri-County Building Industry
Service Board.
I,1 Building\Permits 1BUP-RESPermitApp.doe 01/25/2023 440-46I3T(I I/02/COM/WEB)
- Mechanical Permit Applicat' FOR OFFICE USE ONLY
Cityof TigardCEIVED Received >0 00
• 13125 II SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960MAY 4 2023 Dale/By: Other Permit:
-I.I G A R U Inspection Line: S113.639.4175 Date Ready/By. Juris: HI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY� OF TIGARD
TYPE OF �j4DING UJV!SfON COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition D Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION 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:13728 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: Ilydronic hot water system 23.32
Residential boiler(radiator or I
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.:92
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
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/otherkitchen
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
0 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 Fumace,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:fsandoval@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 180
days after it has been accepted as complete.
Authorized signature: C-LPGA " Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
I.IBuilding\Permits\MEC_PermaApp_D40113 doc 410-4617r(I V02/COM/WEB)
nECEIVED •
Electrical Permit Application MAY 0 4 2023 t ux 01 I It 1 t tit li i l
City of Tigard Received Pe mil q:
,� 13125 SW Hall Blvd.,Tigard,OR OF TIGARD Datdsy.. M5TA023—OO ZO8�
ING DIVISION �°^R`"`w Related Permit 4:
Phone: 503.71$2439 Fax: 503.5 Dan Re
Inaper.tion Line: 503.639.4175 Ready Date/Et tur a:
(;: ;'t Internet: www.ti -or, ov Notfied/Method. ® See Page 2 for
FArd 8 ( Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked):
❑Demolition El Other: ❑Service or feeder 400 amps or more 0 Building over three stones.
where the available bolt current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings-
, 13I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family ❑Master builderamps for all other installations. buildings,
0 Other: ❑Fire pump. ❑Installation ofl50 KVAor
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system_
Job#: Job site address: 13728 SW 166th ave looHPormore. ❑ A","F,'i-z^,^1-3^,
❑Six or more r
City/State/ZIP: Sherwood/OR/97140residentialunits. occupancy.
❑Health-care facilities. ❑Recreational vehicle petits.
Suite/bldgJapt.#: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volta nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise rd °�dPd°^ �• I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:92 Includes attached garage.
map/parcel 2s1060003300 l,000 sq.ft.orless 168.54 4
Tax ma rcel#:
Ea.add'l 500 sq.ft.or portion 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.)
PROPERTY OWNER Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 33.56 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
Email: Fsandoval@newhomeco.com Temporary services or feeders installation,alteration,and/or
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,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name: Frank Sandoval B.Fee for branch circuits v.'ithouf
Address: service or feeder fee,first
15455 NW Greenbrier Parkway#240 branch circuit 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)310-7571 Fax::( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
Fsandoval@newhomeco.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2
Address:1075 W Historic Columbia River H pneaallteatio)orlextension, 0 See Page2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Troutdale, OR, 97060
Additional inspection(1 hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is 90-00/hr
CCB Lic.:112220 Electrical Lic.:C1272 Suprv.Lie.:5782S specifically listed CA hr mini
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ..,_.. Subtotal:
Print name:David Campbell Date:10/12/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4050 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within I s0
Print name:Malachi J. Wolcott Date:10/12/2023 clays atter it has been accepted as complete.
elauldugtPenws\ELC_PeemhApp_ELR_ERE.mre Rev 06117.2015 4404615Tt11b5/COM/WEB • Number of inspections allowed pa permit.
RECEIVE
Plumbing Permit Application MAY 0 4 2023
Building Fixtures
City of Tigard CITY OF TIGAR Received Permit No..
;�, 131255W Hall Blvd.,Tigard,OR 9722BUILDING DIVISIODate/By.e . IASI-2,023-t'�02Ag
n Reviw Other Permit No.:
Phone: 503.718.2439 Fak: 503.598.1960 Date/By:
i c i P 1 Inspection Line: 503.639.4175 • fate Ready/By: lure: IN See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. 1 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 0 Commercial/industrial SFR(2)bath 1 437.78
❑Acssory building El SFR(3)bath 500.32
rP
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB ? , ;� ,rAND LOCATION Site utilities:
Job site address: 137 : t< •• ave Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/Z1P: Sherwood/OR/97140
Footing drain(no,linear ft.:_) Page 2
Suite/bldg.Japt.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 fl.:_) Page 2
Storm sewer(no.linear ft.:.� Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: River Terrace Town Center I Lot no.: 92 Fixture or Item:
Tax map/parcel no.: 2s1 060003300 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
(11 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/State/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
III:APPLICANT _ ® 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/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 piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other 25.02
City/State/ZIP:Troutdale OR. 97060 Subtotal _
Phone:( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:112220 Plumbing Lie,no.:26824 PB Pian review (25%of permit fee)
1`1 t� Stale surcharge(12%of permit fee)
Authorized signature: p 5 1AT
s� TOTAL PERMIT FEE
Print name:Mark Baleme `G Date:10/12/2023 This permit application expires ire permit is not obtained within ISO days
after it bas been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I.VBuilthugWermitnO'LMU-PermaApp.doc 10NI/09 440-4616T(10/OZ/COMtWEB(
06,.A.A-0.),:-4-0 c 1--. ._,J, GL ...-
IIIBuilding Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION J J(�/ �%b�t
Permit #: t jz -b —�Zb$ Plan #: ' t D k Floors: C 7--
Valuation: $2(04)s0'7. 09 Covered Porch: Basement
Bedrooms: 3 Deck: - 1"Floor (y 51
WC (toilets) Deck Cover: 2nd Floor q Cf0
Lavatories Patio Cover 3`d Floor
Tub/shower 3 Accessory Struct. - R-3 Total 15617
Laundry Tray Water Heater / Gas co Garage 39 0
Exhaust Vents S' Gas Flue Vents Total for Elec. C 1 7
Backflow Prey. (Vu ac / Heat Pump ) # for Electrical 'Z
BBQ r----- Gas Fireplace 1-C #Fuel Lines 3
FEES: Description: Fee Arai . Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm$.50 (up to 11x17)
Metro CET: Residential Use
1
School CET: District: 2
Tigard CET: Admin ✓
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee: l '
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge `✓//
Erosion Control: w/Permit-Ping ✓
Notes:
IABkulding\Forms\ResPlanCheckFees_llec2022_AA.doc 12/21/22
Page 1
• City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit#:
Site Address: 13728 SW 166th Ave m Verified in Accela
Project Name: RT Town Center Lot/Unit #: 92
Proposal: New detached SFR Zone: RES-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex 0 Triplex 0 ADU) El Rowhouse❑Cottage Cluster❑CYU ❑Quad❑Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale El li..e /l , tection
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # iRJrabkieelealletimiggerereereturity
O Street names (N/A for SFR)
0 Applicant name and phone # i applicable)
O Lot and setback dimensions - "`'` ' "'"'" 4 "
Vision clearance not required
❑t �� y &,yu 0 Utility locations &easements due to tract private access.
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned
O Lot area and lot coverage percentage 0 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
O Drawn to standard scale 0 Total facade area
O Building height dimensioned 0 Total window and door area
O Façade dimensioned
O Windows and doors dimensioned
0 Garage doors dimensioned
Re oor Plan Elements:
(Not required for 0 Summary table that includes
❑ Each story dimensioned El Total floor area
❑ Each story floor area calculated ❑ r story
Planning Review
The following standards have been met:
Setbacks 0 Front: 8/12 Rear: 3 alley Side: 3 Min/Max Street Side: 7 / Garage: 3 alley
Height 0 Max. Height: 35 Proposed Height: 77
O Yes ❑ N/A Landscape
❑ Yes 0 N/A Screening (Quad only)
O Yes ❑ N/A % Window Coverage 22%
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)
0 Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
El Yes 0 N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
.ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
O Ye s /A Unit Count:
❑ Yes ❑ N/A of Width and Size
❑ Yes ❑ N/A Pat
Additional standards fo -• rtyard Units and Cottage Clusters only:
Yes ❑ N/A Unit Area:
El Yes ❑ N/A Floor Area (per story)
El Yes ❑ N/A Courtyard
0 Yes ❑ N/A Fence
•
4
E Yes ❑ No ON/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
❑ Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: ❑ Yes ❑ No, stop intake
0 Sensitive Lands: 0 Yes ❑ No
fl Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
0 Applicant notified of land use xpiration date: Submit development plans by 1/31/25. Final occupancy by 1/31/27
Approved By Planning: Date: 5/3/23
Notes
Revision 1: 0 Appr d ❑ Not Approved Date:
Revision 2: 0 Appid 0 Not Approved Date:
Building Permit Submittal G,
Original Submittal Date: 5/it (23
Site Plans #: /!
Building Plans #: -77
Building Permit #: ' .Building permit # entered on page 1
Workflow Routing: 41 Planning FCEngineering It,Permit Coordinator iti Building
Workflow Sign-off: clZ Sign-off for Planning (include notes from planning review)
Route Documents: *Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
.Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. I
Ni.. Permit Technician: Date: 5/17/ �3
p, . Notes:
Q Engineering Review
4 Mt❑/PFI Permit: -�I
`k, V Slope at building pad: '4// ok
b ❑ m t e
J ❑ asementsonditions (encroachmentsetpriorissuance) per of engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Vi- Assess Water Quantity Fee in-lieu: El Yes 0 No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
0 Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: -_S7,—' ..5;7:2,--S.
Revision 1: ❑ Approved Not Approved Date:
Revision 2: J Approved ❑ Not Approved Date:
�y Permit Coordinator Review
L Conditions met prior to permit ilFan
Approved, NOT Released: ` v Date notified applicant: (Q ,-2-
El ENG Revisions Required: Date notified applicant:
•SDC Exemption: ❑ Applied for 0 Received hoes not apply
VVVVVV ^S DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
(� Tigard Trans SDC: Yes ❑ N/A 0 Deferred
Parks SDC: Yes ❑�N/A 0 Deferred
LIDA Yes `-t`� N/A
/�^O K to Issue/Approved by Permit Coordinator: Date: \0 ' \0 -2)-;
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
City of Tigard
IIII Deferral Until Occupancy Request
T IGARD Washington County Transportation Development Tax (TD'I),Transportation and Parks System
• Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24, as amended by Ordinance No. 21-09).
Date: 6/15/2023 Site Address: 13728 SW 166th
Project River Terrace Town Center Land Use Case or
Name: Building Permit#: MST2023-00208
T#ax Lot Lot 92 Totpunt*ks $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$, for TSDC-River Terrace,if applicable..
W3,194..00
*The total Parks SDC amount shown above is the sum of$ 6,812.00 for Parks-Improvement,S 1,887.00 for Parks-
Reimbursement,and either S 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 I'DT,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 IDT 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.
ram _t------,--
Property Owner: -; __ Date: �/15/202
. --_< i 5/2v 2�
Developer: Date:
4 \----i(
Permit Coordinator: Date: 6/15/2023