Permit Support Document (37) FOR OFFICE USE ONLY—SITE ADDRESS: 15tj64 Vd r44..GG JJ'
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
I. " Transmittal Letter
T!GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: City of Tigard DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
1 FROM: Naoki Yamaoka OCT 19 2023
COMPANY: ICHIJO USA CO., LTD. CITY OF TIGARD
PHONE: (503)430-7413 BUILDING DIVISIONBy.
EMAIL: nao@ichijousa.com
RE: 15609 SW PEACE AVE Tigard OR 9797224 MST2022-00489
(Site Address) (Permit Number)
River Terrace Crossing Lot 22
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
(3) Additional set(s) of plans. Revisions:
(3) Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
(3) Other(explain):Site Plan
REMARKS: ADD STAIRS FOR DECK
FOR OFFICE USE ONLY
Rou o Permit Technician: Date: j ) - rf , a_a Initials: " -
Fees Due>U1 Yes ❑No Fee Description: Amount Due.
O •5 4-1r pi4.n re-v: eti✓ $ 9 5--' •
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑Done
Applicant Notified: V Date:k\\ fi1,'{I1, •l'yVVA4J iii 14 fk) • Initials: Ail
City of Tigard
111
.' el COMMUNITY DEVELOPMENT DEPARTMENT il Iss�A
Building Permit Review - Residential �y!� Fe (,( t°
TIGARD T`� el�S yl"l SAS
111100.1,
Building Permit #: AASCt lLZ,' 0014A
Site Address: 15 x1 S/ eect G? Are Verified in Accela
Project Name: V.-1 Cam' "q9 Lot/Unit #:
Proposal: QQnJAS kdrl — Dec-ye g(arrj Zone: P- i C 'G
Housing Type:)FRingle Detached 0 Duplex❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements: . cLtoL- 1\ 4i
76 c pies of site plan on max 11x17"
frawn to standard scale 0 Retained trees, drip line/ tree protection
orth arrow fa-Street and site trees shown / labeled
71'Site address, project name, lot # ^ zalculating tree canopy at maturity
/Street names (N/A for SFR)
and setback dimensions pplicant name and phone # 8-eatirtyard rectangle dimensioned (if applicable)
Lot -8-Visiamciearance triangle
4Z1.Exietnig structures &square footage �Jtility locations &easements
in-Footprint of new structure and FFE �p(Clearly visible topo lines and property corner elevations
LSidewalk/driveway dimensioned 4,000 sf disturbance)
ot area and lot coverage percentage Erosion control
_. Required Elevation Plan Elements:.. _ . ., . - , -
(For SFR: calcs needed only on street-facing) ummary table with calculations for:
❑ Drawn to standard scale ❑ Total facade area
❑ Build' height dimensioned 0 Total window and door area
❑ Facade nsioned
❑ Windows and rs di nsioned
❑Garage doors di • ed
Required Fl Plan Elements:
(Not re red for SFR) ❑ Summary table that includes
Each story dimensioned ❑ Total floor area
❑ Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks fr'Front: 1210 Rear: lS 10 Side: 3 Min/Max Street Side: C/ / Garage: Z--O
Height %Max. Height: .kitr Proposed Height:
/❑ Yes ❑ N/A Landscape oixtive,V ,4 AC JS
❑ Yes ❑ N/A Screening (Quad only) " J�t
❑ Yes 0 N/A % Window Coverage �""T '0 R'Jt
❑ Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
❑ Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes ❑ 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:
0 Yes ❑ N/A Lot Width and Size
❑ Yes 0 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
❑ Yes ❑ N/A Fence ..
❑ Yes ❑ No 1 /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes ❑ NoAN/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes ❑ No
Applied For: ❑ Yes 0 No, stop intake
/Sensitive Lands: ❑ Yes /J No Gam,,
grMain Land Use Case #s: KW-?A10 -0001tp t �,v4E-- 80-0O3 5 Conditions met
4Applicant notified of land use expiration date:
Approved By Planning: Date:
Notes
(k(. -Svt i Revision 1: ‘Approved 0 Not Approved Date: I'o 1 Vi (t)
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal u.W t4
Original Submittal Date: 1 /1 q JZQZk
Site Plans #:
Building Plans #:
Building Permit #: ' Building permit # entered on page 1
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑;Sign-off for Planning (include notes from planning review)
Route Documents: -"Engineering: (1) copy of permit application, (1) site plan, (1) building plan
anfil original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
1 beam calculations and trust details, if applicable, etc.
Permit Technician: JYVYLA./ Date: 1 1 'Z
Notes: 4 A tq ►f4 I CV' YDl1 L1} the d Yfa)t�u>1
Engineering Review
O PFI Permit:
O Slope at building pad:
O Conditions met prior to issuance of permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: ❑ Yes 0 No Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineerr�in9- Date:
Revision 1: b.-Approved 0 Not Approved Date: l//%7Z.4,
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
❑ Conditions met prior to permit issuance
❑ Approved, NOT Released: Date. notified applicant:
❑ ENG Revisions Required: _ Date notified applicant:
❑ SDC Exemption: ❑ Applied for ❑ Received 0 Does not apply
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 0 N/A ❑ Deferred
Parks SDC: 0 Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes ❑ N/A 1 `
ElOK to Issue/Approved by Permit Coordinator: V5gDate: \ 1 1' 71-3
Revision 1: pproved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
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