Permit Support Document (31) FOR OFFICE USE ONLY—SITE ADDRESS: \WV\ 4,1
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
711 Transmittal Letter
T I G A R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: City of Tigard DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Naoki Yamaoka OCT 1 0 2023
COMPANY: ICHIJO USA CO., LTD. CITY OF TIG' '=
PHONE: (503)430-7413 3UiLDiNG DIVI'
EMAIL: nao@ichijousa.com
RE: 15649 SW PEACE AVE Tigard OR 9797224 MST2022-00488
(Site Address) (Permit Number)
River Terrace Crossing Lot 21
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copie l 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 Permit Technician: Date: ) ) • . Z Initials:
Fees Due: Yes ❑No Fee Description: Amount Due:
0 • S Hr AT • $ - -
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑Done
Applicant Notified: Date: ,� �� ��,3. mitii�d ��n. Initials: A p
City of Tigard «uecP
le " COMMUNITY DEVELOPMENT DEPARTMENT ue5 Art SC v'ed -ra
Building Permit Review - Residential Las-cr�50,e
TIGARD
Building Permit #: A6-(2U22-00408
Site Address: ( SUt1101 gi3 Peace. Pox yi Verified in Accela
Project Name: C./119%inq Lot/Unit #:
Proposal: (2-U1S16V1 — N-01--st061f S Zone: K5 -c
Housing Type: 0 SFR(17 Single Detached ❑ Duplex 0 Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad 0 Other
Required Site Plan Elements: .# VIA)L t.( Silk
,�J 3 copies of site plan on max 11x17"
A. Drawn to standard scale -El-Retained trees, drip line/ tree protection
jzf North arrow ,Z Street and site trees shown / labeled
0 Site address, project name, lot # ate calculating tree canopy at maturity
Street names (N/A for SFR)
Applicant name and phone # -Cetrrtyard rectangle dimensioned (if applicable)
Lot and setback dimensions Vision clearance triangle
---Ext fang structures & square footage Utility locations &easements
Footprint of new structure and FFE $Clearly visible topo lines and property corner elevations
B�ictewalk/driveway dimensioned (>1,000 sf disturbance)
Lot area and lot coverage percentage Erosion control
Required Et vvtion_Plan.Elements _....._ . __ . _ •... . __. .....
(For SFR: calc eeded only on stree - " g) Summary table with calculations for:
❑ Drawn to st and scal ❑ Total facade area
❑ Building height sioned ❑ Total window and door area
❑ Façade dimen ' ed
❑ Windows d doors dimensione
❑Garage doors dimensioned
Required Floor Ian Elemen .
(Not required for S ❑ Summary table that includes
El Each story dim sione ❑ Total floor area
El Each story fl r area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks ..a'Front: 04 'Rear: 15e 10 Side: _ Min/Max Street Side: t / Garage:
Height 1' Iv Max. Height: t Proposed Height: (a-7C
❑ Yes ❑ N/A Landscape 0\(AteACCI
• es ❑ N/A Screening (0 .d only) ikgS
•
❑ Ye- • N/A % Windo - Coverage
❑ Yes • A Gara•,- (SFR Only) Parking (Other Res)
El Yes ❑ N - Ent .nce (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A • er building design standards (Rowhouse only)
❑ Yes El N/A Ac - sory Structure Standards
❑ Yes 0 No Quali-vgg pre-existing unit exempt from standards (Cottage unit only)
Addition- standards f. Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ■ /A Unit Count:
❑ Ye- • N/A Lot Width and Si -
❑ -s ❑ N/A Pathway
dditional standards for Courtyard b its and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
Cl Yes ❑ N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
❑ Yes ❑ N/A Fence
❑ Yes ❑ No /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
/Sensitive Lands: ❑ Yes 2rNo
'Main Land Use Case #s: _ZdIV-ODOlf 2 , ?i. l& -0000s conditions met
g Applicant notified of land use expiration date:
Approved By Planning: Date:
Notes
lt.SCIN6 Revision 1: Approved ❑ Not Approved Date: f/2
Revision 2: 0 Approved ❑ Not Approved Date:
•
Building Permit Submittal ►zt.UV�I:U
Original Submittal Date: IaI7iY
Site Plans #:
Building Plans #: /
Building Permit #: `❑ Building permit # entered on page 1
Workflow Routing: 0 Planning 0 Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: 0 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.
V Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: VV/y^'4 Date: JO 3 f I7 otig
Notes:
Engineering Review
❑ PFI Permit:
❑ Slope at building pad: 0/0
❑ 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 0 No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineeringx Date:
Revision 1: 4pproved ❑ Not Approved Date: /1,4/23
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: 0 Applied for 0 Received 0 Does not apply
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A ❑ Deferred
Parks SDC: 0 Yes 0 N/A ❑ Deferred
LIDA ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revision 1: Approved 0 Not Approved _ Date: \\- I.2-3
Revision 2: 0 Approved ❑ Not Approved Date:
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