Permit (107) CITY OF TIGARD MASTER PERMIT
Ill ■.: COMMUNITY DEVELOPMENT Permit#: MST2023-00430
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/14/2023
Parcel: 2S107DA05400
Jurisdiction: Tigard
Site address: 16592 SW MELBOURNE LN
Subdivision: SOUTH RIVER TERRACE PHASE 2 Lot: 109
Project: South River Terrace, Lot 109
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: 781 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1094 sf Garage: 429 sf Front: 12 Smoke
DwellingUnits: 1 Yes
Third: 0 sf Right: 3 Detectors:
Total: 1875 sf Value: $342,338.67 Rear: 0
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: 100 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=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 addt 500 sf: 3 201-400 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 V B R-3 1875
Owner: Contractor:
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $34,899.06
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR
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Issued By: 1 Permittee Signature: eearil ` ` :b" 7
Call 503.6 .4175 by 7:00 a.m.for the next available inspection date.
This permit card shall pt in a conspicuous place on the job site until completion of the project.
Approved plans are required on the iob site at the time of each inspection.
' Building Permit Application
ti� '-'. ! p y�.x,D FOR OFFICE USE ONLY
Residential ` 4P
Receiv�d/� a Pennrl7tp J7 1. 3 - 0Q 91
Ill City of Tigard pla tv 1 J i't
• 13125 SW Hall Blvd.,Tigard,OR 97223 AUG2 3 2023 Plan Revie A/1, Oth��glt��O.)3 moo. fl
Phone: 503.718.2439 Fax: 503.598.1960 HEe Date/By. Yd7d'
Inspection Line: 503.639.4175 r�?�//- -r �t fS Date Ready/By Jarl%. ® See Page 4 for
TI(,ARD Internet: www.tigard-or.gov 4 it t OF II ARD Notified/Method: ( 3 , Supplemental Information
Bs° " DIN( a':VMS: N
�144a4rof '1`oN 1 N. •
TYPE OF WORK REQUIRED DATA:It AND 2-FAMILY DWELLING
❑' New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑ Addition/alteration/replacement D Other: equipment.materials,labor,overhead,and the profit for,lhel
CATEGORY OF CONSTRUCTION work indicated on this application� '3.t_ j., 3$. ��[t
Valuation: 4
0 I-and2-family dwelling 0 Commercial/industrial $ 7.
10.
Number of bedrooms: 9
❑ Accessory building ❑ Multi-family /75
❑Other: Number of bathrooms: 3
❑ Master builder ,�
JOB SITE INFORMATION AND LOCATION Total number of floors- "�" '
Job site address: !(f Set Z, 5r,„) ,410,5Dutt.,,e- (,At,J New dwelling area: I square feet I611
City/State/ZIP:Tigard, OR, -' 72-47? Garage/carport are '�'ci square feet le,
Suite/bldg.lapt.no.: Project name:South River Terrace 2 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:South River Terrace 2-- Lot no.: (0 5 Permit fees"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
New home construction/SFU (plan type)
Please defer TSDC and Parks SDC until occupancy Existing building area: square feet
Project start: New building area: square feet
O LTY owNza I O TENANT Number of stones:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St. Suite 710 Occupancy groups:
City/State/ZIP:Vancouver, WA 98660 Existing:
Phone: (360 ) 695-7700 Fax:( ) New:
® APPLICANT Q CONTACT PERSON BUILDING PERMIT FEES'
(Meese refer mice eckeda&)
Business name:Taylor Morrison Northwest LLC Structural plan review fee(or deposit):
Contact name:Chris Roberts
- FLS plan review fee(if applicable):
Address:703 Broadway St. Suite 710
Total fees due upon application:
City/State/ZIP:Vancouver,WA, 98660
Amount received:
Phone: (503 )313-9449 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES`
E-mail:Permitsubmittals@taylormorrison.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:Taylor Morrison Northwest LLC
and tire department access,along with the 2010 Oregon
Address:703 Broadway St. Suite 710 Solar Installation Specialty Code checklist.
Ci[ /State/ZIP:Vancouver,WA, 98660 Permit Fee(includes plan review S180.00
Y and administrative fees):
Phone:( 360 )695-7700 Fax: ( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 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.
Date: ��/�L3 a Fee methodology set by Tri-County Building Industry
Print name:Chris Roberts Service Board.
I:3Building\Permits1BUP-RESPermitApp.doc 01/25/2023 440-4613T(I I/02/COM/WEB)
itechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
PcPYte sco •a3'a0`+3D
_ Z.
,± 13125 SW Hall Blvd.,Tigard.OR 97223 Ptan Review
Phone: 503.713.2439 Fax: 503.598 1960 Dale/By: Other Peraut:
YK's sRr, Inspection Lute: 503.639.4175 Date Ready/By: luris E7 See Page 2 for
Internet: anvw.tigard-or.gov Notii6ediMethod. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CFIECKLIST
Mechanical permit fees`are based oa the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 10,214
CATEGORY OF CONSTRUCtION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special information use checklist.
I j Multi-family D Master builder ❑ Other: Description Qty Ea. Total
JOB SITE INFORMATION AND LOCATION Beating/cooling:
!G S 5 2. $_,) it't l?.L.ItSOl4,4%"3 5 LN Air Furnace 10,000ng 46.75
Job site address: 100,000 BTU(ductsAcuts) 1 46.75 I
City/State/AP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name: Sow,' R.,,Jec. t vaaAc-'2- Duct work 1 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
South River Terrace Other: 23.32
Subdivision: 2 Lot no.: ( Dy
_. Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Et PROPERTY OWNER 0 TENANT Other 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 1
equipment 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 1 23.32
Phone:(360)695-7700 Fax:( ) Atticicrawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other. , 23.32
Fuel piping:
Business name:Taylor Morrison Northwest LLC.
S14.15 for first four;54.03 for each additional
Contact name: C440.-,s 2sz.„,, c—ri$ Furnace,etc. 1
Address:703 Broadway St,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP: Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360) 693-4442 Fireplace 1
Range 1
E-mail:permitsubmittals(taylOrmOrriSon.COm Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other -
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste. 1104 Subtotal
City/State/7.IP: Hillsboro,OR Minimum permit fee($90.00) _
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB tic.: 209001 TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 180
rqt days after it ban been accepted as complete.
Authorized sitanue: a' ` Fee methodology set by TriCounry Building Industry Service Board
Print name:Elia Duran Date: G/29/Z.; 4/
•
' 'Electrical Permit Applicati C V FOR OFFICE USE ONLY
. City of Tigard Date/By:Received Pe1(Ci7�33' fro`�30
44 13125 SW Hall Blvd..Tigard,OR 9722jh I I(i 2 3 2023 Plan Review ,r,
Phone: 503.718.2439 Fax: 503.598.19E60 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: lurk- ® See Page 2 for
TIGARD CITY OF TIGARD Notified/Method: Supplemental Information
.r Internet: www.tigard-or.gov I 1 ! \, , , pP
TYPE OF WOIKK PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked).
❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition E Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1- and 2-family dwelling ❑ Commercial/industrial Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder 0 Other: ❑Fire pump. ❑Installation of I50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 14,S92 StA) MCIiSpuilAiC CM IO0HPormore. ❑ 'A",�F `t-z","l-3',
City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: South River Terrace'. ❑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
Description I Qty. I Each I Total I '
New residential single-or multi-family dwelling unit.
Subdivision: South River Terrace Z Lot#: l U 5 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'!500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential •
(with above sq.ft.) 75.00 2
New home construction. Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
ID PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Taylor Morrison Northwest LLC. 200 amps or less 100.70 2
Address: 703 Broadway St., Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Phone: (360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylormorrison.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
® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel
, �; A.Fee for branch circuits with
Business name: Taylor Morrison Northwest LLC. above service or feeder fee, 7.42 2
each branch circuit
Contact name: Chris Roberts B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: 703 Broadway St., Ste 710 branch circuit
•
City/State/ZIP: Vancouver WA 98660 Each add'!branch circuit - 7.42 2
Miscellaneous(service or feeder not included)
Phone: ( 503 )313-9449 Fax: : ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitsubmittals@tayiormorrison.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 • 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: 1915 E 5th St., Ste D panel,alteration,or extension.
City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( 360)314-4915 Fax: ( ) Investigation(I hr min) 90.00/hr
Email: aul ortlandelectric.biz Industrial plant(1 hr min) 78.18/hr
P @P Inspections for which no fee is
s eeificall listed Qh hr min) 90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lia: 49205 p y
/� �� - , EI,IsG",�RtCAL PERMIT FEES _.
Suprv. Electrician signature,required: lJl G(.x R a f Subtotal:
Print name: Alex Shalya Date:__ c/el/zeal ❑Plan Review Required(25%of permit fee):
�'Yxr/1' � � QQ � QQ State surcharge(12%of permit fee):
Authorized signature: Y �fidJ J . '. .4. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Serciey Mishchuk Date: ( /Zg/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
MBuilding\Permits\Et.C_PermitApp_ELR_IiRE.doc no, 16/17/2115 440-4615T(I ltt)S/COM/WEB A-
__
. , a
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLI
City of Tigard Received
Petm,t (441.>D13"-DD S 3Z)
111 sU 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a Phone: 503.7182439 Fax: 503.598.1960 Daffy Otter Permit No.:
T I GA RI? Inspection Line: 503 639.4175 Date Ready/By: lure: 61 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: _ Supplemental latormation
TYPE OF WORK FEE* SCHEDULE
®New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Xt-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(-sq.ft.) i Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: /659 2 St.,„) ,1( bL4ILA C LA.)
Catch basin or area drain 18.76
D ywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:South River Terrace ' Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear tt: ) Page 2
Storm sewer(no.linear ft: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: South River Terrace Z. J Lot no.: /01 Fixture or item:
Tax map/parcel no.: Back low preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 1 25.02
New construction-Type SFU
Dishwasher 1 25.02
Drinlang fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC.
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptorigrease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2
Primer 12.51
Contact name: Otr .s 7)t t2.5 Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatoty 25.02
City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsuhmittals@apolygonhomes.com Uri 25.02
Water closet 25.02
CONTRACTOR Water,heater 1 37.52
Business name:G&B Plumbing&Sons Inc Water PtPin8/D WV 56.29
Address:P.O.Box 92 Other 25.02
City/State/ZIP:St.Pant,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50
CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25°/a of permit fee)
State surcharge(12%of permit fee)
Authorized signature: a 1TOTAL PERMIT FEE
Print name:Steve Fowler Date: G/26/Z . This permit application expires if a permit is not obtained within 180 days
after it has been accepted u complete.
`Fee methodology set by In-County Building industry Service Board.
I Waildne\iPermrtvWLMU-PeniMAtextoc 10/01/09 4i0-4616T(l0/G2/COM/WEB) lat.'
IN
' Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION �i)(y2
Permit#: ,mS i�Z3 _ mil( - t t Plan #: l j gsz po Floors: �L
Valuation: Covered Porch: Basement
Bedrooms: LI
Deck: _ 1s`Floor -, 8 '
WC (toilets) J 2 Deck Cover: _____, 2nd Floor 1 OQ t '
Lavatories U Patio Cover _ 3`d Floor / `'
Tub/shower 3 Accessory Struct. R-3 Total Y�I -IS
Laundry Tray Water Heater ` / G le as c Garage / 1
Exhaust Vents LI Gas Flue Vents Total for Elec. z [1'
Backflow Prey. / Heat Pump # for Electrical 3 `
BBQ Gas Fireplace ` I'j- C #Fuel Lines 3
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm$.50 (up to 11x17)
41
Metro CET: Residential e ✓
School CET: District: .
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH 1./".-
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
i/
12% State Surcharge /
Plumbing Permit: Permit Fee: l/1.--"---
12% State Surcharge 7
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
14 . " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
s
Building Permit #: A T.J-" 3-3 - co 0
Site Address: 16592 SW Melbourne Ln xi Verified in Accela
Project Name: South River Terrace - Phase 2 Lot/Unit #: 109
Proposal: New Single Detached Small Form Residential Zone: RES-D
Housing Type: NI SFR(IX Single Detached ❑ Duplex El Triplex El ADU) ❑ Rowhouse❑Cottage Cluster El CYU ❑Quad El Other
Required Site Plan Elements:
R 3 copies of site plan on max 11x17"
14 Drawn to standard scale ❑ Retained trees, drip line/ tree protection
IN North arrow ® Street and site trees shown / labeled
• Site address, project name, lot # El-Ta1A. calculating trcc canopy at maturity
NJ Street names (N/A for SFR)
❑ Applicant name and phone #
IIX Lot and setback dimensions ❑ Vibiuii Jewell...t.ialnjle
❑ Exlstl,.g ,tr.,ctu.ca &sgia. Ti .,t-y,. I)d Utility locations &easements
6a Footprint of new structure and FFE gl Property corner elevations
IX Sidewalk/driveway dimensioned El LIDA (>1,000,f dl.,Lrbencc)
I& Lot area and lot coverage percentage IX Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
Ila Drawn to standard scale I&Total facade area
119 Building height dimensioned III Total window and door area
III1 Facade dimensioned
IN Windows and doors dimensioned
❑6al aye dva..JI.,,,.,,.,,.,,,...1 alley-loaded garage, non street facing
Require Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned oor area
❑ Each story floor area calculated ❑ Floor area per
Planning Review
The following standards have been met:
12'bld
Setbacks IIX Front: p Rear: 0'alleySide: 3 Min/Max Street Side: 8 _/ Garage: 3 5 alley
Height IX Max. Height: 35' Proposed Height: 23' 5 3/4" loaded garage
m Yes 0 N/A Landscape
0 Yes IX N/A Screening (Quad only)
IN Yes ❑ N/A % Window Coverage
❑ Yes ISJ N/A Garage (SFR Only) Parking (Other Res)
Ila Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
El Yes E N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
El 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:
❑ Yes N/A Lot Width and Size
El Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes El N/A Unit Area:
❑ Yes El N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
❑ Yes El N/A Fence
❑ Yes ❑ No IN/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: 0 Yes I No
M Main Land Use Case #s: PDR2018-00003/PDR2021-00003 ❑ Conditions met
❑Applicant notified of land use expi ation te: 1 f I 1
Approved By Planning: Date: 8/15/23 V,3/10a
Notes garage is alley-loaded
Revision 1: ❑ Approved ❑ of Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal Original Submittal Date: a/N0'P- 3
Site Plans #:
Building Plans #:
Building Permit #: I Building permit # entered on page 1
Workflow Routing: X Planning iFI+Engineering IL Permit Coordinator ip Building
Workflow Sign-off: 1,Ijf Sign-off for Planning (include notes from planning review)
Route Documents: ¢j Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
IT Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: _s-_)'/ Date: g(a.r! ,3
Notes:
Engineering Review
❑ PFI Permit:
slope at building pad: /OAy ok
R Conditions met prior to issuance of permit
lEr Easements (encroachments) per engineering conditions of approval and plat
f'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Colo
Assess Water Quantity Fee in-lieu: ❑ Yes iNo
LIDA Facility on lot: ❑ Yes l 'No Add Fee: ❑ Yes 0 No
VFinal Plat Recorded
❑ NOT Approved: Date:
Notes: _
Approved By Engineering: Date: am 2
Revision 1: ❑ Approved 0 t Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
❑f Conditions met prior to permit issuance
Approved, NOT Released: Date notified applicant:
C ENG Revisions Required: Date notified applicant:
DC Exemption: ❑ Applied for ❑ Received ID Does not apply
(EeSDC Fees Entered: Wash Co Trans Dev Tax: l Yes ❑ N/A El Trans SDC: Yes N/A L Deferred G���AJ6C1
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes lb N/A
4OK to Issue/Approved by Permit Coordinator: !C-(c2,\VQ• Date: j'i6;1* 23
Revision 1: 0 Approved 0 Not Approved - Date:
Revision 2: 0 Approved ❑ Not Approved - Date:
City of Tigard
;1 Deferral Until Occupancy Request
TIGARD Washington County Transportation Development Tax (TDT),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/y 12o23 Site Address: MPS/ 2 5 ) . lE(.)3b44,7gl€ CN
Project Land Use Case or
Name: )OKr+� Ube.),_ -2_ Building Permit#:
Tax Lot ! Total Parks
#: Amount*:
TDT Total TSDC
Amount: Amount*:
*The total TSDC amount shown above is the sum of$ for TSDC-Improvement, $ _ for TSDC-
Reimbursement,and$ for TSDC-River Terrace, if applicable..
*The total Parks SDC amount shown above is the sum of$ for Parks-Improvement, $ for Parks-
Reimbursement,and either$ for Parks-Neighborhood or$ for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, to
prior to final inspection.
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.
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.
4_Property Owner: Date: C/2 23
Developer: Date: 6/74/r-Z Z 3
Permit Coordinator: Date: