Permit (84) CITY OF TIGARD MASTER PERMIT
' 1. COMMUNITY DEVELOPMENT Permit#: MST2023-00375
T 6 GA i?O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 211 4/2 0 2 3
Parcel: 2S107AD00900
Jurisdiction: Tigard
Site address: 16818 SW BEEMER LN
Subdivision: SOUTH RIVER TERRACE Lot: 9
Project: South River Terrace, Lot 9
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFRERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1527 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1890 sf Garage: 688 sf Front: 12 Smoke
DwellingUnits: 1 Yes
Third: 0 sf Right: 3 Detectors:
Total: 3417 sf Value: $622,128.93 Rear: 0
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: 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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=10OK: 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'I 500 sf: 7 201-400 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 3417
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
Phi ON E PHONE: 360-695-7700
FAX:
Total Fees: $40,609.67
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 re ' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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11
Issued By: Permittee Signature: �� elf { Cs�
Call 503 39.4175 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 RECEIVE , �/ FOR OFFICE USE ONLY
Q /t �p1 'I
City of Tigard RDateBya 0 \ ��' }}f Permit No.: ' J )-I� 4,1 15
13125 SW Hall Blvd.,Tigard,OR 97223 AUG
2023 Plan Review d4 I[ 1
= fi U L LJup / lej-�/�t Other Permit: \ ryt��t1�� �66
' Phone: 503.718.2439 Fax: 503.598.1960 1 Date/By: [ t/2"9..., lJt � SW\�"'� �W V.Inspection Line: 503.639.4175 Date ReadyBy: '/-y�j Juns: ® See Page 4 r
TIGARD n g CITY OF TIGARD Notified/Method: t l a- Supplemental Information
Internet: www.tigard-or.gov
BUILDING DIVISION rtail.trt—re,rt.}ct
TYPE OF WORK REQUIRED DATA:1•AND 2-FAMILY DWELLING
0 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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ teas V/S1
❑ 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
ElAccessory building ❑Multi-family
El Master builder 0 Other:
Number of bathrooms: '
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 9/°S
Job site address: '(0O)8 (S 4) "Lvtte(Z,LA3 New dwelling area: 3A`1 h square feet I9)16
City/State/ZIP:Tigard, OR, Q').'L'Ly 1
Garage/carport area: �K square feet 1 5a-i
Suite/bldg./apt.no.: Project name:South River Terrace Covered porch area: square feet
Cross street/directions to job site: Deck area: l�5.--. square feet
Other structure area: square feet
I*,r0 REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:South River Terrace Lot no.: Xf q 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)
i Please defer TSDC and Parks SDC until occupancy Existing building area: square feet
Project start: New building area: square feet
ii PROPERTY OWNER 0 TENANT Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
t Address:703 Broadway St. Suite 710 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360 ) 695-7700 Fax: ( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES'
(Muse refer to fee schedule)
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 SYS7 LM FEES*
E-mail:Permitsubmittals@taylormorrison.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St. Suite 710 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA, 98660 Permit Fee(includes plan review $180.00
y and administrative fees):
Phone:(360 )695-7700 Fax:( ) State surcharge(12%of permit fee): S21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature• This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Date:
Print name:Chris Roberts tom/ 2 I Service Board.
I:tBuilding\Permits\BUP-RESPermitApp.doc 01/25/2023 440-46I3T(11/02/COM/WEB) A
•
- ' Mechanical Permit Application FOR OFFICE USE ONLY
g RECEIVED DaUB :MS1 � WA-1 _
Cityof Tigard Permit No.
't 13125 SW Hall Blvd.,Tigard,OR 97223 y
Plan Review
• 7 Phone: 503.718.2439 Fax: 503.598.1960 AUGate/By Other Permit
Y i.e,.Ply Inspection Line: 503.639.4175 ^"� 2�Lq 3 Date Ready,By. kris: ® See Page 2 for
Internet: www.tigard-orgov Notited/Met od: Supplemental Information
g LDING DIVISION
TYPE OF N COMMERCIAL FEE* SCHEDULE - USE CHECkZ1ST
Mechanical permit fees*are based on the value of the work
® tv'ew construction ❑Additiouialterati on/rep lacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead.and profit.
Value:$ /Zf ot:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
I j Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION `` Heating/cooling: !
/ t I V S✓� � ''I1 1� t�V Air Furnace l conditioning 1 46.75
Job site address: I G 100,000 BTU(ducts/vents) 1 46.75
City/State/UP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
61.06
Suite/bldg./apt.no.: Project name: South River Terrace Heat pump 23
Duct work 1 23.3232
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronicl 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Siilviivision: South River Terrace Lot no.: I,p (A Other 23.32
!� Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplaceJinsert 33.39
- Flue vent for water beater 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
Other. 23.32
PROPERTY OWNER • ❑ TENANT Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
1I
Address:703 Broadway St.,Ste.510 ogm 33.39
_ Clothheses dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
514.15 for first four;S4.03 for each additional
Contact name: CH g‘s 40.3eQ2-5 Furnace,etc. 1 .
Address:703 Broadway St.,Ste 510 Gas beat pimp
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace 1
Range 1
E-mail:permitsubmittalsltaylOrmOrrisOf.corn Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP: Hillsboro,OR Minimum permit fee(S90.00)
Phone:(360)270 1599 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180
e� days after it bas been accepted u complete.
Authorized signature: Wa u '�' • Fee methodology set by In-County Building Industry Service Board
Print name:Elia Duran Date: C.(21r/z3
RECEIVED
Electrical Permit Application t� FOR OFFICE USE ONLY
City of Tigard AUG 2�23 Received ����\�����►' r t
II • 13125 SW Hall Blvd.,Tigard,OR 9722 ITY OF TIGARD Plan Review I�Ylw14• ■.1�
Phone: 503.7182439 Fax: 503.5986 1 DING DIVISION Date/B Related Permit#:
Inspection Line: 503.639.4175 111111111 LLL Ready Date/By: Saris: Ia See Page 2 for
I I GA R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked).
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings
❑X I- and 2-family dwelling [' Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural
amps for all otherinstallations. buildings.
❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: ve sib $tN yegL (.."S I00HP or more. ❑"A",`F",`1.2 <t_3 ,
City/State/ZIP: Tigard,Oregon tZ<f 0 Six or more residential units. occupancy.
y g g ❑Health-care facilities. El Recreational vehicle parks.
Suite/bldg./apt.#: Project name: TK 2,`ULIZ 'a�4igCe- ❑Hazardous locations. 0 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 Lot#: u q Includes attached garage.
/" , 1,000 sq.ft.or less I 168.54 4
Tax map/parcel#:
Ea.add'I 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 75.00 2
residential(with above sq.ft.) -
CANT Renewable Energy ID See Page 2
0 PROPERTY OWNER I
Services or feeders installation,alteration,and/or relocation
Name: Taylor Morrison Northwest LLC 200 amps or less I 100.70 2
Address: 710 Broadway St,STE 710 201 amps to 400 amps 33.56 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 7790 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 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
APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per 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: CH 11,^5 607.-05 B.Fee for branch circuits without
Address: 7 I 0 Broadwa•St,STE 710 servicerah it feederitfee,first 56.18 2
y branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: ( 360 695 7700 Fax: : ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:PermitSubmittals(&taylormorrison.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2
Address:2804 NE 65th Ave, Sutie D Signall.alteration,
circuit(s)ern or limited-energyxns 0 See Page 2 2
panel,alteration,or extension.
ciry/state/zlP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 971) 222-5758 Fax: ( ) investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:Peter@SunlightEleetrielnc.com Inspections for which no fee is 90.00 hr
CCB Lie.: 172549 Electrical Lic.:c 0 Suprv. Lic.:6652S specifically listed(1 hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal:
Print name:Yegor Shevchenko Date: ❑Plan Review Required(25%of permit fee):
^^^^^^1111 State surcharge(12%of permit fee):
Authorized signature: !/ TOTAL PERMIT FEE:
���CCCCCCII7777��►��►'""```������ �^ This permit application expires if a permit is not obtained within ISO
Print name:Peter Kozarez Date: Y/24/Z3 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits1El.0 PcnnuApp_F:IR_ERlidoc Rev(R/17/21)15 440-4615T(I V05/COM/WF,B f(�
• ' Plumbing Permit Application
RECEIVE
Building Fixtures FOR OFFICE USE ONLY
City of Tigard AUG 1 2023 Date/Bed Permit
xr Pe onit ho. yl�
II v 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review 1
a Phone: 503.718.2439 Fax: 503.598.1960TY OF TIGARD Dare/By:
TIGARD Inspection Line: 503 639.4175 BUILDING DIVISION Dale Rcadysy: i Jura: ® Sec Page 2 for i
Internet: www.tigard-or.gov Notified'Method: 1 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition f For special information use checklist.
Description Qty. I Ea. I Total
❑ Addition/alteration replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 1 312.70 I
XI-and 2-family dwelling ❑Commercialiindustrial
SFR(2)bath 437.78
SFR(3)bath 1 50032
❑ Accessory building -Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: /_gig S A) SEli^$i.i2 C� Catch basin ors area drain 18.76
( 2[ Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2
Suite/bidg./apt.no.: 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 ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: South River Terrace Lot no.: y(-q Fixture or item:
Tax map/parcel no.: Bacldlow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 1 25.02
New construction-Type SF13
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ 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:( ) lee maker 12.51
LE) APPLICANT 0 CONTACT PERSON
Interc todgrease trap I 25.02
Medical gas(value:$_) I Page 2
Business name: Taylor Morrison Northwest LLC.
Primer 12.51
Contact name: (Taus ?oil Roof drain(commercial) 12 51
Address:703 Broadway St,Ste 510 Sink/basin/Lavatory 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
Urinal 25.02
E-mail:permitsubmittals®polygonbomes.com
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: G&B Plumbing&Sons Inc Water piphyg pWV 56.29
Address:P.O.Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $7250
Plan review (25%of permit fee)
CCB Lic.: 184372 I Plumbing Lic.no.:pb634 9
State surcharge(12/c of permit fee)
Authorized signature: , TOTAL PERMIT FEE
l i This permit application expires if a permit is not obtained within 180 days
LPrint name:Steve Fowler Date: / after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IABoildinelPamitslPLMU-Pami1APe.doc lofO 1A9 440-4616T(I o,o2coMWEB) f`
IN
_ ° Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION JJ I . 71A,Z
Permit #: I I yJ r T_0637 c Plan #: (4 $x700 Q Floors: �1
Valuation: vV Covered Porch: - Basement --,.----._
Bedrooms: u Deck: 135 1"Floor j 5a-7
WC (toilets) 3 Deck Cover: 2„d Floor I Sq0
Lavatories 5 Patio Cover 3' Floor
Tub/shower 2 Accessory Struct. R-3 Total 1-t / 7
Laundry Tray Water Heater / Gas Elec Garage Let 1. .
Exhaust Vents S Gas Flue Vents �— Total for Elec. / b i�
. -Backflow Prey. / Heat Pump AC # for Electrical �`
BBQ Gas Fireplace '1-4 q #Fuel Lines
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 31
Info Proc/Arch: Sm $.50 (up to 11x17) l (
Metro CET: Residential tjse
School CET: District: �< <`� ✓
Tigard CET: Admin v
Tigard CET: ODHCS
Tigard CET: AH i/
Electrical Permit: Permit Fee:
Limited Energy: � '
12% State Surcharge �i.//
Mech. Permit: Permit Fee:
12% State Surcharge 1 7�
Plumbing Permit: Permit Fee: ✓'/
12% State Surcharge
Erosion Control: w/Permit -Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
ill
: •
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: 1" /1 f.{)rEi5 66S (�
Site Address: 16818 SW Beemer Lane ❑ Verified in Accela
Project Name: South River Terrace Lot/Unit #: I
Proposal: New Single Detached Small Form Residential Zone: RES-D
Housing Type: N SFR(IE Single Detached ❑ Duplex D Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad❑Other
Required Site Plan Elements:
W 3 copies of site plan on max 11x17"
RI Drawn to standard scale *.ined trees, dfip linc/ trcc protection
® North arrow IX Street and site trees shown/ labeled
fjd Site address, project name, lot # El Tet,l, celoalatIng trcc canopy at maturity
X Street names (N/A for SFR)
IX Applicant name and phone # dimonoieeed(if applicable)
IX Lot and setback dimensions ❑ Viaiuii deaf a,,ce ti iaiigk
❑ Existing structures &squarc footagc ® Utility locations &easements
X Footprint of new structure and FFE lal Property corner elevations
IX Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf diaturbencc)
IX Lot area and lot coverage percentage X Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
X Drawn to standard scale I&Total facade area
® Building height dimensioned IE Total window and door area
'' ® Facade dimensioned
IS Windows and doors dimensioned
M Garage doors dimensioned -Garage door= 32% of frontage
Require Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned loor area
❑ Each story floor area calculated ❑ Floor area per
Planning Review
The following standards have been met:
Setbacks ❑ Front: ( Rear:'bIdg0' alle'Side: 3 Min/Max Street Side: 8 — / _ Garage: 20'
Height 0 Max. Height: 35 Proposed Height: 24
B7Yes ❑ N/A Landscape
❑ Yes X N/A Screening (Quad only)
IX Yes ❑ N/A % Window Coverage
ki Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
X Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
O Yes r N/A Other building design standards (Rowhouse only)
O 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:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
El Yes ❑ N/A Courtyard
❑ Yes ❑ N/A Fence
Cf4g-
❑ Yes ❑ No IEN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No I&N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: 0 Yes ❑ No, stop intake
® Sensitive Lands: ❑ Yes No
KI Main Land Use Case #s: PDR2016-00 03/PDR2021-00003 ❑ Conditions met
0 Applicant notified of land use expiration . permits by 11/3/2024, final occ by 11/3/2026
Approved By Planning: _� Date: 7/26/23
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal Original Submittal Date: GG o \\\I'M
Site Plans #:
Building Plans #:
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: E'Planning ISI4ngineering IS4ermit Coordinator E//Building
Workflow Sign-off: ign-off for Planning (include notes from planning review)
Route Documents: O'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
arip original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
M beam„ � c/
fVll/1 Aallculations and trust details, if applicable, etc. Q, /
Permit Technician: ' , t Date: O I 4'2t1 VS
Notes:
Engineering Review
❑ PFI Permit:
teSlope at building pad: /
-'Conditions met prior to issuance of permit
(t"Easements (encroachments) per engineering conditions of approval and plat
dIl Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 4io
Assess Water Quantity Fee in-lieu: ❑ Yes (9'No
LIDA Facility on lot: 0 Yes ifevo Add Fee: ❑ Yes ❑ No
I> nal Plat Recorded
O NOT Approved: Date:
Notes:
al/7/1'3
Approved By Engineering: l Date:
Revision 1: 0 Approved ❑ Not pproved Date:
Revision 2: 0 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:
*DC
/Exemption: 0 Applied for ❑ Received foes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A ti Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA 0 `Yess- L 1/A
K to Issue/Approved by Permit Coordinator: �� k:Ata_ Date: O '46' 7%3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: _
RECEIVED
City of Tigard
AUG 1 2023
Deferral Until Occupancy Request CITY OFTIGARD
BUILDING DIVISION
T I GA RD 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: /217 Z3 Site Address: / (•8 I 4J 1 mil! l Ck) Z,.,,,tt�� ,,,..J
Project ((( Land Use Case or
Name: her RIe i 1 Building Permit#:
ItAuktf
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.
‘q4Z-----
Property Owner: Date: 4/
Developer: Date: J Z5 / 3
Permit Coordinator: Date:
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN Transmittal Letter
F I G A R F) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: .A\\ ) (Y\ -( �( DATE RECEIVED:
DEPT: BUILDIN�UbIVISION RECEIVED
FROM: -VON(\ , 2.P-A. 3 AUG 1 f$$ 2023
COMPANY: '�( \-\RD9&Nv3eN CITY OF TIGARD
J BUILDING DIVI$l9N s ,
PHONE: O\-\ \ Lkbc1 5a31 I Y.
EMAIL: -VrAIJ`CY't,5 5OV1 - CA:5-yyv
RE: 1 \ Si eec�-e \ 'fYa_ L - \S-C�OZ3 - 003-)6
(Site Address) (Permit Number)
q
nt� \1�- IC.RR RC E � l
roject name or sub [vision name and lot number)
ATTACHE_ D ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description,;. _"
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: i Q6p-r (U I lam-} 0121 Ca/itifil, ,4L-L-13Yn( Th}L
'FOX FF` E USE ONLY
Routed to Permit Technici : Date: (ems Initials:❑ Yes o Fee Descrip
Fees Due: n: Amount Due:
1\.._ C) (\.'" 6 s 0"--
Special
Instructions:
Reprint Permit (per PE): ❑ Yes - o ❑ Done
Applicant Notified: Date: Initials:
I:1Building\Forms\TransmittalLetter-Revisions 073120.doc