Permit (123) 114 A Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PP
PERMIT INFORMATION: Application Date - FEE VERSION 1`1 l Y Zb7�
Plan #: Zl Floors: ` -
Permit#: �r4S�7 z, , �6 l )._
V' `' C Covered Porch: 1 _--1 Basement
Valuation: 4.2a5r4 •11 1.0 1
3 Deck: _ 1sr Floor , 5.7
f
WC (toilets)
3 Deck Cover: 2„d Floor I`E 0
( J Patio Cover - 3rd Floor
Lavatories -1 Tub/shower 2.
Accessory Struct. R-3 Total \ 5 q t
Laundry Tray Water Heater \ / Gas(g:P Garage 3°l, p
5 Gas Flue Vents 1 Ea
Total for Elec. 9 '1
Exhaust Vents l
Backflow Prey. /�
/ Heat Pump P # for Electricala 41M
______
BBQ -----— Gas Fireplace qqq r w/Q #Fuel Lines 3
\I ..J
FEES: Description: Fee App Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg $2.00 (over 11x17) 2 Ce
Info Proc/Arch: Sm$.50 (up to 11x17) 35
Metro CET: Residential Use
School CET: District:' t/
Tigard CET: Admin /
Tigard CET: ODHCS ✓
Tigard CET: AH
Electrical Permit: Permit Fee: 17
Limited Energy:
12% State Surcharge
Mech.Permit: Permit Fee:
12% State Surcharge
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
111 " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: 116(-16C3 oO5t2_
Site Address: 13753 SW 166th Ave 0 Verified in Accela
Project Name: RT Town Center Lot/Unit #: 137
Proposal: New detached SFR Zone: C-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex El Triplex❑ 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 Ji N I / ti cc Ni vtection
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot #
O Street names (N/A for SFR)
0 Applicant name and phone # ❑ Courtyard rectangle dimcnaioncd (if applicable)
0 Lot and setback dimensions "`'`"" '' "'"'"}'`'"�'�
Vision clearance not required
❑t „ y &,,u , ti t y� Utility locations &easements due to tract/private access.
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned — LIDA (- 1,000
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 Facade dimensioned
O Windows and doors dimensioned
0 Garage doors dimensioned
Re oor Plan Elements:
(Not required for ❑ Summary table that includes
❑ Each story dimensioned El Total floor area
❑ Each story floor area calculated ❑ o 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: 26
O Yes ❑ N/A Landscape
❑ Yes 0 N/A Screening (Quad only)
O Yes ❑ N/A % Window Coverage 26%
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)Alley load garage
O Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes 0 N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
El Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
•ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Ye N/A Unit Count:
❑ Yes El N/• of Width and Size
❑ Yes ❑ N/A Pat''
Additional standards for • rtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
0 Yes ❑ N/A Floor Area (per story)
❑ Yes 0 N/A Courtyard
❑ Yes ❑ N/A Fence
❑ Yes ❑ No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No JN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
m Sensitive Lands: m Yes ❑ No
0 Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
m Applicant notified of land use expir 'a : Submit development plans by 1/31/25. Final occupancy by 1/31/27
Approved ByPlanning: �'�"� Date: 9/14/23 to/3/a3
Notes Only34 permits can be isst prior o recording of final pat
Revision 1: ❑ Approved of Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: \D I' \I3
Site Plans #: g
Building Plans #: S
Building Permit #: 2I'Building permit # entered on page 1
Workflow Routing: d Planning 0 Engineering VI Permit Coordinator jn Building
Workflow Sign-off: 0 Sign-off for Planning (include notes from planning review)
Route Documents: ll 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.
Permit Technician: , Date• ko 3,12
Notes:
Engineering Review
`❑ PFI Permit: 0,
(Alope at building pad: _3 A 0/0
/i°/t 'Conditions met prior to issuance of permit
kEasements (encroachments) per engineering conditions of approval and plat
m' later Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes It-No
Assess Water Quantity Fee in-lieu: ❑ Yes 4-No
f� LIDA Facility on lot: ❑ Yes P'No Add Fee: 0 Yes CI No
i6 Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: / /,' /2
Revision 1: ❑ Approved of Approved Date:
Revision 2: ❑ Approve 0 Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
///❑ Approved, NOT Released: Date notified applicant:
w ENG Revisions Required: Date notified applicant:
I.
II DC Exemption: LI Applied for 0 Received roes not apply
p DC Fees Entered: Wash Co Trans Dev Tax: J Yes ❑ N/A
�✓ Tigard Trans SDC: Yes ❑ N/A ❑ Deferred
Parks SDC: Yes ❑ N/A �❑ Deferred
LIDA ❑ Yes ❑ J/A
(to Issue/Approved by Permit Coordinator: �" Date: ( ( z3
(/ Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0Not Approved Date: