Permit (117) INCITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00496
Date Issued: 11/09/2023
T f G A R.T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BC14800
Jurisdiction: Tigard
Site address: 12161 SW THORNWOOD DR
Subdivision: HEIGHTS AT BULL MOUNTAIN Lot: 16
Project: Heights at Bull Mountain, Lot 16
Project Description: New detached dwelling.
BUILDING
Floor Areas Reaulred Setbacks Required
Stories: 2 Bedrooms: 5 First: 1038 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1303 sf Garage: 421 sf Front: 10 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Total: 2341 sf Value: 3423,658.53 Rear: 15
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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 BckBw Prevntr: 1 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Toes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAG 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 2341
Owner: Contractor:
LENNAR NORTHWEST LLC LENNAR NORTHWEST LLC Required Items and Reports(Conditions)
11807 NE 99TH ST STE 1170 11807 NE 99TH ST STE 1170 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98682 VANCOUVER,WA 98682-2350 2 Fire Sprinklers Required
PHONE: PHONE: (360)258-7900
FAX'.
Total Fees: $45,663.45
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. ATTE a a egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nml-nnln j . nninnon von 'n n nnm,of the ri liPC nr rlirr&n,inminne in Ill INr`by earn Sn4 919 1 oa7 nr 1 lam 119 9•ndi
Issued By: • !/OLIZ-, Permittee Signature: 1n9.do.-rn �1u"r2,-"c...
Call 603.639.4175 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 ApplicationF ECE V/ED
Residential FOR OFFICE USE ONLY
EP 2 8 2023 Received 1 .4Cityof Tigard Date/By: r3 Pe aOa7 `D of%
13125 Hall Blvd.,Tigard,OR 97223 Plan Review
I , CITY OF TIGARD o t p
Phone:SW Jial8.2439 Fax: 503.598.1960 DateBy: '9 �� _���1 0
r�
InspectionLine: 503.639.4175 aUILDING DIVISION DateReadyBy: y�yt .lmu. . la See Page 4 for
TIGARD
Internet: www.tigard-or.gov Notified Method: \III lf 1/p1Z hr 11 Supplemental Information
rf\6.i\tc C aLUI(On•
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construct
ion ❑ Demolition Permit fees*arc based on the value of the work performed.
❑ Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 423,856.53
❑� 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms: 5
0 Accessory building 0 Multi-family
Number of bathrooms: 3
D Master builder ❑ n
Other:
JOB.SITE INFORMATION AND LOCATION Total number of floors: 2 .a� 2(ad
Job site address:12161 SW THORNWOOD DR New dwelling area: 2341 square feet 1303
City/State/ZIP:TIGARD, OR 97224 Garage/carport area: 421 square feet f b3 C7
Suite/bldg./apt.no.: Project name:Heights at Bull Mountain Covered porch area: 1 22 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-ESE CHECKLIST
Subdivision:Heights at Bull Mountain Lot no.:16 Permit fees*are based on the value of the work performed.
C Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:'J WTI NAIM equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
NSFR-JADE FARMHOUSE
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:LENNAR NW LLC Type of construction:
Address:11807 NE 99TH ST, STE 1170 Occupancy groups:
City/State/ZIP:VANCOUVER,WA 98682 Existing:
Phone:(360 )333-2513 Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:LENNAR NW LLC Structural plan review fee(or deposit):
Contact name:CAMERON NEWKIRK FLS plan review fee(if applicable):
Address:SAME AS ABOVE
Total fees due upon application:
City/State/ZIP: Amount received:
Phone:(360 ) 333-2513 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:CAMERON.NEWKIRK@LENNAR.COM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:LENNAR NW LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:SAME AS ABOVE Solar Installation Specialty Code checklist.
City/State/ZIP:VANCOUVER,WA 98682 Permit Fee(includes plan review $180.00
y and administrative fees):
Phone:( 360 )333-2513 Fax:( 1 State surcharge(12%of permit fee): $21.60
CCB lic.:240462 Total fee due upon application: $201.60
Authorized signature: Q-V1/ N eAArk,i4ek, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date:9/22/2023 *Fee methodology set by Tri-County Building Industry
Print name:CAMERON NEWKIRK Service Board.
1:\Building\Permits\BUP-RESPermitApp.dac 01/25/2023 440-4613T(11/02/COM/WEB)
e I
Mechanical Permit ApplicalgtECEIVEC) FOR OFFICE. LSF ()NLt
City of Tigard Received
ated a
P Ufa®33-0 `f9,G
13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 8 2023
t6` Phone: 503.718.2439 Fax: 503.598.1960 Date Review
a w Other Permit.
TIG/RD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: tuna ® See Page2for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: 12161 SW THORNWOOD DR Furnace 100,000 BTU(ducts/vents) 1 46,75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: HEIGHTS AT BULL MOUNTAIN Duct work 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 2332
Oth
Subdivision: HEIGHTS AT BULL MOUNTAIN Lot no.: 16
er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 33.39 We 42) -G1
Flue vent for water heater or gas
NSFR-MECHANICAL fireplace 2332
Log lighter(gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/liner/flue/vent 2332
Other: 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: LENNAR NW LLC Range hood/other kitchen 1
equipment 33.39
Address: 11807 NE 99TH ST,STE 1170 Clothes dryer exhaust 1 3339
City/State/ZIP: VANCOUVER,WA 98682 Single-duct exhaust(bathrooms, 5
toilet compartments,utility rooms) 23.32
Phone:( 360)601-1860 Fax:( ) Attic/crawlspace fans 2332
14 APPLICANT ® CONTACT PERSON Other: 2332
Fuel piping:
Business name: LENNAR NW LLC
$14.15 for first four;S4.03 for each additional
Contact name:CAMERON NEWKIRK Furnace,etc. 1
Gas heat pump
Address: SAME AS ABOVE
Wail/suspended/unit heater
City/State/ZIP: Water heater I
Phone:(360 )333-2513 Fax::( ) Fireplace I
Range 1
E-mail: CAMERON.NEWKIRK@LENNAR.COM Barbecue
CONTRACTOR Clothes dryer(gas)
Other
Business name: BIRCH FIELD HEATING&COOLING MECHANICAL PERMIT FEES*
Address: L bOXr f Subtotal
City/State/OP: , 11 1 ck- i 5 } Minimum permit fee S90.00)
�-� c Plan review(25%of permit fee)
Phone: i n})Q 2l \` ). 1 t Fax:ri41)Ct(4
6—. 1 2.1' State surcharge(12%of permit fee)
CCB lic.: S TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
Ca•telA.e raw x I^ -k;.-r days after it has been accepted as complete.
Authorized signature: 1V r W wY Yc * Fee methodology set by Tri-County Building Industry Service Board
Print name: CAMERON NEWKIRK Date: 9/22/2023
t:\Building\Permits\MEC_PcrmtAPp 040113.doc 440-4417r(1 II02icomavEB)
•
Electrical Permit Application EC r FOR OFFICE l ISE os►.ti
City of Tigard CEP 2 8 201 Pe '��3 `( `1(c.
w D.,01'y
I , , R 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax 503.59g.1 i Date/By. Related Permit a:
Inspection Line: 503.639.4175 IT(OF I l ARL) Ready Date/By: Ions H See Page 2 for
I ll'"1) Internet: www.tigard-tx.gov 3UIL.DING DIVISIon;NotifiediMethod: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply(submit sets of plans wiitems checked)®New Construction 0 Additionialteration/replacement
0 Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 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: El Fire pump. 0 installation of ISO KVA or
r-L,, , JOB SITE INFORMATION AND LOCATION ['Emergency system- larger separately derived
Job#: Job site address:12161 SW THORN WOOD DR ❑Addition of new motor load of system.
100HP or more. ❑'A',"E-,"1-2 "i-3",
City/State/ZIP: TIGARD,OR 97224 ❑Six or more residential units. occupancy
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts;lemmal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qy. I Each I rout I
New residential single-or multi-family dwelling unit.
Subdivision: HEIGHTS AT BULL MOUNTAIN I Lot#: 16 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less I 16$.54 4
DESCRIPTION OF:WORK Ea.add'I 500 sq.R.or portion 4 33.92 1
Limited energy.residential 75,00 2
NSFR-ELECTRICAL (with above sq.R.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
s'_4 PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2
Name: LENNAR NW LLC Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: 11807 NE 99TH ST,STE 1170 201 amps to 400 amps 133.56 2
City/State/ZIP: VANCOUVER,WA 98682 401 amps to 600 amps 20034 2
601 amps to 1,000 amps 301.04 2
Phone:( 360 )601-1860 Fax:( ) Over 1,000 amps or volts 552,26 2
Temporary services or feeders installation,alteration,and/or
Email: PERMIT-FORTLANDQLENNAR.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: CAMERON NEWKIRK Date: 9/18/2023 401 amps to 599 amps 168.54 2
rs. APPLICANT I t,...s CONTACT PERSON Branch circuits—new,alteration,or extension,ptr panel
A.Fee for branch circuits with
Business name: LENNAR NW LLC
above smite a feeder fee,
Contact name, CAMERON NEWKIRK each branch circuit 7.42 2
B.Fee for branch circuits without
service Address: SAME AS ABOVE branch or cirfeeder fee,first uit 56.18 2
City/State ZiP: SAME AS ABOVE Each add9 branch circuit 7.42 2
:( ) Miscellaneous(service or feeder not Included)
Phone:(360 ) 333-2513 Fax
Each manufactured m modular
Entail:CAMERON.NEWKIRK@LENNAR.COM dwellirig,scrvicc and/or feeder 6754 2
CONTRACTOR Reconnect only 67.84 2
Pump or irrigation circle 67.84
Business name: PG Etro /i[,, Sign or outline lighting 6784 2
Address: PO Box 517 Signal circuit(s)or!IDIOM-energ-v
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Newberg OR.97132 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( 503 1 538-6033 Fax:( ) Investigation(I hr min) 90.00f hr
Email: perob20, gmail,com Industrial plant(1 hr min) 78 18i hr
CCB LJC.: Electrical Lie.: Inspections for which no fee is 90.00%ter
I87490 36-114C Suprv.Lic.: 5012s specifically listed(k ter min)
Suprv.Electrician signature,required: __.--. I ELECTRICAL PERMIT FEES
Jil Subtotal:
Print name: Steve Peppmeier Dace: 9/22/2023 0 Plan Review Required(25%of permit fee):
�+ w _l State surcharge(12%of permit fee):
Authorized signature: tiwvvvK4v 0- HeNvP..44 TOTAL PERMIT FEE:
s 1 Print name: CAMERON NEWKIRK I This permit application expires its permit is not obtained within 1$6
Daze: 9/22/P023 days after it has been accepted as complete.
t�auaaaratPermas�ELC •PcmrkApp_¢La_EREds Rev au pR01y ' Number of inspections allowed per permit.
lace W fi 13T(I IRISlfOPMl'EB
.,
E. ' Plumbing Permit Anplieatiolrl ECEIVE
Building Fixtures
City o6 Tigard SEP 2 8 2023 Kemal PIII4 qr.0- -oo`F 9G
,- ali 3123 SW flail Blvd..Tigard,OR 97223
Daturtly.
• mete: 503.7182439 FIN: 503.s9&.19bA+ITY OF TIGARLI flan,xcv "
„r II
t3mbcr Puntll Na:
Intp.-wton Line, sod-or..o
1 75 SUILDii IG DIVISIOba
m •,,t� Into-act t'Mta Rdedr+'[§x.. bat Sae I've 2 far
Into-act w»�s.ligardax.8 Nnlsad\ietrAl Suppirmntsl lMormanon
TYPE OF WORK FT E° SCHEDULE
®Nuw canaltuction ❑Demolition rarNwriatieVanewBonasechecklist_
Description i Qty, I tit. J Tom
0 Addition''ahcration/replacement 0 Other Nat,1-2-hand ly dxsUkgp table la+100.0.fur oath utility t.nncelion) ,
CATEGORY OF cONSTRUCrjo;V SDI(1)bath 312.70
r. I-and 2-family dwelling ❑Cciamerciul`industaial 5I•'FC(2)baBt 437.78
NPR(1)bath I coo 12
0 Accvinory building ❑Multi-family
i:ach additional badvIenchat 25.92
❑txfoaicrbailoicr 0('afar: hire punk Its( sq.ft,) Pagc 2
JOB SITE INFORMATION AND LOCATION SSta tellittra:
.iob siicaddress. 12161 SW THORN WOOD DR Catch bun or treadrnin 18.76
i rnet1,leach hoc,or trench drain 18,76
{'it)+Stttta 1.[l': 'I igard.OR 97224 Footing drain too linear It.._) Pare 2
Mite bldg.rapt.no.: ! Project name, JUJO1fr5 AT DIl1.L MOUNTAIN \lanufachIred hone ulilittes 50,03
Cross strect'di rcctiaa s t.4 job site: Manholes 18.76
Rain drain connector 18,76
5atamaur soma(tut,linear tt.: ) Page 2
Skim«,,svr(no.linear II.: Pago.2.
Water acrvirc(no,linear II,: Page 2
Ault di siibail I1E1(1I ITS AT 10.1.1.MOO JNTAIN Lot no,: 16 El stoic or!dean:
Tax tnap'parccl An.: Itur};:.11ow prcvmtei 1 31.27
DESC'W PCION OF WORK
t stet Lahti 12.59
Chilies washear 25.02
NSFR•PLUNiI1FN0
'Astonishes 25.02
Thinking fountain 23.02
Einclors"amp 25.02 F
g PROPERTY"OWNER 0 TENANT Expansion ail 12.51
Fimurthtines cap 25.02
Name: LE N'NAR NW LI-C
-
Floot drainyflom sinL-ahub 25.02
Address: 11807 NE 99T11 ST,STE 1170
Garbage disposal 25.02
City/State/ZIP: VANCOUVER.WA 98692 Hose bib 23.02
Pl ;(360 )333-2511 Fax:( ) Ice maker 12.51
®APPLICANT ® CONTACTPERSON ! Interceptor tsetse trap 25,02
Business name: LENNAR NW LLC Medical pas(vatic $_) Page 2
Printer 12.51
Contact name:CAMERON NEWICIRK RtwCtirain(commercial), 12.51
Address: SAME AS ABOVE Sinlubasin lavatory 25.02
Cih'/Statc'ZIP: Mat ta»is(potable oats) 62.54
Phone:(360 ) 333.2513 Fus::( ) luR'stiawa'shoeux pan 125 t
E-mail: CAMERON.NEWKIRKtn71..ENNARCOM Urinal 25-02
.Water chart 25.02
CONTRACTOR rt
1.Vala trcmrcx 37.52
Business name: K&C PLUMBING
lWartspiping DWC 56.29
Address: /(a r�.�Y IO rc /t e, (hMr a 25.02
Cityt&tate ZIP:Opt yi C. cr]c 0 etz
di.9. a-9 S16eaa.l
Phone;( ) > 2- -9 3 Yr Fax:(50) Minimum patent fee: S72.5n _._ ___._---
CCB Lic.: / 0 l f? Plumbing f.ie.no.: PS.) Plan rev ew(25",b of permit icvl
Stale aucharga(1210ofpamit fee)
Authorized signature: (µt^^.EYvw Ne-wk t.rk' �/ ` "_.--- ..r. TOTAF.PERMIT klff FEE
Prinlname: CAMERON NEWKIRK Dote: 9/22/2023 Thb pariah upadntions spires ifa permit as not ohtaaantwnlan ISO Oar/
a atter n tat beta ambled a complete.
»vu.mstks.tnt t}p as hl tit rewmty 44tnlama!Macey,Lis Kneel
1,11 3hrb turab.N7,Ft4'J'mrotAmtim 1OViM4 14E7-a6 IC\700]tC(sMhVEn,r
'$ City of Tigard
114
° COMMUNITY DEVELOPMENT DEPARTMENT
m
Building Permit Review - Residential
TIGARD
Building Permit #: /vl'F?-03-3 - 0 o9 c L
Site Address: 12161 SW Thornwood Drive RI Verified in Accela
Project Name: Heights at Bull Mountain Lot/Unit #: 16
Proposal: New single detached SFR Zone: R-7/RES-C
Housing Type: ❑ SFR(❑ Single Detached ❑ Duplex El Triplex❑ ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑ Other
Required Site Plan Elements:
51 3 copies of site plan on max 11x17"
51 Drawn to standard scale
X North arrow U Street and site trees shown / labeled
RI Site address, project name, lot #
l Street names (N/A for SFR)
NI Applicant name and phone # ble)
Id Lot and setback dimensions ❑ Vi3ion cloaranoo trianglo
Utility locations &easements
ig Footprint of new structure and FFE U Property corner elevations
54 Sidewalk/driveway dimensioned ❑ LIDA () 1,000 of dicturbanco)
kl Lot area and lot coverage percentage Eil Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
l Drawn to standard scale U Total facade area
12 Building height dimensioned Eil Total window and door area
W Facade dimensioned
IX Windows and doors dimensioned
IE Garage doors dimensioned
Require n Elements:
(Not required for SFR ❑ Summary table that includes
❑ Each story dimensioned tal floor area
❑ Each story floor area calculated ❑ Floor ar
Planning Review
The following standards have been met:
Setbacks /Front: -I, Rear: 15' Side: 5' Min/Max Street Side: 10' / Garage: 20
Height Max. Height: 35' Proposed Height: 24'
,Yes ❑ N/A Landscape
El Yes ❑ N/A Screening (Quad only)
p"Yes ❑ N/A % Window Coverage 2A rr/ .
p Yes ❑ N/A Garage (SFR Only) Parking (Other Res) LSb •
,leYes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
El 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
❑ Yes 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 IS No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes I% No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
• Sensitive Lands: ❑ Yes gl No
NI Main Land Use Case #s: SUB2021-00003 ❑ Conditions met
RI Applicant notified of land use expiration date' ermits: 10/27/23 final occ: 10/27/25
Approved By Planning: `ln Date: 9/25/23
Notes
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal Original Submittal Date: 1 38 I a2
Site Plans #:
Building Plans #:
Building Permit #: '.Building permit # entered on page 1
Workflow Routing: .Planning IKEngineering j Permit Coordinator I (.Building
Workflow Sign-off: l,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.
Y Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: el(c8 (a 3
Notes:
Engineering Review
215FI Permit: Pi/ zd Z(. ' � e,'
pe at building pad: 32 ,
etonditions met prior to issuance of permit
J2'E ements (encroachments) per engineering conditions of approval and plat
81Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes .-No
Assess Water Quantity Fee in-lieu: ❑ Yes Gl-No
LIDA Facility on lot: ❑ Yes IQ-No Add Fee: ❑ Yes ❑ No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: 1<.A 514 C t Date: /(`3 - 3`2.4,V3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
711Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
ENG Revisions Required: Date notified applicant:
4t..
DC Exemption: ❑ Applied for ❑ Received /toes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A C Deferred
Parks SDC: Yes ❑ N/A 4 Deferred
LIDA ❑ Yes C /A
?a
K to Issue/Approved by Permit Coordinator: 4"- ? Date: l0 - J r/V 2 3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
NI Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION �J`- Z023
Permit #: S i oz, — b - c r _ Plan #: 2,350 Floors:
Valuation: 4,11//5 p 5,3 Covered Porch: I a?- Basement
Bedrooms: Deck: 1"Floor L
WC (toilets) Deck Cover: 2nd Floor 30�
Lavatories 4 Patio Cover . __---- 3rd Floor _.__—
Tub/shower + ► Accessory Struct. R-3 Total 239 1
Laundry Tray '1 Water Heater ` ,es Elec Garage L 1 Z'
Exhaust Vents 5 Gas Flue Vents Total for Elec. 27 Cp2
Backflow Prey. .52......
� a, Heat Pump /() # for Electrical (�
BBQ Gas Fireplace ...-� #Fuel Lines ( [(
—I
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 72
Info Proc/Arch: Sm $.50 (up to 11x17) (.p
Metro CET: Residential Use 0.,,,j
School CET: District:'1"-i
Tigard CET: Admin u
Tigard CET: ODHCS ✓
Tigard CET: AH ✓
Electrical Permit: Permit Fee:
Limited Energy: ✓
12% State Surcharge ✓
Mech. Permit: Permit Fee: V.
12% State Surcharge t
Plumbing Permit: Permit Fee: V
12% State Surcharge V-/
Erosion Control: w/Permit-Ping '"//
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Water Meter Fixture Unit Worksheet For New Buildir ,FCEI VED
SEP 2 8 2023
Please complete the following information: CITY OF TIGARL
Contractor Name: LENNAR NW LLC
RI u WING DIUISIOPI
Billing Address: Street/Suite#: 11807 NE 99TH ST.SUITE 1170
City: VANCOUVER State: WA Zip: 98682
Phone Number: (306)333-2513 Email: CAMERON.NEWKIRK@LENNAR.COM
New Meter Address: 12161 SW THORNWOOD DR
Subdivision Name: Heights at Bull Mountain Lot#: 16
Building Permit#:
Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value
to arrive at the point total. Add all point totals together for total fixture unit points.
Fixture Unit Quantity Point Value Point Total
Bar sink x 1 =
Bidet x 1 =
Clothes washer 1 x 4 =
Dishwasher 1 x 1.5 =
Hose bib, 1"one 1 x 2.5 =
Hose bib, each additional x 1 =
Kitchen sink 1 x 1.5 =
Laundry sink x 1.5 =
Lavatory x 1 =
Water closet, 1.6 GPF 1 x 2.5 =
Bathtub/whirlpool 3 x 4 =
Shower stall 1 x 2 =
Bath/shower combo x 4 =
Total Fixture Unit Points:
Fixture Unit Points:
1 to 30 = 5/8" 37.5 to 89 = 1"
30.5 to 37 = 3/4"
Meter Size: 5/8 INCH Meter Cost: $
*************************************************************************************
FOR OFFICE USE ONLY
Fixture Units Points verified with
Building (Master)Permit or Plumbing ❑Yes ❑ No ❑ Other:
Meter#: Sale Date:
Receipt#: Meter Cost:
Employee Name:
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