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Permit (87)
CITY OF TIGARD MASTER PERMIT =IIIII COMMUNITY DEVELOPMENT Permit#: MST2023-00396 Date Issued: 10/20/2023 T I GA R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05400 Jurisdiction: Tigard Site address: 14652 SW 165TH AVE Subdivision: SOUTH RIVER TERRACE Lot: J Project: South River Terrace, Building 21, Unit 2 of 3 Project Description: New attached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stones: 3 Bedrooms: 4 First: 947 sf Basement: 64 sf Left: 0 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1007 sf Garage: 448 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Total: 2018 sf Value: $369,397.14 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 0 Catch Basins: 0 Bckflw Prevntr: Footing Drain; 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 2 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!500 sf: 3 201-400 amp: 0 201-400 amp: 0 WIG 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 2018 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 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,326.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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 0F911n1-nf if rhrn„nh oa9-nnl-nnon Vn„ i n in a rnn,,of thn ndoc nr rlir<rt n„c,ctinnc In rll IMC h,i rollinn am 919 10R7 nr 1 Rnn'Y79 9244 Issued By: Permittee Signature: 1-7 ` y ' 0Call 503.63 . 75 by 7:00 a.m.for the next available inspection date. J This permit card shall be tin 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. J3uilding Permit Application, ' Residential RECEIVED FOR OFFICE USE I)NI,Y Received 3 P fib .3-ao 3% City of Tigard. 13125 AUG 4 2023 if a _ Date.By Phone: SW Hall Blvd,Tigard, .5 97223 Pr 960 Plan Received n . n, 4 Phone: 503.718.2439 Fax: 503.598.1960/+ G q p D Date;By: /� o� oo? 1 TIGARD Inspection Line:503.639.4175 CITY OF TIGARD Date Ready By: /r' " ,"' June 1111 See Page 4 for [ntemet: www.tigard-or.gov BUILDING DIVISION Notified Method:I(j 4 6("V Supplemental Information �,vyQt ldfff CO r TYPE OF WORK REQUIRED DATA:I- AND 2-FAMJLY DWELLING I!)New construction D Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all D Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1 9 lij 1-and 2-family dwelling Valuation: $ ) D Commercial;industrial 3� 3t r D Accessory building 0 Multi-family Number of bedrooms: 4 D Master builder D Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number offlo ors: 3 l f (AQ Job site address:14652 SW 165'h Ave New dwelling area: 2018 square feet t cxy7 City/State/ZIP:Tigard,OR 97224 Garage carport area: 448 square feet oi(7 Suite/bldg./apt.no.: I Project name:South River Terrace,Building 21 Covered porch area: square feet I Cross street/directions to job site: Deck area: 5(Q square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL USE CHECKLIST Subdivision: I Lot no.:2 Permit fees*are based on the value ol'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. new SFR Triplex Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name:Taylor Morrison Northwest LLC Type of construction: Address:703 Broadway St, Ste 710 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone: (360 ) 946-8674 Fax:( Ne)\: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee.schedule) Business name:Taylor Morrison Structural plan review fee(or deposit): Contact name:Tonja Morris FLS plan review fee(if applicable): Address:703 Broadway St, Ste 710 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 - Amount received: Phone:(360 )946-8674 I Fax::( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:perm itsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR 1 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, Ste 710 Solar Installation Specialty Code checklist. City;State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360 )695-7700 ax:( State surcharge(12%of permit fee): $21.60 CCB lic.:207247 lik t Total fee due upon application: $201.60 Authorized signature r ' / J This permit application expires if a permit is not obtained within l80 days after it has been accepted as complete. Print name:TOf ja Morris `� Date:8114 *Fee methodology set by Tri-County Building Industry - Service Board. I:'vBuilding\Permits\BUP-RESPennitApp.doc 01/25/2023 440.4613T(1 I/02/COM/WEB) •, Mechanical Permit Application FOR OFFICE USE.O\l.1 4. City of Tigard Received Date/By: Peri*ItTgtri tsw 3 _ Q o III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit. T IGARD Inspection Line` 503.639 4175 Date Ready/By: lune ® See Page 2 for Internet: www.tigard-orgov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value-$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ® Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating cooling: Air conditioning 46.75 Job site address: 14652 SW 165th Ave Furnace 100,000 BTU(ducts/vents) 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: South River Terrace,Building 21 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 23.32 Subdivision: South River Terrace Lot no.: Other: 23.32 2 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK ""` Gas fireplace/insert 33.39 'I Flue vent for water heater or gas New home construction. ' fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER ElTENANT Other: 23.32 Environmental exhaust and ventilation: Name: Taylor Morrison Northwest I.LC Range hood/other kitchen equipment 33.39 Address: 703 Broadway St.,Ste 710 Clothes dryer exhaust 33.39 City/State/ZIP: Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 360 ) 695 7700 Pax I ) Attic/crawlspace fans 23.32 4 APPLICANT ❑ CONTACT PERSON Other 23.32 Fuel piping: Business name: Taylor Morrison Northwest LLC $14.15 for first four;$4.03 for each additional Contact name: Tonja Morris Furnace,etc. Gas heat pump Address: 703 Broadway St.,Ste 710 Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 Water heater Phone:( 360) 695 7700 Fax::( ) Fireplace Range E-mail: PerrnitSuhmittals@taylormorrison.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Development Northwest Inc. dba Wolcott HVAC Other: MECHANICAL PERMIT FEES* Address: 1075 W Historic Columbia River Hwy Subtotal City/State/ZIP: permit fee($90.00)/state/zIP:Troutdale/OR/97060 Plan review(25%of permit fee) Phone:(971)256-4584 Fax:(503 ) 667-9891 State surcharge(I2%of permit fee) CCB lie.:112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within l80 days after it has been accepted as complete. Authorized signature: 2)e 1ylf L. atiMing * Fee methodology set by Tri-County Building Industry Service Board Print name:Dennis Dunning Date:8/14/23 t\Building\Permits\MEC_PernmApp_040113.doe 440-4617f(I I102/COM/WEB) • Electrical Permit Application FOR OFFICE I'SE ONLY City of Tigard Received a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BMil : "f7T ! ^0 0.3' g Plan Review Permit/ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit a: TIGARD Inspection Line: 503.639.4175 Ready Date/By: runs Rf See Page 2 for a Internet www.tigard-or.goy Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Xi New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w;irems checked). 0 Ser ice or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION .. . exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial ID Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑ Other: 0 Fire .pump 0 Instal lotion of 150 K V A or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived AddJob#: Job site address: 14652 SW 165th Ave ❑100H ion of new motor load of system. I OOHP or more. ❑"A" "E" "1-2"."1-3" City/State/Z1P: Tigard OR 97224 0 Six or more residential units. occupancy. 0 llealth-care facilities. 0 Recreational vehicle parks. Suite/bldg,/apt.#: Project name: South River Terrace ,Building 21 El Hazardous locations 0 Supply voltage for more than 0 Service or feeder 600 amps or more 600 volts nominal_ Cross street/directions to job site: FEE SCHEDULE Description I Qtr. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: South River Terrace Lot#: 2 Includes attached garage. 1,000 sq ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33,92 1 r;. . . ,_.'6 ' y i iav, a.w' :0 ', Fin Limited energy,residential 75.00 2 (with above sq.ft.) New home construction. Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 13 PROPERTY OWNER 0 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.corn 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 El APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,uer 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:Tonja Morris B.Fee for branch circuits without service or feeder fee,first . Address: 703 Broadway St., Ste 710 branch circuit 56 18 2 City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67 84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.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 El 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(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.181 hr Email:paul@portlandelectric.biz Inspections for which no fee is 90.00,hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 specifically listed( hr min) �X,C.� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l�Ix, A Subtotal: Print name: Alex Shalya Da{e: 8/14/23 ❑Plan Review Required(25%of permit fee): n I� .. L State surcharge(1T %L Ef permit fee):EE Authorized signature: 3-]U( L.Gl�re. TOTAL PERMIT FEE: Print name: Sergey Mishchuk Date: 8/14/23 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. I\Building\Permits\ELC_PermitApp FLR EKE doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB I e Plumbing Permit Application Building Fixtures FOR OFFICE USE ()Nix City of Tigard Roomed/ Perm Date/By By. yt4411>o P-3-Oo33 Iiii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: DateiBy: TIGARD Inspection Line: 503.639.4175 Date Ready,/By: Duns.. VI See Page 2 for Internet www.tigard-or gay Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE N New construction ❑Demolition Far special information use checklist -- - Description I Qty. I Ea_ I 'total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 N I-and 2-family'dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address. 14652 SW 165th Ave Catch basin or area drain 18.76 Drywell,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, Building 21 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 I Rain drain connector 18.76 Sanitary sewer(no linear ft.:_) Page 2 Storm sewer(no.linear It _) Page 2 • Water service(no.linear ft. _) Page 2 Subdivision:South River Terrace I Lot no.: 2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New home construction. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 131 PROPERTY OWNER .I 0 TENANT Expansion tank 12.51 Name: Taylor Morrison Northwest LLC Fixture sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 710 Garbage disposal 25.02 City/State/Z1P: Vancouver,WA 98660 Hose bib 25.02 Phone:(360 )695 7700 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Taylor Morrison Northwest LLC Primer 12.51 Contact name: Tonja Morris Roof drain(commercial) 12.51 Address: 703 Broadway St.,Ste 710 Sink/basin/lavatory 25.02 City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:( 360 )695 7700 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: PermitSubmittalsr.taylormorrison.cum Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Wolcott Plumbing Water i in WV p p g/D 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale, OR 97060 Subtotal Phone:(503�667-1781 Fax:(503)667-9891 Minimum permit fee' $72 50 CCB Lic.: 112220 Plumbing Lie.no.: 26-824PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: . 4. / 3,9-WiYLCUL (/ TOTAL PERMIT FEE name: Cliff Bow Date: 8/14/23 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 Service Board. I,Building\Fermits\PLMU-PermitApp doc 10/01/09 440-4616T(lOi02iCOMWEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: /vf OO,cr Site Address: 14652 SW 165th Ave m Verified in Accela Project Name: South River Terrace, Building 21 Lot/unit #: Unit 2 Proposal: New SFR Triplex Zone: RES-C Housing Type: m SFR(0 Single Detached ❑ Duplex m Triplex❑ADU)❑ Rowhouse❑Cottage Cluster 0 CYU ❑Quad❑Other Required Site Plan Elements: m 3 copies of site plan on max 11x17" m Drawn to standard scale lirpetiperpppetection © North arrow m Street and site trees shown / labeled m Site address, project name, lot # O Street names (N/A for SFR) m Applicant name and phone # (if applicable) m Lot and setback dimensions 0 ❑ �nixhry xuuu �o ayuma. lwwy�. 0 Utility locations & easements m Footprint of new structure and FFE m Sidewalk/driveway dimensioned uuwivani.C) m Lot area and lot coverage percentage m Erosion control Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Summary table with calculations for: O Drawn to standard scale ❑ Total facade area ❑ Building height dimensioned ❑ Total window and door area O Facade dimensioned ❑ Windows and doors dimensioned ❑ Garage doors dimensioned Require Elements: (Not required for SFR) ❑ Summary table that includes ❑ Each story dimensioned oor area ❑ Each story floor area calculated 0 Floor area per s Planning Review The following standards have been met: Setbacks 0 Front: 12/8 Rear: 0 (alley)Side: 0 Min/Max Street Side: 8/3 __/ Garage: 4/20 Height 0 Max. Height: 35' Proposed Height: 27 0 Yes ❑ N/A Landscape O Yes ❑ N/A Screening (Quad only) *Required for parking, but buildings provide screening ❑ Yes 0 N/A % Window Coverage*Is not street facing O Yes ❑ N/A Garage (SFR Only) Parking (Other Res) O Yes 0 N/A Entrance (SFR, Rowhouse, Quad only) O Yes ❑ N/A Other building design standards (Rowhouse only) *Facade Offset, Porch, Roof, no exterior staircase ❑ Yes m N/A Accessory Structure Standards ❑ Yes m No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: O Yes ❑ N/A Unit Count: 3 O Yes ❑ N/A Lot Width and Size Tract J = 114,586sf O Yes ❑ N/A Pathway (Ped Access) Additional standards for Courtyard Units and Cottage Clusters only: ❑ Unit Area: ❑ Yes ❑ N/A F oo er story) ❑ Yes ❑ N/A Courtyard ❑ Yes ❑ N/A Fence ❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ No, stop intake O Sensitive Lands: ❑ Yes 0 No O Main Land Use Case #s: PDR2018-00003, PDR2021-00003 ❑ Conditions met 0 Applicant notified of land use expiratiomiV Permits b 11/2/24, CofO by 11/2/26 Approved By Planning: , _ Date: 8/3/23 `6/l4 ra.o3..'5 Notes PDR applied rowhouse standard for t e e units. Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: *PDR referred these as rowhouses, but does not fit current definition. Building Permit Submittal Original Submittal Date: Site Plans #: Building Plans #: Building Permit #: %Building permit # entered on page 1 Workflow Routing: ps.PlanningEngineering q➢ Permit Coordinator FJ,Building Workflow Sign-off: .Sign-off for Planning (include notes from planning review) Route Documents: F.Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. F,Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: Date: g/`7 (/t 5 Notes: l Engineering Review ❑ PFI Permit: IfYglope at building pad: 2� Conditions met prior to issuance of permit V,Easements (encroachments) per engineering conditions of approval and plat , ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes f'No Assess Water Quantity Fee in-lieu: ❑ Yes g'No LIDA Facility on lot: ❑ Yes eNo Add Fee: ❑ Yes ❑ No lnal Plat Recorded ❑ NOT Approved: Date: Notes: _ Approved By Engineering: Date: . S-7Z Revision 1: ❑ Approved 0 Not Approved 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: SSDC Exemption: 0 Applied for ❑ Received C` boes not apply ilZI.pDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A A , Tigard Trans SDC: Yes 0 N/A C�Deferred (yam(/1(�i� Parks SDC: Yes 0 N/A Deferred LIDA 0 Yes I N/A K to Issue/Approved by Permit Coordinator: Date: v Le 7/3 Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: ti� Building Division UA' 7" C ill 1111 One & Two-Family Dwelling T 1 G A R D Fees Checklist I PERMIT INFORMATION: Application Date - FEE VERSION �L)I Z47z3 Permit#: mS; . z_ — Plan #: Li(8 i s rJ !J� Floors: '7� Valuation: Covered Porch: [ ' Basement v t t Bedrooms: 4 Deck: 514 1"Floor q q -7 WC (toilets) 3 Deck Cover: 2'd Floor 1 lvO Lavatories S. Patio Cover 3=d Floor Tub/shower 3 Accessory Struct. .. - R-3 Total ? b'1 cS Laundry Tray _______—» Water Heater / Gas( c') Garage („(\t'S Exhaust Vents S Gas Flue Vents Total for Elec. 2(f Backflow Prev. ------ ornate Heat Pump C # for Electrical 3 BBQ r-- Gas Fireplace #Fuel Lines ..2. FEES: Description: Fee Appli s: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) >< Info Proc/Arch: Sm$.50 (up to 11x17) Metro CET: Residential Use School CET: District: Tigard CET: Admin ✓ Tigard CET: ODHCS Tigard CET: AH t/ Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge Plumbing Permit: Permit Fee: l/ 12% State Surcharge Erosion Control: w/Permit-Ping I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1