Permit (86) aPli _ CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00395
T[GAR f1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20(2023
Parcel: 2S107AD05400
Jurisdiction: Tigard
Site address: 14650 SW 165TH AVE
Subdivision: SOUTH RIVER TERRACE Lot: J
Project: South River Terrace, Building 21, Unit 1 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: 5 First: 1091 sf Basement: 33 sf Left: 0 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1184 sf Garage: 507 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
Total: 2308 sf Value: $422,322.12 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
Bcklw Prevntr: 0
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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
Fum<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'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: 0 401-600 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 2308
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: $26,573.45
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 0c2.nnD mm�thrror,days. AR rig%nn ION: tn(ingn n law ,,n gUinta rnnn,.of the n,i n,di o adopted
.-t b=nny h�e On Stir h.Utility
',Non tification Center. ThoseQ rulesare set forth in OAR
A
Issued By: r - Permittee Signature: �✓�� � G s• #/1
Call 503. 9.4175 by 7:00 a.m.for the next available inspection date.
This permit card shal e kept in a conspicuous place on the lob site until completion of the project.
Approved plans are required on the lob site at the time of each Inspection.
_ Building Permit Application
Residential RECEIVED FOR OFFICE USE t 1S I 1
City of Tigard Received --tt�
Date/By g /y a 3 ) Pe /D33 ^OD 39 s
13125 e SW'Hall 8 2439.,Fax: 5 .5 97960 fir 14 2023 Ptah Review I /1J V, AA � �=3 . 00 a'}5
_ ■ Phone: 503.718.2439 Fax: 503.598.1960 Date By 1/
TIGARD Inspection Line:503.639.4175 Date Ready By: lures li11 See Page 4 for
[ntemet: www.tigard-or.gov CI OF TIGARD Notified Method.i 0 ((ef al 3, Supplemental Infoanation
"I r OING D VlL IOP x
TYPE OF WORK REQUIRED DATA:I- AND 2-FAMJLY DWELLING
1I)NevA construction D Demolition Permit fees*are based on the value of the v.ork performed.
Indicate the value(rounded to the nearest dollar)of all
D Additionialteration/replacement D Other- equipment,materials,labor.overhead,and the profit for the
CATEGORY OF CONSTRUTION work indicated on this application. t.Z
Valuation: $ 41�?13,2a ,
[i] 1-and 2-family dwelling D Commercial
D Accessory building 0 Multi-family 1
Number of bedrooms: 5
D Master builder D Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION 1 Total number offlo ors: 3f r� Z 8 15-
Job site address:14650 S W 165t''Ave New dwelling area: 9 Square feet t t g(.l
City/State/ZIP:Tigard,OR 97224 Garage carport area: 507 square feet 1 0 I
Suite/bldg./apt.no.: I Project name:South River Terrace,Building 21 Covered porch area: square feet 3
Cross street/directions to job site: Deck area: 7a square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.:1 Permit fees*are based on the value of the work performed.
Tax map;parcel no.: Indicate the value(rounded to the nearest dollar)of all
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 1 946-8674 Fax:( Nev..
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee 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:V ancouver, WA 98660
Phone:(360 ) 946-8674 I Fax: : Amount received:
' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:perm itsubmittals(2-0taylormorrison.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, 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 )695-7 I Fax:( State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
_.... _._. within 180 days after it has been accepted as complete.
Print name:TOtlja Morris Date:8/14 *Fee methodology set by Tri-County Building Industry
Service Board.
I:'vBuildingPermits\BUP-RESPennitApp.doc 01;25.2023 440-4613T(1 1,/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard
Received
Date/By: P/vl/l`r�,;fy�7- „- Q a /
13125 SW Hall Blvd.,Tigard,OR. 97223 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By.
RU
Inspection Line: 503.639.4175 Date Ready/By: 3urix Ei See Page 2 for
Internet: wwW-tlgard-or.gOV No[ifiedAlethod Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value.$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
▪ Multi-familyly ❑ Master builder ❑ Description Qty. Ea. TotalOther:
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 14650 SW 165th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(duets/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 2332
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
Other. 23.32
Subdivision: South River Terrace Lot no.: I
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 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
Other: 23.32
CD PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Taylor Morrison Northwest LLC Range hood/other kitchen
equipment 33.39
Address: 703 Broadway St.,Ste 710 Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Y Vancouver,WA 98660 toilet compartments,utility rooms) 23.32
Phone:( 360 )695 7700 Fax:( I Attic/crawlspace fans 23.32
) APPLICANT D. CONTACT PERSON Other: 23.32
Fuel piping:
Business name Taylor Morrison Northwest LLC. 514.15 for first four;54.03 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
Fireplace
Phone:( 360) 695 7700 Fax: :( ) Range
E-mail: PelmitSubmittals@taylormomson.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Development Northwest Inc. dba Wolcott HVAC Other.
P MECHANICAL PERMIT FEES*
Address: 1075 W Historic Columbia River Hwy Subtotal
City/State/ZIP:Troutdale/OR/97060 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971) 256-4584 Fax:(503 ) 667-9891 State surcharge(12%of permit fee)
CCB lie.:112220 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Z
�n r1 days after it has been accepted as complete.
Authorized signature: iiniS l tm* * Fee methodology set by Tri-County Building Industry Service Board
Print name:Dennis Dunning Date:8/14/23
I,BuildingPermits'MEC PermitApp 040113.doc 440-061Tr(I I,02/COM/WEB)
•
Electrical Permit Application FOR OFFICE_ I SE_()Nil-
City of Tigard
Received ���2 �O�_
.` _ Phone: 503.718.2439 Fax: 503.598.1960 Date/B DateiB Perms 7
Ill w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: lurk ® See Page 2 for
TIGARD 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 vs item,checked).
❑Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY„OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
[Si 1-and 2-family dwelling ❑ Commercial/industrial D Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings_
❑Multi-family ❑ Master builder 0 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: 14650 SW I65th Ave 100HP or more ❑".4","E","I-2",'1-3",
City/State/ZIP: Tigard OR 97224 ❑Six or more residential units occupancy.
y g ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: South River Terrace ,Building 21 0 Hazardous locations. ❑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 Qty. I Each I Total I `l
New residential single-or multi-family dwelling unit.
Subdivision: South River Terrace Lot#: 1 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
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
New home construction. Limited energ
y,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
El 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.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
El APPLICANT ❑ 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:Tonja Morris 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'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )816-7800 Fax: :( ) Each manufactured or modular 67.84 2
Email: permitsubmittals@taylormorrison.com dwelling,service and or feeder
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.
Each additional inspection over allowable in any of the above
City/State/ZIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 Fax:( ) Investigation(I hr min) - 90.00/hr
Email:paul@portlandelectric.biz Industrial plant(lhrmin) 7818ihr
Inspections for which no fee is 90.00/hr
CCB Lie.: 194066 Electrical Lie.: C760 Suprv. Lie.: 49205 specifically listed(''hr ruin)
�� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: IAk,, Subtotal:
Print name: Alex Shalya Da e: 8/14/23 ❑Plan Review Required(25%of permit fee):
L State surcharge(12%of permit fee):
Authorized signature: ASe1 - 7Y1 k+ TOTAL PERMIT FEE:
a (/ 8/14/23 This permit application expires if a permit is not obtained within 180
Print name: Sercley Mishchuk Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I Building`Permits\ELC_PernutApp_ELR_ERE.doe Rev 06/17/2015 440-46157(I 1/05iCOM/WEB
•
Plumbing Permit Application
Building Fixtures FOR OFFICE UST
��O\I.I-
City of Tigard Received Permit rt.7'?Q.3`-o 03 75
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �,
IN S. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateiBy: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Ready/By turfs: ® See Page 2 for
Internet: www_tigard-or.gov Notified/Method. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
N New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addidowalteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
ElI-and 2-family dwelling IDCommercial/industrial SFR(2)bath 437.78
0 Accessory building ID 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: 14650 SW 165th Ave Catch basin or area drain 18.76
Drywall,leach line,or trench drain 18.76
City/StateiZIP: 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
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.: I 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
El PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest I.I.0 Fixture/sewer cap 25.02
• Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 710
Garbage disposal 25-02
City/Stale/ZIP: Vancouver,WA 98660 Hose bib 25.02
Phone:(360 )695 7700 Fax:I I Ice maker 12.51
IL APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Tonja Morris
Roof drain(commercial) 12.51
Address: 70
3 Broadway St.,Ste 710 Sink/basindavatory 25.02
City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:( 360 )695 7700 Fax: :( ) Tub/shower/shower pan 1251
E-mail: PennitSubmittals@taylormorrison.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Wolcott Plumbing Water piping/DWV 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
112220Plumbing :26-824P6 Plan review (zse�anf permit fee)
CCB Lie: Lic.na..
State surcharge(12%of permit fee)
Authorized signature: ,96(ifl'>t'JL(.ZJli TOTAL PERMIT FEE
Print 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.18uilding'PermItuPLMU-PermitApp_doc 10/01/09 440-4616T(I 0/02/COM/WEB)
1111 Building Division VA L 4- (
One & Two-Family Dwelling
T I G A R D Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION J J C z,lfLel
Permit #: MS I ZdL3'DD3 r5— Plan #: („i 6I -7 p5 fr Floors:
Valuation: Covered Porch: -- Basement 33
Bedrooms: S Deck: -7 O 1" Floor VD q
WC (toilets) Deck Cover: 2'Floor gLi
Lavatories Patio Cover _ 3`d Floor
Tub/shower 3 Accessory Struct. __-- R-3 Total tg-2 og
Laundry Tray Water Heater ` / Gas (Flec5 Garage -7
Exhaust Vents Gas Flue Vents Total for Elec. l S
Backflow Prey. �) Heat Pump AC # for Electrical 9
BBQ ------- Gas Fireplace #Fuel Lines .L
FEES: Description: Fee App: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) --32--
Info Proc/Arch: Sm$.50 (up to 11x17) 17
Metro CET: Residential ILJse� v/
School CET: District: 1 t s
Tigard CET: Admin ✓/
Tigard CET: ODHCS 1 '
Tigard CET: AH v/
Electrical Permit: Permit Fee:
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\Fomu\ReePlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /(/t g-r�oa� "0Q 7 5
Site Address: 14650 SW 165th Ave m Verified in Accela
Project Name: South River Terrace, Building 21 Lot/Unit #: Unit 1
Proposal: New SFR Triplex Zone: RES-C
Housing Type: m SFR(❑ Single Detached ❑ Duplex m Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad❑Other
Required Site Plan Elements:
m 3 copies of site plan on max 11x17"
m Drawn to standard scale ❑ R„1e:—.1 L......,, J.:,, I:...,/ 1.t_ p.etection
m North arrow m Street and site trees shown / labeled
m Site address, project name, lot #
m Street names (N/A for SFR)
0 Applicant name and phone # (if applicable)
m Lot and setback dimensions ❑ . •• �I ,. l.: ..71
❑ ",, ,,,y Z.1.1 y,L, ,y,,,� ti��,y� O Utility locations &easements
m Footprint of new structure and FFE
m Sidewalk/driveway dimensioned 1-11-J.. (-�,vv� J11.u1�011.-t-)
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:
m Drawn to standard scale ❑ Total facade area
❑ Building height dimensioned ❑ Total window and door area
l Facade dimensioned
❑ Windows and doors dimensioned
❑Garage doors dimensioned
Require n 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:
Setbacks m Front: 12/8 Rear: 0 (alley)Side: 0 Min/Max Street Side: 8/3 / Garage: 4/20
Height m Max. Height: 35' Proposed Height: 27
m Yes ❑ N/A Landscape
m Yes ❑ N/A Screening (Quad only) *Required for parking, but buildings provide screening
❑ Yes m N/A % Window Coverage is not street facing
m Yes 0 N/A Garage (SFR Only) Parking (Other Res)
m Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
m 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:
m Yes ❑ N/A Unit Count: 3
m Yes ❑ N/A Lot Width and Size Tract J = 114,586sf
m Yes ❑ N/A Pathway (Ped Access)
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Unit Area:
❑ Yes ❑ N/A Floo er story)
❑ Yes ❑ N/A Courtyard
❑ Yes 0 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: 0 Yes 0 No, stop intake
O Sensitive Lands: ❑ Yes O No
O Main Land Use Case #s: PDR2018-00003, PDR2021-00003 0 Conditions met
O Applicant notified of land use expiration Fat Permits b 11/2/24 CofO b 11/2/26
Approved By Planning: i--- Date: �2.7j
Notes PDR applied rowhouse standards or these units. O
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
*PDR referred these as rowhouses, but does not fit current definition.
Building Permit Submittal
Original Submittal Date: elf ''( f 3
Site Plans #:
Building Plans #:
Building Permit #: Ai.Building permit # entered on page 1
Workflow Routing: CR Planning 1*Engineering Fr Permit Coordinator EkBuilding
Workflow Sign-off: p9.Sign-off for Planning (include notes from planning review)
Route Documents: VI.Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
0.Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: - Date: 94.'7643
Notes:
Engineering Review
0 PFI Permit:
lflope at building pad: �7g ok
kr/4 l'tonditions met prior to issuance of permit
basements (encroachments) per engineering conditions of approval and plat
L
Lr'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes &Rio
Assess Water Quantity Fee in-lieu: 0 Yes ia-l'Vo
LIDA Facility on lot: ❑ Yes Q1lo Add Fee: ❑ Yes 0 No
(]'Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: _ Date: .g//- e---'
Revision 1: 0 Approved of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
wii•nditions met prior to permit issuance
• Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for ❑ Received Does not apply
'IaDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A n !g
Tigard Trans SDC: Yes ❑ N/A l Deferred .�-/Jt4i� ✓�
Parks SDC: Yes ❑ N/A Deferred
LIDA 0 Yes qN/A
540K to Issue/Approved by Permit Coordinator: Date: ,_( 1.C. T.
Revision 1: 0 Approved 0 Not Approved Date: l
Revision 2: ❑ Approved 0 Not Approved __ Date: