Permit (97) CITY OF TIGARD MASTER PERMIT
s ,t
COMMUNITY DEVELOPMENT Permit#: MST2023-00418
Date Issued: 10/16/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC15300
Jurisdiction: Tigard
Site address: 15714 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot: 18
Project: River Terrace Crossing, Lot 18
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1204 sf Basement: 0 sf Left. 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1323 sf Garage: 580 at Front 12 Smoke
DwellingUnits: 1 0 Yes
Third: sf Right 3 Detectors:
Total: 2527 sf Value: $468,615.75 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 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 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 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: 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
Es add'I 500 sf: 5 201-400 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 2527
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
11815 NE 99TH ST#1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98688 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $51,418.99
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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: • Permittee Signature: S G GVp `\CLV I t 1Y1
Call 503.639.4175 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 Application
Residential FOR OFFICE I'SE ONLY
CityII TigardRECEIVE ` � � � U'?
of r �3 Permit No. S 00ilt
v 1312e SW Hall B.2 39d.,Tigard,OR 98223
.19 tan Ey: "rAjl,�l 0010
e Phone: 503.718.2439 Fax: 503.598.1960 Dam/ev t ' Other Penrut u.7
T I G 1,i,U Inspection Line: 503.639.4175 Dam R IB Awns. Id See Page 2 f
Internet: www.tigard-or.gov AUG 2 2 2023yoti6ed/MefLod 13��/ flo '��e Supplemental Information
TYPE OF WO1�,C�ITY OF I IGARD 14. ,1�„ - REQUIRED DATA:1-AND 2-FAMILY DWELLING
CSUILDING DIVISION®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 ❑Other: equipment,materials,labor,overhead,and the profit for the 5
CATEGORY OF CONSTRUCTION work indicated on this application. . l ii? (1 i r�
® I-and 2-familydwellingValuation: _$300,000 11 `� (� �j
0 Commerciallindustrial
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2 107
Job site address:15714 SW Vanderwood Ave New dwelling area: 2527 square feet (323
City/State/ZIP:Tigard,OR Garage/carport area: 580 square feet ,aDt.
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 74 square feet
Cross street/directions to job site: Deck area: square feet
Covered Patio: 140 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing I Lot no.: 18 Permit fees*are based on the value of the work performed.
Tax map/parcel no:2S108DC15300 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 Valuation. S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99'h Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax: New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Lifestyle Homes (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address: 11815 NE 99th Street,Suite 1200
City/State/"ZIP:Vancouver,WA 98682 Total fees due upon application:
Phone:(360)213-0809 Fax::( ) Amount received:
E-mail:permits@buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same Solar Installation Specialty Code checklist.
City/State/ZIP:Same Permit Fee(includes plan review f 180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): S21.60
CCB tic.:173524 Total fee due upon application: $201.60
Authorized signature: �2 p /1' 1� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:8/21/2023 'Fee methodology set by Tri-County Building Industry
Service Board.
L\BuildinglPermitslBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application fORol fI( Ii I .hl..(IyI
City of Ti Received
Tigard ECEIVE „ ir,. _
13125 SW Hall Blvd.,Tigard,OR 972D planDate,/Reee view
i Phone: 503.718 2439 Fax: 503.598.1 DaceBy: Permit:Other
TIGARD Inspection Line: 503 639.4175 gg Date Ready/By: kris: RI See Page 2 for
Internet: www.tigardor.gov AUG 2 2 2023 Notified/Method- Supplemental Information
TYPE OF WORCITY Of TIGARD COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
® 0 I3111I t IIRI("+DIVISION Mechanical permit fees*are based on the value of the work
New constructionAddition/alterattbtMCPCal. Bent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling D Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: 15714 SW Vanderwood Ave Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Crossing 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
Other: 23.32
Subdivision:River Terrace Crossing Lot no.:18
Other fuel appliances:
Tax map/parcel no.:2S108DC15300 Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
New SFR 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:Pacific Lifestyle Homes Range hood/other kitchen
equipment 1 33.39
Address:11815 NE 99th St.,Suite 1200 Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duet exhaust(bathrooms, 5
toilet compartments,utility rooms) 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Pacific Lifestyle Homes
$14.IS for first four;$4.03 for each additional
Contact name:Permit Coordinator-Kellie Franklin Furnace,etc. I
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater I
Phone:(360)213-0809 Fax: ( ) Fireplace I
Range I
E-mail:permits@buildplh.com Barbecue
CONTRACTOR
Clothes dryer(gas)
Other:
Business name:Wolcott Plumbing MECHANICAL PERMIT FEES*
Address:1075 West Historic Columbia River HWY Subtotal
Minimum permit fee(S90.00)
City/State/ZIP:Troutdale,OR 97060 Plan review(25%of permit fee)
Phone:(503)667-1781 Fax:( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lic.: 112220
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:AVIzi. Fee methodology set by Tri-County Building Industry Service Board
Print name:Kellie Franklin Date:8/21/2023
I1Building\Pemtils\MEC PennitApp a401 l3.doe 440-/6I ST(ll/@/COM/WEa)
Electrical Permit Application [ FOR OFFICE CSE ONLY
City of Tigard GE E° Received
1
13125 SW Hall Blvd.,Tigard,OR Plan Review
Eli
Phone: 503.718.2439 Fax: 503.5 1 Date: IEM
Related Permit#:
Inspection Line: 503.639.4175 ' 2023 Ready Date/By. luns. ® See Page 2 for
TIGARD Internet' www.tigard-or.gov Titi
pub 12 Notified/Method: Supplemental Information
TYPE OF WO OF TIGAR° PLAN REVIEW
®New construction ❑Addition/alteratl t IIO'ON Please check all that apply(submit 2 sets of plans w/items checked):
p t t �V J ❑Service or feeder 400 amps or more 0 Building over three stones.
❑Demolition ❑Other: G7iJ where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
ens to g onnd
IN 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family D 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: 15714 SW Vanderwood Ave loollP or more. ❑"A","e',"t-z",'•t-3",
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR o Health-care facilities. 0 Recreational vehicle parks.
Suite/bld / t.#: Project name:River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for more than
g• J
❑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 1 '
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#: 18 Includes attached garage.
1,000 sq.ft.or less 3 168.54 4
Tax map/parcel#: 2S108DC15300 Ea.add'k 500 sq.ft,or portion 1 33 92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New SFR
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
Ea PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 100.70 2
Address:11815 NE 99th St., Suite 1200 201 amps to 400 amps 1 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
services or feeders installation,alteration,and/or
Email:permits@buildplh.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
® APPLICANT I ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Pacific Lifestyle Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name:Kellie Franklin B.Fee for branch circuits without
Address:11815 NE 99th St., Suite 1200 service
hcircuuiierree,erst 56.18 2
City/State/ZIP:Vancouver, WA 98682 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax: :( ) Each manufactured or modular 67.84 2
dwelliEmail: ermitS build lh.com Reconnect
olyeand or feeder
P � P _ only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:2890 SE Brookwood Ave. panel,alteration,or extension.
City/State/ZIP:Hillsboro,OR 97123 __ Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 121159 Electrical Lic.: 34-305C Suprv.Lic.: 3707-S specifically listed(14 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: A Subtotal
Print name: Charles Gamer Date: $/21/2023 ❑Plan Review Required(25%of permit fee).
State surcharge(12%of permit fee):
Authorized signature: $�, TOTAL PERMIT FEE:
y This permit application expires if a permit is not obtained within ISO
Print name: Brittany Burian Date' 8/21/2023 days after it has been accepted as complete.
• Number of inspections allowed per permit.
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R, t at
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
- City of Tigard RECEIV ::
Ill - 13125 SW Hall Blvd.,Tigard,OR 97223 Y Permit No.:rn ST' t3 W ♦'
Phone: 503.718.2439 Fax: 503.598.1960 Plan By:ew
Other Permit No.:
Inspection Line: 503.639.4175 atecBy.
TIGARD AUG 2 2 202 ate Ready/By. hair 1 See Paget for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
TYPE OF WORK CITY OF TIGARD FEE' SCHEDULE
®New construction D DemoilialiLDING DIVISION For special information use checklist.
Description I Qty. I Ea- I Total
El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath • 312.70
® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
['Accessory building 0 Multi-family SFR(3)bath 1 500.32
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:15714 SW Vanderwood 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.:_) 1 Page 2
Suite/bldg./apt.no.: I Project name:River Terrace Crossing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 7 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:River Terrace Crossing I Lot no.:18 Fixture or item:
Tax map/parcel no.: 2SI08DCI5300 Backflowpreventer 1 31 27
DESCRIPTION OF WORK Backwater valve 1 12.51
Clothes washer 1 25.02
New SFR Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
C. PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Pacific Lifestyle Homes Fixture/sewer cap 25 02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99th Street,Suite 1200
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)213-0809 Fax:( ) Ice maker 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Permit Coordinator-Kellie Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 99°'Street,Suite 1200 Sink/basin/lavatory 7 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 4 12.51
E-mail:permits(d/buildplh.com Urinal 25.02
Water closet 3 25.02
CONTRACTOR
Water heater I. 37.52
Business name:Wolcott Plumbing
Water piping/DW V 56.29
Address:1075 West Historic Columbia River HWY Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:112220 Plumbing Lic.no.:1311,11qVt Plan review (25%of permit fee)
/� �// State surcharge(12%of permit fee)
,(�
Authorized signature! / 1 1. .e, fia.0. if, QX.111110 TOTAL PERMIT FEE
Print name:Kellie Franklin Date:8/21/2023 Thu permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IlBsildingtpenniudPLMU-Pmmupp doe 10/n1/09 440.4e167(iO/02/COSOWEB)
City of Tigard
,I e '' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
I IGARD
Building Permit #: MUdJ VLQO^1it Site Address: ( S11`l Va dQ n ,t WOod ❑ Verified in Accela
R►ver `terrace Cro5Siny
Project Name: t� Lot/Unit #: IS
Proposal: NW alit (a( U T^� Zone: his"C-
Housing Type:%FR,(%Single Detached 0 Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad❑Other
Required Site Plan Elements: .
1 3 c9pies of site plan on max 11x17"
Ai Drawn to standard scale .B-Retail Thed trees, drip line/tree protection
pt/North arrow fi3 Street and site trees shown/ labeled
VSite address, project name, lot # 0 Tablc calculating tree canopy at maturity
Pi-Street names (N/A for SFR)
-)Applicant name and phone # ❑ Courtyard rectangle dimensioned (if applicable)
yd Lot and setback dimensions %Vision clearance triangle
❑ Exk-fting structures &square footage Utility locations &easements
%Footprint of new structure and FFE %Property corner elevations
%Sidewalk/driveway dimensioned Both -(`1,000 sf disturbance)
gf Lot area and lot coverage percentage XErosion control
Required Elev "on Plan Elements:
(For SFR: calcs nee only on street-facing) Summary table with calculations for:
❑ Drawn to standard al facade area
❑ Building height dimensione ❑ Total window and door area
❑ Façade dimensioned
❑ Windows and doo ensioned
❑ Garage do imensloned
Required Floor P lements:
(Not required for SFR) Summary table that includes
❑ Each story dimensioned I floor area
❑ Each story rea calculated 0 Floor area r story
Planning Review
The following standards have been met:
Setbacks %Front: b IR- Rear: i 0 Side: 3 Min/Max Street Side: 5 / Garage: Zo
Height ❑ Max. Height: IVA Proposed Height: ` .S t
f(Yes ❑ N/A Lands,.pe
o Yes 0 N/A Scr- ping (Quad only)
❑Yes 0 N/A 0/0 , indow Coverage
❑ -s 0 N/A :rage (SFR Only) Parking (Other Res)
❑Y• . 0 N/A ntrance (SFR, Rowhouse, Quad only)
❑Yes • N/A Other building design standards (Rowhouse only)
❑Yes o N/A Accessory Structure Standards
❑Yes b o Qualifying pre-existing unit exempt from standards (Cottage unit only)
Addition• standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ ,' • Unit Count:
❑Yes ■ N/. Lot Width and Size
❑ Yes ■ N/A Pathway
Addi tonal st, dards for Courtyard Units and Cottage Clusters only:
❑ Y:s ❑ N/A nit Area:
❑ es 0 N/A •or Area (per story)
❑ es 0 N/A Co rtyard
rA Yes ❑ N/A Fen e
❑ Yes ❑ No /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ,2-Yes ❑ No
Applied For: Ja'Yes ❑ No, stop intake
jd Sensitive Lands: ❑ Yes )72'Mo
(Main Land Use Case #s: 1912770110 -0001 b , P,DP-21$- MOOS /Conditions met
7rApplicant notified of land use a iration date: �./Z1 j
Approved By Planning: Date: 8(VL!Z3
Notes for' POR , 9-19eS.10 3t 4/414 o4reA out.
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal ��Q
Original Submittal Date: ti NV')
Site Plans #:
Building Plans #:
Building Permit #: P'Building permit # entered on page 1
Workflow Routing: e* lanning 12rEngineering ''Permit Coordinator .B'Building
Workflow Sign-off: EI 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.
L Building: original permit application, site plans, building plans, engineer and
y�� A�^� beam calculations and trust details, if applicable, etc. q,
Permit Technician: ^i'k/1 v1`� 0 Date: O I' 3 I/L.U7.,,3
Notes: n.,.(x/i,/61,49y1 A rtiu 4 ofvt ct viz(1 V j- /4 P .
Engineering Review UJ
❑ • Permit:
elope at building pad: -44 0/0
n onditions met prior to issuance of permit
.Easements (encroachments) per engineering conditions of approval and plat
,Water Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: ❑ Yes 11 No
Assess Water Quantity Fee in-lieu: ❑ Yes 6,No
LIDA Facility on lot: ❑ Yes e'Jo Add Fee: ❑ Yes .J7 No
L4nal Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: '-' :..--'--". Date:
Revision 1: 0 Approved IDN6t Approved` _ Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
pproved, NOT Released:p2
Date notified applicant: g' 02623
. ENG Revisions Required: Date notified applicant:
/B'SDC Exemption: ❑ Applied for ❑ Received Does not apply (Aret0.00' Ai QOil At
PUmlj is$huwn'e.
,B-SDC Fees Entered: Wash Co Trans Dev Tax: ,Yes ❑ N/A f
Tigard Trans SDC: 'Yes ❑ N/A q Deferred AV' tbii3115
Parks SDC: fd'Yes ❑ N/A r`1 Deferred
LIDA ❑ Yes 7N/A I ncx
K to Issue/Approved by Permit Coordinator: ' %I� ` Date: L " �3
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: CI Approved 0Not Approved Date:
•1101
Building Division
One & Two-Family Dwelling
T i GA x D Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION -jV Z.,023
Permit#: rn-S7Za7.3— ( & Plan #: 25g.? DC (t,Floors:
Valuation: 403 to 1S 1 S Covered Porch: 1ti Basement ,
Bedrooms: U Deck: 1"Floor lI a D y
WC (toilets) .. Deck Cover: 2'd Floor i 37.-3
Lavatories S Patio Cover 1 Lib 3`d Floor
Tub/shower (J Accessory Struct. ` R-3 Total 5 a'"7
Laundry Tray (-jij Water Heater G / Elec Garage S8 0
Exhaust Vents C asJ Gas Flue Vents _—_� Total for Elec. 'a,l c7
Backflow Prey. —1-''S 1 ,,� - Heat Pump # for Electrical
BBQ Gas Fireplace y _ #Fuel Lines (,,f
FEES: Description: Fee App 'es: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) Z \
Info Proc/Arch: Sm$.50 (up to 11x17) o��
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School CET: District: 1 �
Tigard CET: Admin 17-
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee: V
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion/Control: w/Permit-Ping
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I:\Building\Forms\Re anCheckFees_Dec2022_AA.doc12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: l S-1)q SW V Glt GIeY tool Rye,
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 toyour project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
• " Transmittal Letter
rit:,utr) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov I
TO: Allyson � VED
DEPT: BUILDING DIVISION H
FROM: Shanon Cherveny SEP 2 6 2023
COMPANY: Pacific Lifestyle Homes CITY OF TIGARD
BUILDING DIVISIOr
By rkJk
PHONE: 360-213-0809
EMAIL: shanonc@buildplh.com
RE: 15714 SW Vanderwood Ave MST2023-00418
(Site Address) (Permit Number)
River Terrace Crossing — Lot 18
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: Sheet A6.0
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:added detail for fire-rated construction at eaves that encroach less than 3' from
property line, on sheet A6.0
__ FOROF CE USE ONLY
Routed to Permit Technic' n: Date: '9 29 Z3 Initials:
Fees Due: Yes [ No Fee Descr tion: Amount Due:
PC-
i, $
Special _
Instructions:
Reprint Permit (per PE): ❑Yes No [] Done
Applicant Notified: Date: Initials:
FOR OFFICE USE ONLY—SITE ADDRESS: 15 [ I "oleic "v Oc.of
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
Transmittal Letter
r I t,A It a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO o DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
SEP 0 'i' 2023
FROM: Tell Massie
CITY OF TIGARD
COMPANY: Pacific Lifestyle Homes BUILDING DIVIS ON +y�7
PHONE: By
EMAIL: Teilm@buildplh.com
RE: 15714 SW Vanderwood Ave
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: TOPO Lines Darkened on Plot and Erosion
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:
FO . FFI,CE USE ONLY
Routed to Permit Technici : Date: a7 23 Initials: ,i
Fees Due: U Yes No Fee Description: Amount Due:
$ /(2(
Special
Instructions:
Reprint Permit (per PE): _E Yes No ❑ Done
Applicant Notified: Date: Initials:
Agnes Lindor
From: Agnes Lindor
Sent: Monday, August 28, 2023 9:55 AM
To: permits@buildplh.com
Cc: Hope Pollard; Boris Piatski
Subject: RT Crossing MST2023-00418/ MST2023-00417
Good morning-
These two permits require revisions per engineering. Please submit this transmittal sheet along with three revised site
plans showing topo lines.Thanks,
Agnes Lindor I Senior Planner
e
City of Tigard I Community Development
Direct: 503.718.2429
Tigard
13125 SW Hall Boulevard, Tigard OR 97223 I tigard-or.gov
1
Hope Pollard
From: Hope Pollard
Sent: Tuesday, September 5, 2023 2:45 PM
To: Agnes Lindor; Teil Massie
Cc: Permits; Boris Piatski
Subject: RE: RT Crossing MST2023-00418/ MST2023-00417
Hello,
I just looked over the permits with Boris.The topo lines are too faint to read on the site plan. Please reprint with more
defined topo lines-resubmit as a revision with the transmittal sheet.
Thank you!
Hope Pollard
Associate Planner
City of Tigard I COMMUNITY DEVELOPMENT
From: Hope Pollard
Sent:Tuesday, August 29, 2023 10:36 AM
To:Agnes Lindor<agnesl@tigard-or.gov>;Teil Massie <TeilM@buildplh.com>
Cc: Permits<permits@buildplh.com>; Boris Piatski<borisp@tigard-or.gov>
Subject: RE: RT Crossing MST2023-00418/ MST2023-00417
Hello,
I just took a look and it does look like the topo lines are shown. I just gave the plans back to Boris to confirm whether
there are any other corrections needed.
Thank you!
Hope Pollard
Associate Planner
City of Tigard I COMMUNITY DEVELOPMENT
From:Agnes Lindor<agnesl@tigard-or.gov>
Sent:Tuesday, August 29, 2023 10:30 AM
To: Teil Massie <TeilM@buildplh.com>; Hope Pollard<hopep@tigard-or.gov>
Cc: Permits<permits@buildplh.com>
Subject: RE: RT Crossing MST2023-00418/MST2023-00417
Hi Hope-
I am not in the office, you would be able to help with this please?Thank you!
1
Agnes Lindor I Senior Planner
City of Tigard Community Development
Direct: 503.718.2429
Tigard
13125 SW Hall Boulevard, Tigard OR 97223 I tigard-or.gov
From:Teil Massie <TeilM@buildplh.com>
Sent:Tuesday, August 29, 2023 10:26 AM
To:Agnes Lindor<agnesl@tigard-or.gov>
Cc: Permits<permits@buildplh.com>
Subject: RE: RT Crossing MST2023-00418/ MST2023-00417
Good morning Agnes— I am reviewing these plot plans and on my end they have topo lines shown. Can you please take a
look at the attached PDFs and let me know if they are not matching what you have in print?
Thank you!
Teil Massie
Permit& Design Manager
Pacific Lifestyle Homes/Garrette Custom Homes
www.PacificLifestyleHomes.com
www.GarretteCustomHomes.com
Direct 360.597.7091
"Our mission is to deliver an exceptional new home experience"
From: Permits<permits@buildplh.com>
Sent: Monday, August 28, 2023 2:12 PM
To:Teil Massie <TeiIM@buildplh.com>
Subject: FW: RT Crossing MST2023-00418/MST2023-00417
Teil
REVISIONS—RTC 18 and RTC 102—Site Plans need topo lines
Thank you
Kellie Franklin
Permit Coordinator
Pacific Lifestyle Homes/Garrette Custom Homes
www.PacificLifestyleHomes.com
www.GarretteCustomHomes.com
Direct 360.213.0809
"Our mission is to deliver an exceptional new home experience"
From: Agnes Lindor<agnesl@tigard-or.gov>
Sent: Monday, August 28, 2023 9:55 AM
2
To: Permits<permits@ybuildplh.com>
Cc: Hope Pollard <hopep(atigard-or.Rov>; Boris Piatski<borisp@tigard-or.gov>
Subject: RT Crossing MST2023-00418/ MST2023-00417
Good morning-
These two permits require revisions per engineering. Please submit this transmittal sheet along with three revised site
plans showing topo lines.Thanks,
Agnes Lindor I Senior Planner
City of Tigard I Community Development
Direct: 503.718.2429
CITY OF
Tigard 13125 SW Hall Boulevard,Tigard OR 97223 I tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
3