Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00204
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2023
Parcel: 2S108DC22900
Jurisdiction: Tigard
Site address: 15099 SW HUNTWOOD ST
Subdivision: RIVER TERRACE CROSSING Lot: 94
Project: River Terrace Crossing, Lot 94
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1933 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 5 Second: 1965 sf Garage: 586 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3898 sf Value: $629,421.24 Rear: 10
PLUMBING
Sinks: 2 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 8 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 5 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:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 8 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=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: 7 201-400 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 3898
Owner: Contractor:
CND-RIVER TERRACE LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
1111 N POST OAK RD 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
HOUSTON,TX 77055 VANCOUVER,WA 98682 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $30,855.68
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
0F9-nnl-nnln fhrni inh CLAP CIF9-nnl-nnon vni 1 may nhtain a rnnw of tha n doe nr riirart ni iactinnc rn fl min by Tallinn FnZ 9'29 10517 nr 1 en 9 9144
Issued By: lire
�-.1 Permittee Signature: /Z""r- t �`-, --
C5l 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 ApplicatioRECEIVE
Residential 11.0,z t l►„r►t 1. ► s1. f t\I
City of Tigard MAY 2023 Received -3 ./ Permit No.:
:� , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _�� l
Phone: 503.718.2439 Fax: 503.598. . 4 Other P
Inspection Line: 503.639.4175 1G`11 Y OF TIGARD DDate ate/By: y / See page 2 for
i to
I`' \'`Ilp g g BUILDING DIVISION Notifi
ed/Method.hod: I�01,3,�� Juns. Supplemental laformation
Internet: www.ti ardor. ov
.pfi., ,,T-. + i•3 - I' � 3- d4 Y C t T. q, ,,d99 ill/ yA Mii 3 c i 'tip':
®New construction El 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
',t `-p i.� , ,yy , , ,:,-I''-',-'- , )vz i y work indicated on this application. • Q}-
®1-and 2-family dwelling Valuation: l 1
g ❑Commercial/industrial �O 't, ,
❑Accessory building ID Multi-familyNumber of bedrooms:
❑Master builder ❑Other Number of bathrooms: -5
•72,,,.A:� _.. ..� 3 b' ,, 1 Total number of floors: 2 '—A
�.. _ __ - „.A.,-.._...,...-,„ K ._....�'V3- �_ , „. ....E ram; i
Job site address:15099 SW HUNTWOOD ST New dwelling area: 3898 square feet
City/State/ZIP:Tigard,OR Garage/carport area: 586 square feet
Suite/bldg./apt.no.: I Project name:River Terrace Crossing Covered porch area: 40 square feet
Cross street/directions to job site: Deck area: 162 square feet
Other structure area: square feet
;) s
Subdivision:River Terrace Crossing I Lot no.:94 Permit fees*are based on the value of the work performed.
Tax map/parcel 25108DC08700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
i`'�'# q i+wR4f L� I � 5 (�., ,x Y :y�5� �I
, � �p ,,,� work indicated on this application.
:, 8`rrsv�s..�,c.�.:;.'�.'.k.�.a...`�,,;��.._ .. ,.�.t t,,.� .. ,.�:.w� �u..,�,.. :� .�?�e..,., .1... ,.,. k__.x6�?:.aa���
New SFR Valuation: $
Existing building area: square feet
New building area: square feet
,, '� .,,"a.. s „ ,' j:e;V% " o -� ,-:, 1 4 P';F Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99th Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax: New:
o tt *.2** 7 t;*^s ar ""-'` "' 7 r''3'g+"'^ rnxrP nM "r x
« "i '.'' ' .'._� a e ,V'fl` ,
Business name:Pacific Lifestyle Homes ` '
Structural plan review fee(or deposit): 4'151, 3 L)
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address:11815 NE 99th Street,Suite 1200
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98682
Phone:(360)213-0809 Fax::( )
Amount received.
E-mail:permits@buildplh.com ? ..s t_ x,, ,, _„w. °
/ � _ , „" .,, Commercial and residential prescriptive installation of
't' u' -# ?' .? a:,. .4 ..�.� .N T t „ S _ 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 $180 00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB he.:173524
Total fee due upon application: $201.60
Authorized signature: /cQ pieutoa;p, This permit application expires if s permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri County Building Industry Print name:Kellie Franklin Date,5/12/2023
i Service Board.
1:-Building'.PennitsABUP-RESPermitApp.doe 02/24/2011 t140-4613T(ll/02/COM/WEB)
Plumbing Permit Application
Building Fixtures 1(,R OliIt 1. I I. ()\1 \
1111 City of Tigard Received Perr /h 4_
n 13125 SW Hall Blvd.,Tigard,OR 97223 Date o J U
Other Permit No.:
C Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By.
1.1<] .t` Inspection Line: 503.639.4175 Date Ready/By: Atria' RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
.a.,,.',.,, ".:!, f .e .._ s > r .,. -._ 4 4 ¥,=F f-k'-t6 ,, e• Yet k,r; i A zo
®New construction ❑Demolition For special information use checklist
ElAddition/alteration/replacement El Other: Description Total
New rDescription (NY. I Ea.2-family dwellings(includes 100 R.for each utility connection)
it.. a.a. ..i:i'r<_. .4 ...,.....r r . ...:...::.,.,.... ',.r.:.L,,e,..f;L ay. ....,f*a. ....s.?'!s;...1..,..__... '... 4 SFR(1)bath 312.70
1-and 2-family Y dwelling ❑Commercial/industrial SFR(2)bath 437.78
ElAccessory building El Multi-family SFR(3)bath 1 500.32
Each additional bath/kitchen 2 25.02
0 Master builder ❑Other: Fire sprinkle
r
Page 2
Job site address:15099 SW HUNTWOOD ST 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 9 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear R.: Page 2
Subdivision:River Terrace Crossing I Lot no.:94 Future or item:
Tax map/parcel no.: 2S108I)C08700 Backtlowpreventer 1 31.27
, ,,`� " i. 'KK " : PH Backwater valve 1 12.51
r..cWa.. _. � .o_. .' _ _ ..� s. ` ai.4 K I ` 44_ , ..�,.ru... a..V.. Clothes washef 1 25.02
New SFR
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
r` " x R 8,x #1? 2' ,r r t .._r,.,.x ' '.;, n Expansion tank 12.51
Name:Pacific Lifestyle Homes
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99tb 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
a>r%/; C „ ° • u `. t �Tyr :a, „fir sr _t r,t ; lnterc tor/ ease 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:S ) Page 2
Anne, 12.51
Contact name:Permit Coordinator-Kelfie Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 990'Street,Suite 1200 Sink/basin/lavatory 11 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 5 12.51
E-mail:permibiaibuildpils.com Urinal 25.02
.r It 4 ` "+ s ka, t;, t,at.a Water closet 5 25.02
i�,.. t:�.. a�t . F °Y���`€.-_� . rr. ._ �' F, � 4M xA" Water heater 1 37.52
Business name:Wolcott Plumbing Water PiP ing/D WV 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: S72.50
CCB Lic.:112220 Plumbing Lie.no.:lizi-ll 1,i P R Plan review (25%of permit fee)
v I �� State surcharge(12%of permit fee)
/1
Authorized signature: i2 f4�2�h�� tI W TOTAL PERMIT FEE
Print name:Kellie Franklin Date:5/11/2023 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 Budding Industry Service Board.
C:Bui1th g3PermitsPLMU-PennitApp.doc 10,01119 440M616T(10/021COMWEB)
Mechanical Permit Application l•Olz oILI( 1; 1 tit.O\l 1
City of Tigard Received Permi . .9Ta 0)—` *—002—U L\
II Date%By:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 Date Re
I G A RI, P Date Rea 13 Juris:
Internet: www.tigard-or.gov Supplemental
See Page 2 for
Notified/Method: Supplemental Information
k: t z T:"'. t r AAAAA
�§�`�".„�•
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
mechanical materials,equipment,labor,overhead,and
profit.
❑Demolition ❑Other:
Value $
,�.'�L��rn1:C"`-v's..m_;•...�L�"".'" .»,�.::: g _.. � ��(,"9 �ns^k I�'� ��,� &:..._t-„� �t� v t�_�� 1 t '' � �-'
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklM.
El Multi-familyID Master builder ❑Other: Description Ea. Total
g•
Heating/coolin •
Air conditioning 46.75
Job site address:15099 SW HUNTWOOD ST Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts vemts) 54.91
Heat pump 1 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
Subdivision:River Terrace Crossing Lot no.:94 Other 23.32
Other fuel appliances:
Tax map/parcel no.:2S108DC08700
T F ? x# Water heater 23.32
`"`" i" m x t " -1' � Gas fireplace/insert 3 33.39
AA+ u-... - Ea. • _ . • .;.:r Flue vent for water heater or gas
New SFR fireplace eP 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
y 23.32
t�..r• .•+,.' 8 d. �' 1 ° +`$ j� � xi � s . .. ,a .. Other:
�.a : ""' Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
Address:11815 NE 99th St.,Suite 1200 equipment 1 33.39
Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 8 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
Other 23.32
Business name:Pacific Lifestyle Homes
Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name:Permit Coordinator-Kellie Franklin Furnace,etc.
v
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)213-0809 Fax::( ) Fireplace 3
Range
E-mail:permits@buildplh.com Barbecue
a: r aT Clothes dryer(gas)
' t t .. Other.
Business name:Wolcott Plumbing
Address:1075 West Historic Columbia River HWY Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(503)667-1781 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:112220 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 110
days after it has been accepted as complete.
Authorized signature: � pie •;�- " Fee methodology set by Tri-County Budding Indnshy Service Board
Print name:Kellie Franklin �r�v Date:5/11/2023
444-16177 tltnbcohLWEB)
PBudding'Pemuts\MEC PennitApp 04Q113.doe
Electrical Permit Application l.OR Oil.1( 1. ( l_(,\l ,
City of Tigard Received Peru A 4,Y
• 13125 SW Hall Blvd.,Tigard,OR 97223
. Dan R : "",v
Plan Review 1
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page
e 2 for-1-!GA t D interact: www.figard_or.gov Notified/Method: Supplemental Information rmation
4i..F., .'..:.:.T; �?r;'.` ft°t "1"': c` 't tL , ... .:ZL::.� Ei t 4 "i ' . '�, r.5 t ,�, 't ''I'''''',
4...: ' _..t
®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other:
where the available fault current� �� � �, � 7, J ,� ❑Marinas and boatyards.
i r� ri b x ri ( I N V e
,�i •._� �.� ., � ,�._w.� ,.,. .,.<,;�i� ".� , ....:;;,.� �?�;Sx,; n w �a �� exceeds 10,000 amps at 250 volts or 0 Floating buildings.
1-and 2-familyless to ground,or exceeds 14,000 ❑Commercial-use agricultural El I- ElCommerciaUindustrial ❑Accessory building
amps for all other installations. buildings.
❑Multi family ❑Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or
.< k a 7 qr .::' _ i"4 t5 k?, ,z h ",)" 4):t4';;2 0 Emergettcv system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:15099 SW H UNTWOOD ST I00HP or more. ❑"A","E","1-z","1-3",
❑Six or more residential ccupancy.
City/State/ZIP:Tigard, OR mots. o❑Recreational vehicle arks.❑Health-care facilities. P
Suite/bldg./apt.#: Project name:River Terrace Crossing 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nonuual.
Cross street/directions to job site:
°It
Description Qtr. Each Total *
New residential single-or multi-family dwelling unit,
Subdivision:River Terrace Crossing Lot#:94 Includes attached garage.
Tax map/parcel#:2S108DC08700 1,000 sq.ft.or less 4 168.54 4
F,,; 5 _ Ea.add'I 500 sq.ft.or portion 1 33.92 1
a,t x cam- r.r
"` N .e, E.r f., .-..w..�,':,u :l ifM ' gt: Limited energy,residential 75.00 2
New SFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
". , ti q ,. .,. Renewable Energy ❑ See Page 2
r"� '' 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
Temporary services or feeders installation,alteration,and/or
Email:permits@buildpih.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 I 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
t 7 ° �r'c ry t N - . , l i a. Branch circuits-new,alteration,or extension, r panel
__., a i .:a.uf ,1, .. aM :,. scs.: .. A.Fec 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 ranch circuit or feeder fee.first b 56.18 2
branch
City/State/ZIP:Vancouver,WA 98682 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax::( ) Each manufactured or modular
dwelling service ar feeder 67.84 2
nt'o
Email:permits@buildpih.com Reconnect 67.84 2
kri.SRESIMEEE ..,
�... -E,. _,ff,.Z '. ,` i a�,.��tig3s:. SMV Pump orirngation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Signal circuits)or limited-energy
Address:2890 SE Brookwood Ave. ❑ See Page 2 2
panel,alteration,or extension,
City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 he min) 66.25 hr
Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email:permits(atgarnerelectric.cow
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lie.: 121159EMEMMESSIII Suprv.Lie.: 3707-S ,' 'listed VI hr min
tif
Suprv.Electrician signature,required:ejv��!I.iim.i mil•i Subtotal:
Print name: Charles Gamer Datt5/12/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: �j�u g „y TOTAL PERMIT FEE:
�' This permit application expires if a permit is not obtained within ISO
Print name: Brittany Burian DaterjJ112023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
L`BuildugPenua s ELC PennitApp ELR ERE.doe Rev 06/17,2015 440-4615T(l t/05/COMI NEB
FOR OFFICE USE ONLY—SITE ADDRESS: I ,)ir G(Aq W 1'0 nd ,-\.
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
1141 I Tra
nsmittal Letter
T l i:,A It t-) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: Teil Massie
a
COMPANY: Pacific Lifestyle Homes
PHONE: 360 597 7091 ' g W''''
EMAIL: TeilM@buildplh.com
RE: 15099 SW Huntwood St. MST2023-00204
(Site Address) (Permit Number)
River Terrace Crossing Lot 94
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
r r
Additional set(s) of plans. 3 Revisions: Sheets A3.1 &A7.0
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: Plan sheets have been revised to better detail where fire protection is required and details as to how our construction will comply.
. ' 17 `�
Routed to Permit Technic' n: Date: (Sze Initials:
Fees Due: ❑ Yes No Fee Descriptio : Amount Due:
$ ja
e.
(' ' 6 r'".
Special
Instructions:
Reprint Permit(per PE : ❑ Yes tAo [II
Applicant Notified: Date: kJ)11\11A)1A•'S fil ILA V \tif Initials:
City of Tigard RECEIVED
COMMUNITY DEVELOPMENT DEPARTMENT ts
Building Permit Review - Residential MAY-0-2' 2023
TIGARD CITY OF TIGARD
Building Permit #: itPr5 ?-0 -
Site Address: I Sn\ SL`, I1,11' 0 Ct erifiieed in Accela
Project Name: tK Rife -e- ��✓ �N r,s-ram Lot/Unit #: `�
Proposal: ta) at..k Le- t"t�`(� >t(�-- Zone: Q S
Housing Type: ❑SFR(0 Single Detached 0 Duplex 0 Triplex 0 ADU)0 Rowhouse❑Cottage Cluster 0 CYU OQuad 0 Other
Requ d Site Plan Elements:
3 co s of site plan on max 11x17"
,Fawn to standard scale JAR/fined trees, drip line/ tree protection
—�. h arrow Street and site trees shown / labeled
e ddress, project name, lot # a m
ree names (N/A for SFR)
icant name and phone # ' able)
Lot and setback dimensions learance triangle
.B t vulaye - U ' y locations &easements
olprint of new structure and FFE Property corner elevations
■' ewalk/driveway dimensioned aflce)
EiLot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) ary table ' calculations for:
Drawn to standard scale 0 Tota a area
O B height dime ' 0 Total ' do d door area
❑ Façade i ned
O ws and doo 'mensioned
Garage doors dimension
R ired Floor Plan Elements:
(Not require or a at includes
❑ Each story dimensioned ❑ Tota
O Each stor area calculated 0 Floor area per story
Planning Review
The following standards have been met: r7 i
Setbacks 0 Front: 6, r.4'`Rear. ,O Side: Min/Max Street Side: / Garage.
Height 0 Max. Height: W!PI Proposed Height: 2( I� r�- fif'vOr
❑ -s 0 N/A Landscape
❑ Yes ni N/A Screening (Quad only)
❑ Yes 0 • 0/0Window Coverage 60Al2Acn'
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res) +i lif 0,)1^-'
❑ Yes 0 N/A ance (SFR, Rowhouse, Quad only) S-ryas.. 01)121��
❑ Yes 0 N/A Othe •uilding design standards (R• ouse only) rv -
❑ Yes ❑ N/A Accesso Structure Standard
❑Yes 0 No Qualifying p --existing u•' exempt from standards (Cottage unit only)
Additional standards for Co ya nits, Cottage Clusters, Rowhouses, and Quads:
❑ Yes 0 N/A Unit Count: ,e.
❑ Yes 0 N/A Lot Width a = Size
❑ Yes 0 N/A Pathwa
Additional standar• for Courtyard Un ,- and Cottage Clusters only:
❑ Yes ❑ N/A - Area:
❑ Yes 0 N/A Floor Area (per story)
0 Yes ❑ • Courtyard
0 Yes 5 N/A Fence
❑ Yes 0 No Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
❑ Yes 0 No /A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: ❑ Yes ❑ No, stop intake
O Sensitive Lands: 0 Yes ❑ No
❑ Main Land Use Case #s: ' '1(0- •CCAG f p 1 g- 0 Conditions met
❑Applicant notified of land use expi i; on date:
Approved By Planning: �I„r- Date:
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: s-/15 f? )
Site Plans #:
Building Plans #:
Building Permit #: X Building permit # entered on page 1
Workflow Routing: Planning .Engineering Ik Permit Coordinator k Building
Workflow Sign-off: 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.
[ Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. 5 f Permit Technician: Date: ct„,
Notes:
Engineering Review
❑ PFI Permit:
VSlope at building pad: ./2
/V,,9 onditions met prior to issuance of permit
VA-Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 10410
Assess Water Quantity Fee in-lieu: ❑ Yes 6-No
LIDA Facility on lot: 0 Yes Al/No Add Fee: El Yes ❑ No
inal Plat Recorded
❑ NOT Approved: Date:
Notes: /
Approved By Engineering: Date: 37/6 e 3
Revision 1: 0 Approved 0 Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
/Conditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
jSDC Exemption: 0 Applied for 0 Received iDoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes 0 N/A /Deferred
y1
Parks SDC: Yes 0 N/A Deferred
LIDA ❑ Yes XN/A
/OK to Issue/Approved by Permit Coordinator: V v` Date:5Ii1173
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: