Permit INCITY OF TIGARD MASTER PERMIT
*.• ' COMMUNITY DEVELOPMENT Permit#: MST2022-00409
Date Issued: 05/24/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD11400
Jurisdiction: Tigard
Site address: 14750 SW 169TH AVE
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 26
Project: Creekview at South River Terrace, Lot 26
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: 960 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1573 sf Garage: 393 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2533 sf Value: $409,526.70 Rear: 15
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
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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'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 2533
Owner: Contractor:
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $23,701.46
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 require you to folio the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QF9_nni nni n thrnnnh h0 F9-M1_ (1 Wm!m nhtain n rn of tha r,Jac nr ri irart ni iactinne to fll INC by Tallinn cry':919 1 QA7 nr 1 Ann'239 9.44
Issued By: --- Permittee Signature: SCr-- 9/ea)S L
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.
M
t7r . •(,,,
Building Permit Application L.
Residential �y(� FOR OFFICE USE ONE)'
ci13 City of Tigard Received
Date/By. (a l 9> Permit No.: ,. )u�-�-—OcHn
13125 SW Hall Blvd.,Tigard,OR 97223 a A T ii� lit tit .
Plan Review
I- Phone: 503.718.2439 Fax: 503.598.1"QjjL ilN i` ;I fl Date/By: 10 27/ OtherPermit:'.)wr.3t.7 3 oz47
I i t i;�R L> Inspection Line: 503.639.4175 Date Ready/By: I tur s: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: �(J ,P- j� I Supplemental Information
v1ti.t j1� C6 r-V f,61 .e.
":' TYPE OF; WORK „ ` REQ�UIRED'D`DATA:'1-AND2-FAMILY DWELLING `
®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 0 Other: equipment,materials,labor,overhead,and the profit forte '
'` CATEGORY OF CONSTRUCTION work indicated on this application. I S ,
® 1-and 2-family dwelling 0 Commercial/industrialValuation: ,
ElAccessory building 0 Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms:
i Ax J B IT INFO R ATION AND LOCATION` ` `= Total number of floors:2 9
Job site address: 14750 SW 169TH AVE New dwelling area: 2,533 square feet )5/3
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 393 square feet (j(^(5
Suite/bldg./apt.no.: Project name:Creekview at South River Terrace Covered porch area:l ( square feet /v�
Cross street/directions to job site: Deck area: i Pa `C] square feet
Other structure area: square feet
� - � - ..mac � � ,;..
REQ, D D TA CQMIYICR,CIAL USE.CHECKLIS
Subdivision: Creekview at South River Terrace Lot no.: 26 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
,ems equipment,materials,labor,overhead,and the profit for the
DESCRIPTIONOF WO work indicated on this application.
_. . 3 � s v. .� ,pa,. ,. s .:.'. ,ram .:- m ;
New Construction/Type: SFU (3041B) Valuation: $
Please defer TSDC and Parks SDC until occupancy. Existing building area: square feet
Projected start: January 2022 New building area: square feet
® 1'IiQP1;RA O >V ' ti 'l ENAN' . Number of stones:
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:( ) New:
0 CONTACT PERSON
.-� ® APP•I ... , 1,...BUILDING PERMIT FEES*
n.: .=*>a.. ('lease refer td fee schedule .rf . „;: ,
Business name:Taylor Morrison Northwest LLC
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 710
City/State/ZIP:Vancouver,WA 98660 Total fees due upon application:
Phone:(360)946-8674 Fax::( )360 693-4442 Amount received:
PO PAL SEM "1�E-mail: O m
AlamiAbouhafs@taylormoson.com . nTOVOLTAICSOL 0AR ,,_NEYST F ;;EES
u r _. Commercial and residential prescriptive installation of
4 . ..,. CONTRACTOR , .."`� .,,.. : ` ; . ? roof-top mounted Photo Voltaic 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 Fax:( )360 693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:207247
/�/J �/ Total fee due upon application: $201.60
(7 Authorized signature: h'Q/!,,tY GU.me ,�y(yBG� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 10/12/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
HE- GEVED
Electrical Permit Application OCT Fok OFFICE USE ONI,'V
City of Tigard Received
14 13125 SW Hall Blvd.,Tigard,OR 97223 LI,Y,1,i1)-Datet,„.
Permit tlIAT:9.0;4 ..-0 if..)L_t,c,
, 2 Phone: 503,718.2439 Fax 503 598.1960 Milli:M-1%i I Mil ...4.11(1:tneiri3;'""
Related Permit 4
Inspection Line: 503.639.4175
Ready Date/By runs El See Page 2 for
TIGARD
Internet: wwwtigard-or gov NotifiediMethod
Supplemental Information
r14,1:OF Ncom.' :: ' -' , ' 2' ,': . ' ,;-: ,-'i:Ac.,N...i,,Liw.:;;..,R:Eftwo...:,--if-,-,
g New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfuems checked).
0 Service or feeder 400 amps or more 0 Budding over three stories
0 Demolition 0 Other:
where the mailable fault current 0 Marinas and boatyards
ch 17.4°" OF CONSTRUCTION ex ceeds 10.000 amps at 150 volts or 0 Floating buildings
N) I-and 2-family dwelling 0 Commercial/industrial El Accessor) building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations buildings.
0 Multi-family 0 Master builder El Other: 0 Fire pump 0 Installation of 150 K VA or
,10Srit MORMATiON AND-W.4110NC . 0 Emergency system. larger separately derived
0 Addition of new motor load of system
Job#: I Job site address: 14750 SW 169TH AVE
100HP or more.
City/State/Z.1R Tigard,OR 97140
0 Health-care facilities 0 Recreational vehicle parks
Suite/bldg./apt.#: I Project name:Creek iew at SRI ID Hazardous locations 0 supply xoltage for more than
°Service or feeder 600 amps or more 600 vohS nominal
Cross street/directions to job site:
''':' . . ,:=,;',.0,1t:K$CBE.,. U4':','
D .„ Description I Qiv• I 'Each I Total I .
New residential single.or multi-family dwelling unit.
Subdivision: Creekview at SRT 1 Lot#: 26 Includes attached garage.
1,000 sq.ft.or less 168 54 4
Tax map/parcel#:
Ea 3 33 92 101.76 I
---::DEsciantokOr WOltk,7- - ': :,,,,, , .„, ,,,1 : ,.... Ln:nandeddl sy.esneoo t energy,
yreidoernpotiartilon
75 00 2
(with above sq.ft.)
New construction,Type SFU
Limited energy,multi-family
75 00 2
residential(with above sq,It)
..',.".'41MiatgROPg4.4niOYlaqKk , - I , D'ISNANT '- ' SReernteicwesaboler EnergyinstallationTalljteraSteloen d/feeders P,aagne2or relocation
Name: Taylor Morrison Northwest LLC.
200 amps or less 1 ' 100 70 100.7 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/Z1P: Vancouver,WA 98660
601 amps to 1,000 amps 301 04 2
Phone:( 360 )946 8674 .I Fax:( ) Over 1,000 amps or volts 552 26 2
Temporary services or feeders installation,alteration,and/or
Email: 0AlarniAbouhafstaylormorrison.com-PermitSubmittalsiiitaylormorrison.corn
relocation
Owner installation:This installation is being made on property that I CM n W h ich 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
, 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: Omar Alami Abouhafs
B.Fee for branch circuits wit/iota
service or feeder fee,first
Address: 703 Broadway St.,Ste 710
branch circuit 56 18 2
City/StaterZIP: Vancouver,WA 98660 Each add'I branch circuit 7,42 2
Miscellaneous(service or feeder not included)
Phone:(360 )946 8674 I Fax: :( 1 Each manufactured or modular
67 84 2
dwelling,service and/or
feeder ,
Email:OAlamiAbouhafs@taylormorrison.com-PermitSubmittals corn i c°
t only
jtaylormorrison.co
67 84 2
' '54'c"1,..4.* AF e,, :ViliZai,014T:10147.0R.:::.'''f'' :-2:-,:', --' ' .',,' :'. PRuempne‘onr Irrigation circle 67.84 2
Business name: A L....et met--)pr .,i....E.)_-___-7-4(...,1 0...c. , Sign or outline lighting 67 84 2
Address: 3 Lt f.5 NE Li Li-47 fivc.
panel,alteration,or extension
Signal circuit(s)or limited-energy 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP: CE.----1-11-t,JD 0-.K.„... CI -3-2-1"3 Additional inspection(1 hr min) 66 25/hr
Phone:(5 i....2) , 3 1 9.z.1 9 Er.. I Fax:( ) Investigation(I hr mm) 90 00/hr
Industrial plant(1 hr min) 78 18/hr
Email: 5., i... p Dice:
4( C rtel
Inspections for which no fee is
90 00/hr
CCB Lie,: I 99 I g 2 Electrical Lie..., .Suprv.Lie.: 4 1544 specifically listed pii hr min)
, . 4E-ow4tvpsitivtir ,
Suprv.Electrician signature,required:
Subtotal: $202.46
Print name:-12c046._ L., I Date: la-5-21 0 Plan Review Required(25%of permit fee):
State surchargc(12%of pm mit fee).
Authorized signature TOTAL PERMIT FEE'
Print name: 1 ›A.--vP E., -rig b n4 es et.....) Date: 10•5-21 1 This permit adpapyiskaartit:trni xt hpaisrtelsetri aa:t:eripT:ietdisatsuerto:ibptiti:ed within ISO
i . Number of inspections allowed per permit
t\BuildingTermitsTLC_PermitApp_ELR_EREdoc Rev 06111'2015 449-46157(11109COM/WEB
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
b Permit No.:AA C
DateB : U c
III 't 13125 SW Hall Blvd.,Tigard,OR 97223 y `�
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Ocher Permit:
•' Dale/By:
it I i.ital:11 Inspection Line: $03.639.4175 Date Ready/By: Aids, B See Page 2 for
Internet: www.tigard-or.gov Noti6ed/Method; Supplemental Information
TYPE OF WORK COM11iERCIAL 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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
1 j Multi-family ❑Master builder ❑Other: Description
Qty. Ea. Total.
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 14750 SW 169TH AVE Furnace 100.000 BTU(ducta/vents) . 1 46.75 _ 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06 a 61.06
Suite/bldg./apt no.: Project name: Creekview at South River Terrace Duct work 2
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: Creekview at South River Terrace Lot no.: 26 Other: 23.32
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 construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ElTENANT Other: 23.32
' Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 33.39
Address:703 Broadway St.,Ste.510 equipment 1 33.39
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 1 23.32
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawispace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway SI,Ste 510 Gas heat pump I
- Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater 1
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1
Range 1
E-mail:permitsubmittals( tayi0M101riSOH.CO171 Barbecue
.N CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 18D
Z& 2 b days after it has been accepted as complete.
Authorized sllature: • Fee methodology set by In-County Building Industry Service Board
Print name:Elia Duran Date: 1 0/30/20
r-1R,I,i n\Pernmc1M"Pr P.rmii Ann Aid 11 Anr •nA A:r+T I.,TIrn�rnlrco.
Plumbing Permit Application
•Building Fixtures IIIIIIIIIEMEMEMIIIIIIIII
City of Tigard Received Permit No. C -
„ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. M j.1^�`i C l
Phone: 503.718.2439 Fax: 503.598.19b0 Plan Review Other Permit No.:
Date/By;
T I G A R D Inspection Line: 503.639,4175 Date Ready/By: tuns: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: _Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For 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(1)bath 312.70
,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building V-Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/kitchen 25.02
0 Master builder ❑Other:
Fire sprinkler L_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14750 SW 169TH AVE Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) 1 Page 2
Suite/bldg./apt.no.: I Project name:Creekview at South River Terrace 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 ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Creekview at South River Terrace Lot no.: 26 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02 25.02
New construction-Type SFU
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® 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 510 Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660
Hose bib 2 25.02 50.04
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S_) Page 2
Contact name: Omar Alami Abouhafs Primer 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510
Sink/basin/lavatory 25.02
City/State/Z1P:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals rr.taylormorrison.com Urinal 25.02
Water closet 25,02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29
Address:P.O.Box 92 Other 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal 600.40
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: ;�- W'�y` TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 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.
1,BuildingtPermes.PLMU-PenmitApp.dne 10/010)9 440-4616T(Ia02,COAVWEB)
R
City of Tigard RECEIVED
1 2!Pi P; ,
' V
COMMUNITY DEVELOPMENT DEPARTMENT � lvc� 11 � L
Building Permit Review - Residential
TIGARD
11LUING OIVISIO
Building Permit #: !•Ap^^1 ?-0 OOL o6
1
Site Address: 14750 SW 169th Ave Verified in Accela
Project Name: Creekview(South River Terrace) Lot/Unit#: 26
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-D
Required Site Plan Elements:
/3 copies of site plan on min 11x17"
Drawn to standard scale --e-Retained trees, drip line /tree protection
North arrow Street and site trees shown/ labeled
Njzf Site address, project name, lot # -5-Table calculating tree canopy at maturity
wf,Street names (N/A for SFR)
Applicant name and phone # -El-Courtyard rectangle dimensioned (if applicable)
VLot and setback dimensions -s-Vision clearance triangle
-B-Existing structures &square footage vt,Utility locations&easements
Footprint of new structure and FFE Vbf Property corner elevations
Nj,Sidewalk/driveway dimensioned $LIDA (>1,000 sf disturbance)
Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Garage doors dimensioned
0 Drawn to standard scale Summary table with calculations for:
Building height dimensioned 'Total façade area
VFagade dimensioned ViTotal window and door area
Windows and doors dimensioned VA Total garage area
Required Floor Plan Elements: Ve,Summary table that includes
Each story dimensioned VTotal floor area
Each story floor area calculated VFloor area per story
Planning Review
The following standards have been met:
Setbacks ❑ Front: 8 Rear: 15 Side: 3 Min/Max Street Side: NA / NA Garage: 20
Height ❑ Max. Height: 35 Proposed Height: 24
Yes ❑ /A Landscape
❑Yes''N/A Screening (Quad only)
VYes ❑ N/A % Window Coverage
VYes ❑ N/A Garage (SFR Only)
Parking (Other Res)
v(Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes 9'N/A Other building design standards (Rowhouse only)
❑ YesveN/A Accessory Structure Standards
❑Yesy"No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ N/A Unit Count:
❑Yes ❑ N/A Lot Width and Size
❑Yes 0 N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
❑Yes ❑ N/A Courtyard
0 Yes 0 N/A Fence
RECFIVED
❑ 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: , i Y OF i IGARG
Required: ❑Yes ❑ No
-- 1IiLDmlr nivisloN
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes 9/No
Land Use Case #: PDR2021-00003 � ❑ Conditions met prior permit issuance
Approved By Planning: 1 --. Date: 10/11/2022
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: i D t 14 7 —
Site Plans #: 'aj
Building Plans #: -A7
Building Permit #: A Building permit# entered on page 1
Workflow Routing: lanning"A Engineering 'Permit Coordinator KBuilding
Workflow Sign-off: .,Sign-off for Planning (include notes from planning review)
Route Documents: IKEngineering: (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 calculationsand trust details, if applicable, etc. / f?'"3'
Permit Technician: )"`)C �./`1"4- Date: l D / I te,
Notes:
Engineering Review
slope at building pad: /0.4 wo
///4. 'Conditions 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: 0 Yes Clio
Assess Water Quantity Fee in-lieu: ❑Yes ItilNo
LIDA Facility on lot: ❑ Yes tt'No Add Fee: ❑ Yes ❑ No
2inal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /0//9/e z
Revision 1: ❑ Approved Not Approved Date:
Revision 2: ❑ Approve ❑ 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:
7SDC Exemption: 0 Applied for ❑ Received ❑ Does not apply
,'SDC Fees Entered: Wash Co Trans Dev Tax: fiYes 0 N/A
Tigard Trans SDC: /Yes ❑ N/A �beferred
Parks SDC: igYes ❑ N/A grteferred
LIDA ❑ Yes A N A
❑ OK to Issue/Approved by Permit Coordinator: Date: 10V‘Vkl"---
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: