Permit CITY OF TIGARD MASTER PERMIT
III ■ ' ' COMMUNITY DEVELOPMENT Permit#: MST2022-00464
TIC A it 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2023
Parcel: 2S 107AD06200
Jurisdiction: Tigard
Site address: 16707 SW BEEMER LN
Subdivision: SOUTH RIVER TERRACE Lot: 2
Project: Northside View at South River Terrace, Lot 2
Project Description: New detached single family dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES ARE
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 784 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 950 sf Garage: 423
g sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1734 sf Value: $287,170.47 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 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: 4 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: 3 201-400 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 1734
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: $21,142.51
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: O n law r quires j•u to folio the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc,_nn1_nnin thrni inh OAP OR _n _nnQ ni,mat/P4 min a r r of the ndcc nr riirort ni i>ctinne to(limn ht/Tallinn anz/19 1 7 nr 1 Ann 117 9144
.21
Issued By: ,--‘-tf i I Permittee Signature: 1 ` r Cl �
ZCall 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.
. h Building Permit Applicatifi EC E IV E D Lirrr " -,
Residential NOV 0 8 2022 FOR OFFICE USE ONLY
Received Y��`�� �/��j y�
City of Tigard Date/By: l I .2 PermitNo.: )1161*)tom,-00-14 1
16 ga 13125 SW Hall Blvd.,Tigard,OR 97r-JY OF TIGARD Plan Review RnReq2 /ii- otherP4W Co 1
Inspection Line: 503.639.4175 �L�L`bING DIVISION DateReadyBy: *� H SeePage2for
T I G A IZ D Internet: www.tigard-or.gov //,% Supplemental No fled Met Su Iemental Information
n hod:
TYPE OF,WORK %4 `REQi314DDATA t AND2-"hII.YaD 1LING.
®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+'�� he ro1fi—t f7or the I/-i
CATEGORY OF CONSTRUCTIOl ' work indicated on this application. 0� 1 I, 101 7
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $],$ —
0 Accessory building El Multi-familyNumber of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms:253
4 $ : ` 'JOB SITE INFORMATION %AND LOCATIO . Total number of floors:2 21S-1
Job site address: 16707 SW BEEMER LN New dwelling area: 1,734 square feet(3 5O
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 423 square feet—78
Suite/bldg./apt.no.: Project name:Northside View at SRT Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REgU RED DATA COMMERCIAL USE G'.,IiIST .
Subdivision: Northside View at SRT I Lot no.: 2 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
O
. `; :DESCRIPT,, ',, WS, - �.r 6 .a 4, y;; work indicated on this application.
New Construction/Type: SFU (483100CR) Valuation: $
Please defer TSDC and Parks SDC until occupancy. Existing building area: square feet
Projected start: End of December 2022 New building area: square feet
® PROPERT OWNER 1 't f ❑ TEI AI'IT: `-- Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St., Ste 710 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
'' APPLICANT " s t 0 CONTACT PERSON ' :BUILDING PERMIT FEES* *�
.:;.. (Please'refer` jee'sclie u ``+ i ,.;.. 0
Business name:Taylor Morrison Northwest LLC Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
Address:703 Broadway St., Ste 710 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98660
Amount received:
Phone:(360)946-8674 Fax::( )360 693-4442
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES °a
E-mail: 0AlamiAbouhafs@taylormorrison.com
..,
, Commercial and residential prescriptive installation of
" � , :„;5 CO T`1'RAC..„,w" `,,i .„ , „;,,-1:-:
�. a i. 1, 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 Total fee due upon application: $201.60
Authorized signature: 10ma/L. 4ee 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: 11/01/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
A
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
g Date/By:. Permit No.:
_ " 13125 SW Ball Blvd.,Tigard,OR 97223
t : Phone: 503.718.2439 Fax: 503,598.1960 Plan Review Dale/By: Other Permit;
l I Cils It 17 Inspection Line: 503.639.4175 Date Ready/By: luris: 121 See Page 2 for —
Internet: www.tigard-or.2ov NotifiediMethod: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CIBECI IST
Mechanical permit fees*are based on the value of the work
New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
j Multi-family 0 Master builder ❑Other: Description
Qty. Ea. Total.
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 16707 SW BEEMER LN
Furnace 100,000 BTU(ducts/vents) l 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Northside View at SRT Heat p rp 61.06 61.06
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: Northside View at SRT Lot no.: 2 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
►t PROPERTY OWNER IDTENANT Other 23.32
' Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 3339
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/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other 23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
Contact name: Omar Alami Abouhafs S14.15 for first four,S4.03 for each additional
Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas heat pump 1.
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:permitsubmittalsedayi0M1OfriSo11.COM Barbecue
CONTRACTOR Clothes dryer(Ras)
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(S90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB tic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
&,� b � days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 1 0/30/20
r-Ygnnld,,.,alPern,,r,tMFr Pen.Ann 111111 Ti dne AAA a r-.rr..m11,r.,5.mWf}
Electrical Permit Application RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received
O 8 2022 Date/By:
Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 NOV Dan Review
°: ■. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready DateBy: Jurist EI See Page 2 for
"CARD Internet: www.ti and-or. ov Notified/Method: Supplemental Information
g g BUILDING DIVISIO PP
'` .. --.i - TYPEOF WORK t.. A ,,PLAN:REVIEW,
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
. `JOBTSITE(INFORRMATIONiANDuLOCATION`. , , ,. .'` ❑Emergency system. larger separately derived
Job#: Job site address: 16707 SW BEEMER LN ❑A 0HP o of orw motor load of system.
100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Northside View at SRT ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: g FEFi SCHEDU)E .,. '-A
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Northside View at SRT Lot#: 2 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
t..v ,..., 4"DESCRIPTION,OF;WO
RK.Io' , .e:,'::'1,1 ,,:],i'C:fe4tt Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
.; Renewable Energy ❑ See Page 2
,; Zr PROPERTY:�OWNER ,y,-a. f ;,, ;5❑ TE1�P3", „_ , _ ,:,.:`. Services or feeders installation,alteration,and/or relocation
Name: Taylor Morrison Northwest LLC. 200 amps or less 100.70 2
Address:703 Broadway St., Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:PermitSubmittals@taylormorrison.corn relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 _ 1
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
;11.., r.: APPLICAJVT , F ,, ❑ CONTAC`)*PER ON„ _, 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 without
serAddress: 703 Broadway St., Ste 710 branchce it feederitfee,first 56.18 2
branch circuit
City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2
Iy . . ` CONTRACTO10. .. ,°; fit Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 2
Address: 1915E 5th St., Ste D Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:paul@portlandelectric.biz
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 4920p specifically listed(/z hr min)
,t, 'ELECTRICAL PERMIT FEES „;,Y,
Suprv.Electrician signature,required:. Subtotal:
Print name: Alex Shalya /30/20 0 Plan Review Required(25%of permit fee):
..,JJoob� � ��" ')'1/1 Q L State surcharge(12%of permit fee):
Authorized signature: Ae U / / L(.,4�I1�(/It,GI�IfG TOTAL PERMIT FEE:
(� This permit application expires if a permit is not obtained within 180
Date:12/21/20 days after it has been accepted as complete.
Print name: Sergey Mishchuk
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received
g Permit No.:
III 'I13125 SW Hall Blvd.,Tigard,OR 97223 DatGBy,
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By; Other Permit No.:
T I G A R D Inspection Line: 503.639.4)75 Date Ready/By: Jura; 0 Sec Page 2 for
Internet: www.tigard-or.gov NotiftcdlMethod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 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 t3,for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
Xl-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building -Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Pagc 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16707 SW BEEMER LN 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:Northside View at SRT 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: Northside View at SRT f Lot no.: 2 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
1 PROPERTY OWNER I ❑ 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:$�) 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/ZIP: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®taylormorrison.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:C&B Plumbing&Sons Inc Water pipingfDWV 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: $72.50
CCB Lic.: 184372 Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: s e� 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.
440.4616'r(10�02rCOMWEB)
I',BuilduglPermuaLMLI-PermitApp.doc 10/01/04
RECEIVED
City of Tigard NOV 0 8 2022
" COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
Building Permit Review - Residential BUILDING DIVISION
TIGARD
Building Permit #: ^T.7O)—"" 00`-�
Site Address: 16707 SW Beemer Lane Verified in Accela
Project Name: Northside View at South River Terrace Lot/Unit #: 2_
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-C
Required Site Plan Elements:
93 copies of site plan on min 11x17"
Drawn to standard scale Retained trees, drip line/tree protection
NJ/North arrow viStreet and site trees shown/ labeled
Njif Site address, project name, lot # -5-Table calculating tree canopy at maturity
Nvf Street names (N/A for SFR)
' Applicant name and phone # -8-Courtyard rectangle dimensioned (if applicable)
Lot and setback dimensions - Vision clearance triangle
-8-Existing structures &square footage Utility locations &easements
Footprint of new structure and FFE Npf Property corner elevations
NRCSidewalk/driveway dimensioned -8-LIDA (>1,000 sf disturbance)
414 Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Garage doors dimensioned
VI,Drawn to standard scale Summary table with calculations for:
Ve Building height dimensioned 'Total façade area
NJ/Façade dimensioned _VA/Total window and door area
Windows and doors dimensioned �1 Total garage area
Required Floor Plan Elements: Summary table that includes
Each story dimensioned VA Total floor area
VIZ Each story floor area calculated Floor area per story
Planning Review
The following standards have been met:
Setbacks ❑ Front: 8 Rear: 0 Side: 3 Min/Max Street Side: 8 / NA Garage: 3
Height ❑ Max. Height: 35 Proposed Height: 23.5
Vf Yes El N/A Landscape
❑ Yes d N/A Screening (Quad only)
' 'Yes ❑ N/A % Window Coverage
Yes ❑ N/A Garage (SFR Only)
Parking(Other Res)
''Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes 0 N/A Other building design standards (Rowhouse only)
❑Yes l N/A Accessory Structure Standards
❑Yes d No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes IN/A Unit Count:
❑Yes'N/A Lot Width and Size
❑Yes IIN/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes 2N/A Unit Area:
❑ Yes [ 'N/A Floor Area (per story)
❑Yes Elf N/A Courtyard
❑Yes 0 N/A Fence
❑ Yes ❑ No \1/A Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995)
Yes ❑ No N/A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑Yes c/No
Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approv d By,Planning: Date: 10/20/2022
Notes Ingle tac a ous and townouses wan frontage ,must meet alrbulaing aesign standards of 18.64u.uiu.E.(River Terrace Building Permit
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal f
Original Submittal Date: I t f e 13
Site Plans #: ?i
Building Plans #: .
Building Permit #: Oil Building permit # entered on page 1
Workflow Routing: IN Planning A Engineering 0,Permit Coordinator (IQ Building
Workflow Sign-off: „$`(Sign-off for Planning (include notes from planning review)
Route Documents: N Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
1 .Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: .), Date: 11 f i O (2,.-4
Notes:
Engineering Review g
I' lope at building pad: 2!� a/o
///� Conditions met prior to issuance of permit
'Easements (encroachments) per engineering conditions of approval and plat
kt'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
C9'Final Plat Recorded
❑ NOT Approved: Date:
Notes: /
Approved By Engineering: Date: //// 7/,
�Ze
Revision 1: ❑ Approved ❑ of Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
(Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
/SDC Exemption: ❑ Applied for ❑ Received XDoes not apply
XSDC Fees Entered: Wash Co Trans Dev Tax: XYes ❑ N/A
Tigard Trans SDC: , Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A /1 Deferred
LIDA ❑ Yes "1 N/A
/OK to Issue/Approved by Permit Coordinator: yAA Date: U I ti'k,17,0 7/1'
Revision 1: ❑ Approved ❑ Not Approved U Date:
Revision 2: ❑ Approved 0 Not Approved Date: