Permit CITY OF TIGARD MASTER PERMIT
" a, COMMUNITY DEVELOPMENT Permit#: MST2022-00404
T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/24/2023
Parcel: 2S107AD11100
Jurisdiction: Tigard
Site address: 14698 SW 169TH AVE
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 23
Project: Creekview at South River Terrace, Lot 23
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: 925 sf Basement: 0 sf Left: 3
Parking Spaces: 0
Height: 24.5 Bathrooms: 3 Second: 1341 sf sf e:Gara9 421 Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2266 sf Value: $370,936.45 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: Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0
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'l 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
Y Garage Opener: N All
Other: N Other Description: Y
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2266
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
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $22,879.62
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 u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QF9-nn1-nn1n thrnnnh(lAR Q . -MO nii max, tain a rnn of tha'lilac nr rlirart ni,actinnc to nu IMr:by rallinn Ftll 929 QR7 nr 1 Rnn 229 92dd
e-
ISSUed By:
Permittee Signature: ( ,/�'� �,
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.
A
Building Permit Application RECEIVED
Lea
Residential FOR OFFICE USE ONLY
City of Tigard OC T 27V ?, Received
Date/By: i (e?"" a G / Permit No.: v sI lin) 0O_1 cK4j
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �y" a iA
Phone: 503.718.2439 Fax: 503.598.19eITY OF TIGARD Date/By: '(1,3/4j?j j Other Permit: cling rt 2,- 1 b1
1 1 c,\i�1, Inspection Line: 503.639.4175 Date Read B kris: H See Page 2 for
Internet: www.tigard-ocgov PLANNING/ENGINEERINGNotified/Method: pp B
��'j 3�� Supplemental Information
r u le
l VWX4\C4 24'T t4r `; (14lri'i :11,e--
Mititi ie,OF WORK ,-' fir,.a .iV REQUIRED DATA i :AND 2 FAMILYDWELLING
®New construction 0 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 rofit for the
CATEGORY R CONSTRUCTION ' : '> work indicated on this application. �� 13te.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation:
❑Accessory building El Multi-familyNumber of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms:
'JOBS ORMATION, LyOCAT 0111 Total number of floors:2 f %7
.,Y. N�,,,, .. ? ..,,, ,,?,emu-14:, v`�
Job site address: 14698 SW 169TH AVE New dwelling area: 2,266 square feet 15141
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 421 square feet 9i,c
Suite/bldg./apt.no.: Project name:Creekview at South River Terrace Covered porch area: square feet
Cross street/directions to job site: Deck area: t 147
square feet
Other structure area: square feet
D D TA COt1LVIER6 1 .t USE CIILC IST
Subdivision: Creekview at South River Terrace Lot no.: 23 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
DESCRIP I O1 WORI,„ , ,. work indicated on this application.
New Construction/Type: SFU (3040AR) Valuation: $
Please defer TSDC and Parks SDC until occupancy. Existing building area: square feet
Projected start: December 2022 New building area: square feet
',' t PROPER OWNER ° '-'1-4,,,,:Ng I] TENANT Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St., Ste 710 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
, APPLICANT.! 4 . v . ❑ CONTACT PERSON BUILD G PERMTr FEES*
_...::: ,.,E 3iPleae efer'to fee"schedule) ' ' *i rat
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
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Phone:(360)946-8674 Fax::( )360 693-4442 Amount received
E-mail: OAlamiAbouhafs@taylormorrison.com ,.'PHOTOVOLTAI( SOLARPANEL SYSTEM FEES*
CO TRACTO)<i - Commercial and residential prescriptive installation of
,. �,:4 , .. 0 &C , ,*. -*;,,4',,-,*,:;,..,:. 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: ()hum,4 4lL�da/ This permit application expires if a permit is not obtained
(1 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\Pemiits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application 7"
Rt,:.:t._ EIVEF) FOR OFFICE tiSE ONLY
Received
City of Tigard
Penibi6V- ..g)— 0014 C.,'
: g 13125 SW Hall Blvd„Tigard,OR 97223 I 2 20- Plan Review
x Phone: 503.718.2439 Fax: 503.598.1960
Date/By, Related Permit 4:
TICAInspection Line: 503.639.4175 (..:(1 Y OF TIGARD Ready Date/By: Suns W1 See Page 2 for
RD
Internet: www.tigard-or go v PLANNiNu/ENGINEERINIO°
tined/method
I Supplemental Information
Typt,,bil..-.:woitic,-...'-;::1E',TV:J,fiiii .::..,:::!P 3::::':: :.,,-',,.;; :::';..,,;-..:,.: , ..: , ':41,:p,V5i*ttOri*,:tVIOWP;$7 ;t7,5'.:5:';.7
IN New construction 0 Additiorualteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Set-vice or feeder 400 amps or more 0 Building over three stories
El Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
- CATEGORY OF CONSTRVCUON,:'-(; ::--,':-:. . -.. exceeds I COO amps at 150 volts or 0 floating buildings
1-and 2-family dwelling 0 Commercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
. R3 [3 Accessory building
amps for all other installations buildings
0 Multi-family 0 Master builder 0 Other:
°Fire pump,
0 Installation of ISO KVA or
7.40rifBTrOtISVORMAT101%4'44‘41):.,l,: [' tiW:'"'''''':'''' '.''.'..'.ifl:''':.i.::: .'''''''.---:. '' °Emergency system larger separately derived
°Addition of new motor load of system
Job 4: Job site address: 14698 SW 169TH AVE
100HP or more. occupancy
C ity/StatelZ IR Tigard,OR 97140
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Creekview at SRT 0 Hazardous locations. 0 Supply voltage for more than
['Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site:
Description I Qty. I Each I Total
New residential single.or multi-family dwelling unit.
Subdivision: Creekview at SRT I Lot#: 23 Includes attached garage.
1,000 sq.tt or less 168,54 4
Tax map/parcel#:
Ea.WW1 500 sq.ft.or portion 3 33 92 101.76 1
. :!,,,-:q4.Ntait%'1,]:,:•;.ft ;k:. . DESC--RIPTIblsV014!',WitIRICL;W:.:!.:..:-.., 1 .-,.-:,:v7 -.....':-*;: ':.; Limited energy,residential
75.00 2
(with above sq.It)
Ness construction.Type SFU
Limited energy,multi-family
0 2
residential(with above sq.it) 75' 6
Z4:::.:.;,:i.1,::-, , .-::.-..--:-...:. ..Eit..(014.1Apai:,:-:::.,,',.,...-::::::i--:. . . ::: Services or EfeedneM instaikum-,-,IV See 2and/orrationP,age 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/ZIP: 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: 0AlamiAbouhafs(ihaylormorrison.com-PermitSubmittals(ataylormorrison.com relocation
Owner installation:This installation is being made on property that 1 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
,,,,,,,*, .,-- .Attic .---•- -,-,-:----,,,,,--Afi;:,, 46...,;,,,:iv.,:,-Af 4.,,-,..-.-0-zi,ivit- 0 T - /- ', i'd,-iiki.,,,-4w,s, Branch circuits-new,alteration,or extension,per panel
4" 0%''''.4'''' ''''' "*r,'-'' ''''' i ''- :- 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
service or feeder fee,first
Address: 703 Broadway St.,Ste 710
branch circuit 56 18 2
City/State/ZIP: Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )946 8674 I Fax::( )
Each manufactured or modular
67.84 2
Email:OAlamiAbouhafstaylorrnorrison.com-PermitSubmittals@taylonnorrison.com dtt.weeco"ninntiseonlivc'e and/or feeder
67,84 2
wichtztEobtotlaototkzitfti,,,v,,e,g,:i, ,:::,,,,::::,'..40i-,-::-,::,,:!,:, Pump or irrigation circle 67.84 2
Business name: / LAMED A CLEX-7-41L 1 ct_c_. . Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy' r, See Page 2
2
Address: 3 ki/5 NE Li(.1 ti ietv ..,.
panel,alteration,or extension. 1'
Each additional inspection over allowable in any of the above
City/State/ZIP:FC E.--1-1-.A--6-JD i 0.r.,..... Ci -3-24 3 Additional inspection(1 hr min) 66.25/hr
Phone:( 5 t..- , , 3 19. 7,1 9 I Fax:( ) investigation(1 hr min) 90 00/hr
Industrial plant(I hr min) 78.18/hr
Email: <1 r
«al- 0 I—Air- t)x410-,- v1 ,(",..,.- Inspections for which no fee is
90,00/hr
CCB Lie.: CI9 I g 2 Electrical Lic.:, 4". -_ -, I Suprv.Lie.: 1-1 1544 b _!r,Fi1-...11y liste4(t.: i,.„,i,,„,)„ _„
0 •
.1$0,R1.4.g?,... Fos, i,;:'.':',,'':'-'-'':'''.'•::i
Suprv.Electrician signature,required: Jr 6'1)-"
Subtotal: $202.46
• Print name:1714.,,vf- L.;s____....... I Date: 10'''5-2.1 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee)!
-1 EL t *-:
Authorized signatur ,,,, ,,, ,..,
TOTAL PERMIT FEE
application expires if a permit is not obtained within ISO
Print name: ,E., -rti.,„ es.,„...) I Date: ID-5-2.1 1 This permit days after it has been accepted as complete.
* Number of inspections allowed per permit
11BuildingTermits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/20 I 5 440-4615T(I 1105iCONVWEB
Mechanical Permit Application
FOROFFICE USE ONLY .
City of Tigard Received
Date/By Pct�" �'! 13125 SW Hall Blvd.,Tigard,OR 97223 / t � 0 c ock
! . • Phone: 503.718.2439 Fax: 503.598.196014 Plan Review
Ins Inspection Line: 503.639.4175 Datc/By: other Permit:
P
utiAltl7
Internet: uww.beard-or gov Date Ready/By: Juris: 0 Sec Page 2 for
NotiGedlhtethod: Supplemental Information
TYPE OF WORK COMMIERC1AL FEE* SCHEDULE'- USE CHECIQIST
vI New construction ❑Addition/alteration/repIacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
®1-and 2-family dwelling ElCommercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FF.F-S*
0 Accessory building For special infornmrion use checklist
I i Multi-family ❑Master builder
❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 14698 SW 169TH AVE Air conditioning 1 46.75 46.75
Furnace 100,000 BTU(duos/vents) _ 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224
Furnace 100,000+BTU(duets/vents) 54.91
Heat pump1 61.06 61.06
Suite/bldg./apt.no.: I Project name: Creekview at South River Terrace
Cross street/directions to job site: Duct work 23.32
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.: 23 Other: 23.32
Tax map/parcel no.:
1 Other fuel appliances:
Water heater 23.32
-
DESCRIPTION OF WORK Gas fireplace/insert
33.39
New construction-Type SFU Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove _ 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent
►•� PROPERTY OWNER1. 0 'TENAN.I. Other. 23 32
Name:Taylor Morrison Northwest LLC. Environmental exhaust and ventllation:
Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 1 33.39 33.39
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
Phone:(360)695-7700 Fax:( )
toilet compartments,utility rooms) 1 23.32 123.32
Attic/crawlspace fans 23.32 I
e APPLICANT, 0 CONTACT PERSON Other
23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
Contact name; Omar Alami Abouhafs S]4.15 for first four;54.03 for each additional
Furnace,etc. 1
Address:703 Broadway Si,Ste 510 beat pump 1
City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithcater
Water heater 1
Phone:(360)695-7700 j Fax::(360)693-4442 Fireplace 1
E-mail:permitsubmittaist¢tayloRrlorrisorl.coRl 'ge 1
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
Address: NW Alociek Dr,Ste.1104 MECHANICAL PERMIT FEES'
City/State/ZIP:Hillsboro,OR Subtotal f 262.84
Minimum permit fee($90.00)
Phone:(360)270-1590 I Fax:( ) Plan review(23%of permit fee)
CCB lie.:209001
TOTAL PERMIT FEE State surcharge(12%of permit fee)
.sA. a �'` This permit application expires if a permit is not obtained within 180
Authorized si tature: (�GL -'t 4 tN, days after it has been accepted as complete.
a Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran I Date: 10/30/20 I
rtah,at,clnalPnnp,,\MTY V.rn.B Ann 040114 An?
AAn A.1'T/i.AtriNVNIn1Tp.
-Plumbing Permit Application
Building Fixtures
City of Tigard Received
14 't l3 i25 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit 1VI,4 y�, )_ t.. 7,1
tl. Phone: 503,718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 Date/By: Other Permit No.:
i IGAR D Date Rcady/By; ruris: I 0 See Page 2 for
Internet: www,tigard-or.gov
Notificd/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
►ZA New construction 0 Demolition For special information use checklist.
❑Addition/alteration/replacement 0 Other. Description Q_ty. Ea. Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
` m
1-and 2-family dwelling 0 Comercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath i 500.32 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
Site utilities:
JOB SITE INFORMATION AND LOCATION g
es:
Job site address: 14698 SW 169TH AVE Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) 1 Page 2
Suitelbldg./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.: 43 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 1 25.02 25.02
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
Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02
City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02
Hose bib 2 25.02 50.04
Phone:(360)695-7700 Fax:( ) Ice maker
® APPLICANT 12.51
0 CONTACT PERSON Interceptorlgrrate trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S__) Page 2
Contact name: Omar Alami Abouhafs Printer 12.51
Address:703 Broadway St.,Ste 510 Roof draw(commercial) 12.51
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 taylormorrison.001T1 U' l 25.02
CONTRACTOR Water closet 25.02
Business name:G&B Plumbing&Sons Inc Water heater 37.52
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: 572.50
Plan review (25%of permit fee)
Authorized signature: State surcharge(12%of permit fee) ^
CCB Lie.: 184372 Plumbing Lic.no.:pb634
TOTAL PERMIT FEE
Print name:Steve Fowler I Date: 10/30/20 J This permit appilcatioo expires If a permit is not obtained within IRO days
after It has been accepted as complete,
"Fee methodology set by Tri•Counry Building Industry Service Board.
l:IBuilding1Permits1PLMU-Permi1App.doe I Dip V09 440-0616T(10,02/COMVEB)
* t
City of Tigard
se
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: 1,ts7zuzz..0090q
Site Address: 14698 SW 169th Ave Verified in Accela
Project Name: Creekview(South River Terrace) Lot/Unit#: 23
Proposal (include housing type): New Small Form Residential Unit(detached) Zone:. RES-D
Required Site Plan Elements:
V13 copies of site plan on min 11x17"
Drawn to standard scale -B-Retained trees, drip line/tree protection
North arrow
Street and site trees shown/ labeled
Site address, project name, lot # - -Table calculating tree canopy at maturity
1Street names (N/A for SFR)
Wn Applicant name and phone # -B-Courtyard rectangle dimensioned (if applicable)
VLot and setback dimensions -a-Vision clearance triangle RECEIVED
-B-Existing structures &square footage Utility locations &easements
Footprint of new structure and FFE Property corner elevations
Sidewalk/driveway dimensioned -B-LIDA (>1,000 sf disturbance) OCT 1 2 2022
vff Lot area and lot coverage percentage VErosion control
CITY OF TIGARD
PLANNING ENGINEERING
Required Elevation Plan Elements:
(For SIR: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale S4rnmary table with calculations for:
Ve Building height dimensioned '(71 Total façade area
\I/Fasade dimensioned Total window and door area
Windows and doors dimensioned Nte Total garage area
Required Floor Plan Elements: Summary table that includes
Each story dimensioned Total floor area
Each story floor area calculated Floor area per story
Planning Review
The following standards have been met:
Setbacks 0 Front: 8 Rear: 15 Side: 3 Min/Max Street Side: NA / NA Garage: 20
Height 0 Max. Height: 35 Proposed Height: 24.5
v(Yes El N/A Landscape
El YesVlf N/A Screening (Quad only)
VYes ❑ N/A % Window Coverage
VYes El N/A Garage (SFR Only)
Parking(Other Res)
v(Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
El Yes 9'N/A Other building design standards (Rowhouse only)
❑ YesVN/A Accessory Structure Standards
❑Yes9'No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes El N/A Unit Count:
❑ Yes El N/A Lot Width and Size
❑Yes El N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
El Yes 0 N/A Unit Area:
❑Yes ❑ N/A Floor Area (per story)
El Yes El N/A Courtyard
0 Yes 0 N/A Fence
a a
❑ Yes ❑ No4/A Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ NoON/A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes ❑ No
Applied For: 0 Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes ci/No
Land Use Case #: PDR2021-00003 0 Conditions met prior permit issuance
Approved By Planning: Date: 10/11/2022
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved El Not Approved Date:
Building Permit Submittal
Original Submittal Date: /TZZ l Z-1
Site Plans #:
Building Plans #:
Building Permit #: iErguilding permit# entered on page 1
Workflow Routing: 'Planning Q-Engineering 'Permit Coordinator PJ'Building
Workflow Sign-off: .0 Sign-off for Planning (include notes from planning review)
Route Documents: „ET Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
Zr Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: ill 71?/L_
Notes:
((((////
Engineering Review
la'Slo a at building �,
P pad: �.S
N/42 VConditions 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: El Yes 134No
Assess Water Quantity Fee in-lieu: 0 Yes l'No
LIDA Facility on lot: ❑ Yes PNo Add Fee: ❑ Yes 0 No
ifatinal Plat Recorded
0 NOT Approved:
Notes: Date:
Approved By Engineering: Date: l42/ .41/4p,
Revision 1: 0 Approve Not Approved Date:
Revision 2: ❑Approved 0 Not Approved Date:
Permit Coordinator Review
feConditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
El ENG Revisions Required: Date notified applicant:
41SDC Exemption: ❑Applied for El Received ❑ Does not apply
if SDC Fees Entered: Wash Co Trans Dev Tax: ,jd'Yes ❑ N/A
Tigard Trans SDC: ,Er-Yes ❑ N/A . jeferred
Parks SDC: des Cl N A ,Deferred
LIDA ❑ Yes N/A
/OK to Issue/Approved by Permit Coordinator: Date: ID(SS- 1207
2_
Revision 1: El Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: