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Permit ph Iv CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00410 T[GAtt.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/24/2023 Parcel: 2S 107AD 11200 Site address: 14722 SW 169TH AVE Jurisdiction: Tigard Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 24 Project: Creekview at South River Terrace, Lot 24 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 Required First: 925 sf Basement: 0 Height: 24.5 Bathrooms: 3 Second: 1341 sf Garage: 421 sf Left: 3 Parking Spaces: 0 Dwelling Units: 1 9 sf Front: 8 Smoke 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 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water0 Storm Sewer: 100 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 P W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 P 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 SecurityAlarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB P Y Square Feet: 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: Or on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR uc9_MN-nnin thrn,,nh rIAR cc 1_nn Yni,magi nh n a rnrni of en'lilac nr rt. rt nuactinnc to flu Mir:h,Tallinn Sri";919 1(1A7 nr I Ann 119 714.4 Issued By: — •ermittee Signature: cr/r- "rip/i &4032-11 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. •Building Permit Application Lobar APjf Residential RECEIVE ' FOR OFFICE USE ONL1 City of Tigard Received ( �� 13125 SW Ha11 Blvd.,Tigard,OR 97223Pla�` 22 Date/By: Permit No.: M�flhsn- t 1 p/� Phone: 503.718.2439 Fax: 503.598.1960 Date/By:n Rev I 0 17 n 1 UR 2.0�,� O j t 'f p CITY OF TIGARC? !/ !/ /yr Other Permit: C JvcL T t G 1 K U Inspection Line: 503.639.4175 v Date Read B H See Pa Internet www trgard or gov y y' lures: ge 2 for BUILDING DIVISIQwoufied/Method lb- Z-'3 }I? Supplemental Information " z yI'E OF:-WORD EVIAl 1 '� 04i if 1 Cj�+'1 `It /1 - a., _. REQUIRED DATA 1 AND 2-FAMILY DWELLING� ."ate . r..,�., ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and the profit or th�j CATEGORY OF CONSTRUCTI011f work indicated on this application. -37 p c�3j l ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: '3 A i i .. t t ,JOB SITE INFORMATION ,AND LOCATION , Total number of floors:2 Z ,--7 Job site address: 14722 SW 169TH AVE New dwelling area: 2,266 square feet 1 3k( City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 17 — 421 square feet ( s Suite/bldg./apt.no.: I Project name:Creekview at South River Terrace Covered porch area: square feet Cross street/directions to job site: I �� Deck area: square feet Other structure area: square feet RE%Q ''D ATA'COM1I RCIAL USE CHECKLIST " Permit Subdivision: Creekview at South River Terrace I Lot no.: 24 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 A' � „.. °� ` CRIPTIO 'OF'WORKt t . . . ... i, >.,.c - w _ ,4 }. . 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 ® PROPER OW R ; �. ." ® T ANT <��� , .�. ,•�,� ��„ .: .�.` ,, ,..;:i �:..:� ?.� ;.�:� 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 Phone:(360) 946-8674 Fax:( ) Existing: New: ,. APPLICANT , NANN, y0 CONTACT.,PERSON'i . , BUILDING PERMIT FEES , Business name:Taylor Morrison Northwest LLC .__ '(Pl asere}er'ia jeesctiedute) Contact name:Omar Alami Abouhafs Structural plan review fee(or deposit): 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 I Fax::( )360 693-4442 Amount received: E-mail: OAlamiAbouhafs@taylormorrison.corn >, PHOTOVOT LAIC SOLAR PANEL SYSTEM FEES* i --,: �,.t.� ' xevwc C4NTRA bie04 , 4 Commercial and residential prescriptive installation of =` `„4 - * :,( roof-top mounted PhotoVoltaic 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 and administrative fees): $180.00 Phone:( )360 695-7700 I Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: OM.44..4 /te,ecieo This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 10/12/2022 I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) -Electrical Permit Application I'OR Oli'Pi('F,USE ONLY City of Tigard C I j 4 ,vim .I r 13125 SW Hall Blvd.,Tigard,OR 97223 �/ Bv: Permit a _ Phone: 503.718.2439 Fax: 503.598•1960 OCT �q Plan Review ✓ t 1 fiGARD Inspection Line: 503.639.4175 vt i 202safe' ' RelatedPennitx Internet: Line Bard or goy Ready Date/By. turfs �� �/�� NotiLedlMettiod See Page 2 for Supplemental Information ,,.v �.4,,T PE OP WO'....;,$; 'ice ®New construction 0 Addition/alteration/replacement a 'm ft Please check ali chat apply(submit i sets of plans wtitems checked) 0 Demolition Other: 0 Service or feeder 400 amps or more where the available fault current 0Marinag over three stdopes. ... cA'T73GQRY.OP coma/lc/10N ` ❑Marinas and boatyards. ® l-arid 2-family dwellingexceeds 10.000 amps at 150 volts or 0 Floating buildings. 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14,000 ❑Multi-family ❑Commercial-use agricultural ❑Master builderamps for all other installations 0 Other' buildings. '.jo sjt a 0 Fire pump. ❑Installation separately of 150 ri ve or �rID T�bCAT•IQN.'. ❑Emergency system.Job#: Job site address: 14722 SW 169TH AVElarger separately derived 0 Addition of new motor load of system iooxPormore. City/State/ZIP: Tigard.OR 97140 t3 , C1 Six or mare residential units accnpaaey SUltelbldg.!apt. : Project name:Or eii4 levy at SRT ❑Health-care facilities_ 0 Recreational vehicle parks. ❑Hazardous locations (]Supply voltage for more than Cross street/directions to job site: ❑Service or feeder BOO amps or more. 600 volts nominal : 'SIC sGA> AiJi,E , Desert lion s i Subdivision: New residential single-or multi-f dwelling etas Creekview at SRT Lot#: 24 Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less 168.54 4 `' IDES W17(�I\1'Oh..V1r � Ea.add'I 500 sq.ft.or portion 33.92 101.76 1 New construction.Type SFU Limited energy,residential with above .ft. 75.00 2 Limited energy,multi-family residential with above s .ft.) 75.00 2 " �:2 P&©j! 0, .,'z Renewable Ene Name: Taylor Morrison Northwest LLC." ©' �` sea Pa e 2 Services or feeders installation,alteration and/or relocation 200 amps or less 1 1 Address: 703 Broadway St.,Ste 710 W 7Ci 1003 2 201 amps to 400 amps 133.50 2 City/StatelZIP: Vancouver,WA 98660 401 amps to 600 amps 200.34 2 Phone:( 360 )946 8674 Fax:( } 601 amps to 1,000 amps 301.04 2 Email: OAlamiAbouhafs;u taylormorrison.corn-PermitSubmittalSta'ta ylormorrison.coln Over 1t000 snips or volts 552.26 2 y Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449.670.and 701. 20125.06 Owner Signature amps to 400 amps 125.08 ' 1 Date: 401 amps to 599 amps 2 �� . a C s 168.54 2 :e. . : _. .,y Es e," ,to, ,.` 6 °,,� Branch circuits—new alteration,or extension, ''r,anel Business name.Taylor Morrison Northwest LLC. ` ' A.Fee for branch circuits xith above service or feeder tee, each branch circuit Contact name: Omar Alami Abouhafs 7.42 2 Address: 703 Broadway St.,Ste 710 B.Fee for branch circuits without service or feeder fee,first City/State/ZIP: Vancouver,WA 98660 branch circuit 56 18 2 Phone:(360 )946 8674 Each add'l branch circuit 7.42 2 Fax::( ) Miscellaneous service or feeder not included Email:OAlarniAbouhafs@taylormorrison.com-Per'mitSubmittals@;taylormorrison.com :Each manufactured or modular dweliin,service and/or feeder 67.84': T �.,_: a- ,_. ...? .,'r �'11y Reconnect only 67.84 2 Business name: � diPump or irrigation circle 67.84 2 it 'r Sign or outline lighting Address: 3 ki i 5 N f tpi 67.54 y+ Signal circuit(s)or limited-energy 2 City/State/ZIP: +' # +•net,alteration,or extension. 0 See Page 2 �—"T-E ( "� j Each additional ins. tion over allowable in an of the above Phone:( t,, Additional inspection(i hr spin) 3 ( .Z.I. 9 �, Fax:( 66.25/hr Email: Investigation(1 hr min) 90.00/hr iti, y + Industrial plant(1 hr min) CCB Lie.: * 78.181hr ♦ �* inspections for which no fee is j Suprv.Lie.: 15 s, tfically listed 14 hr min 90 00/hr. Suprv, Electrician signature,required: ,� e Print name: fr Mr Subtotal: $202.46 Date: (0--5— I 0 Plan Review Required(25%of permit fee): Authorized signature: State surcharge(12%of permit fee): TOTAL PERMIT FEE: Print name: This permit application expires if a �r16 '1ri §G2..� Date: ' -5-21 days after it has been acceptedpermitis as complete.not within 180 t1BuildinglPermi[s1ELC_PermitApp ELR ERE.doc Rec 06,'17r2015 * Number of inspections allowed 440-4615T(1 1 r05;COMtw'EB per permit, • Mechanical Permit Application City of Tigard Received FOR OFFICE USE ONLY " 13125 SW Hall Blvd.,Tigard,OR 97223 Dane/BY: Permit No.M)�'� > _ „ Phone: 503.715.2439 Fay: 503.598.1960lig y Plao Revnv T 1 tiA lt n In Line: 503.639.4175 DatelBy. other Permit: Internet www,tigard-or,gov Date Rcady,Byi luris: Notified/Method: 0 See Page 2 for Supplemental information TYPE OF WORK COIiTAtERC1AL FEE* SC HEDULE USE CHECkZIST New construction ❑Addition/alterationlreplacetnent Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other. mechanical materials a ui men labor overhead and refit. CATEGORY OF CONSTRUCTION Value:$ ® 1-and 2-family dwelling ❑Commercial/industrial 'ENT -E4 'htENT/SYSTEMS FEES* ❑Accessory building I J Multi-family 0 Master builder 0 Other _____________________Description special information use checklist Description JOB SITE INFORMATION AND LOCATION Qty. Ea Total Heatina/coofirm Job site address: 14722 SW 169TH AVE Air conditiortia 46.75 • Furnace 100.00OBTU(ductslvcnts City/State/ZIP:Tigard,OR 97224 46.75 46.75 Furnace 100 000+BTU ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Creekview at South River Terrace Heat iron 61.06 61.0 Cross street/directions to job site: Duct work 23.32 H dronic hot waters stem 23.32 Residential boiler(radiator or b dronic) 23.32 Unit heaters(fuel-type,not electric), in-wa in-du sus end etc. 46.75 Flue/vent for an of above 23.32 Subdivision: Creekview at South River Terrace LotOther no.: 24 23.32 Tax map/parcel no.: Other fuel a fiances: Water heater 23.32 DESCRIPTION OF WORK Gas lace/insert New construction-Type SFU Flue vent for water heater or gas 33,39 fireplace 23.32 LoA hQhter(, s) 23.32 Wood/peliet stave 33 39 Wood fire lace/insert 23.32 Chimne /liner/flue/vent 23.32 ® PROPERTY OWNER l 0 TENANT Othef 23.32 Name:Taylor Morrison Northwest LLC. Environmental exhaust and ventilation: Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 1 33.39 33'39 City/State/ZIP:Vancouver,WA 98660 Clothes uctexhaust( Single-duct exhaust(bathrooms, Phone:(360)695-7700 toilet corn atvnents utili23.32 rooms 1 23.32 Fax:( ) 0. APPLICANT Attic./crawls ace fans 23.32 0 CONTACT PERSON Fuel Other: Business name:Taylor Morrison Northwest LLC. 23.32 _ piping: Contact name: Omar Alami Abouhafs $14.15 for first four um for each additional Furnace etc. 1 Address:703 Broadway Si,Ste 510 Gas heat 1 trm City/State/ZIP:Vancouver,WA 98660 Wa Water h ended/unit heater Phone:(360)695-7700 heater 1 I Fax::(360)693-4442 Fireplace 1 E-mail:perroitsubmittal$(aylorrl'lorrmsofl.cor71 Bare 1 CONTRACTOR Barbecue Clothes dryer(gas) Business name:Pro Heating SsCooling Other Address: 11 W Alociek Dr,Ste.1104 mEci AIQICAL PERMIT FEES* City/State/ZIP:Hillsboro,OR Subtotal $262.84 Minimum permit fee(S90.00) Phone:(360)270-1590 + Fax:( ) Play review(25%ofpermjt fee) CCB tic.:209001 State surcharge(12%of permit fee ` TOTAL PERMIT FEE Q; '` This permit application expires if a permit is oblaioed AitNu 180 Authorized signature w 6i-A Z-n, days after it has been accepted as complete. • Print name:Elia Duran Foe methodology set by Tri Cotmry Building Industry Service Board Date: 10/30/20 r-lgnildine\Perm Rc1NrFr P.rn.n,nn 11 01 19 de, Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.; (,�lT 1r 1 _�r��r I Phone: 503.718.2439 Fax: 503.598.1960 1111 Plan Review " 7t �`vrr " l Inspection Line: 503.639,4175 Date/By: Permit No.: T I G A R p Dale Ready/By: Internet: www,tigard or.gpvtom: fa See Page 2 for Notified/Method. I Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacementDescription Qty. Ea. Total 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 X1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437,78 El Accessory building V-Multi-family SFR(3)bath 1 500.32 500.32 Each additional ❑Master builder bath/kitchen 25.02 ❑Other: .. JOB SITE INFORMATION AND LOCATION Fire Site uprinkler( sq.ft.) Page 2 utilities: Job site address: 14722 SW 169TH AVE Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: ( Project name:Creekview at South River Terrace Footing drain(no.linear IL:_) 1 Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Creekview at South River Terrace Water service(no.linear ft.: ) Page 2 I Lot no.: 24 Fixture or item: Tax map/parcel no.: Bacldlow 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 01 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02 Address:703 Broadway St.,Ste 510 Floor drain/floor sinkhub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Phone:(360)695-7700 Fax: Hose bib 2 25.02 50.04 ( ) 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 Address:703 Broadway St.,Ste 510 Roof drain(commercial) 12,51 City/State/ZIP:Vancouver,WA 98660 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@taylorRlorrison.cORl Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:G&B Plumbing&Sons Inc Water heater 37.52 Address:P.O.Box 92 Waterpiping/DWV 56.29 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 CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) Authorized signature: 49S, State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Steve Fowler I Date: Q/3O/2O � This permit application expires if a permit is not obtained Within 180 days after It has been accepted as complete. °Fee methodology set by Iri-County Building Industry Service Board. t,Building\Pam esPLMU-Per,i,App.dnc 10/01,09 a40-4616T(IO+0J'COM+WEB) City of Tigard EI 111111 1111 " COMMUNITY DEVELOPMENT DEPARTMENT OCT1 TI��Ko jia Building Permit Review - Residential GlTYoF 11GAR ., 81JILDIN 1' �D1VhSInN Building Permit #: [ 2.022_ - 1 Site Address: 14722 SW 169th Ave Verified in Accela Project Name: Creekview(South River Terrace) Lot/Unit#: 24 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" NJ/Drawn to standard scale -El-Retained trees, drip line/tree protection VfNorth arrow Street and site trees shown/ labeled VitSite address, project name, lot # -15-Table calculating tree canopy at maturity Street names (N/A for SFR) VApplicant name and phone # --Courtyard rectangle dimensioned (if applicable) Lot and setback dimensions -8-Vision clearance triangle -8-Existing structures &square footage VUtility locations &easements Footprint of new structure and FFE VProperty corner ii,Sidewalk/driveway dimensioned -€-LIDA (>1,000 sf disturbance) Lot area and lot coverage percentage 'Erosion control Required Elevation Plan Elements: (For S R: caics needed only on street-facing) Garage doors dimensioned Drawn to standard scale Sy nmary table with calculations for: oNlif Building height dimensioned vt1 Total façade area siFagade dimensioned VITotal window and door area Windows and doors dimensioned Ni9i Total garage area Required Floor Plan Elements: Summary table that includes Each story dimensioned vf Total floor area Vi 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 ❑ Max. Height: 35 Proposed Height: 24.5 1Yes ❑ N/A Landscape CIYesVN/A Screening (Quad only) v/Yes ❑ N/A % Window Coverage VYes 0 N/A Garage (SFR Only) Parking(Other Res) v(Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) ❑Yes1'N/A Other building design standards (Rowhouse only) ❑YesVN/A Accessory Structure Standards ❑ YescfNo Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes 0 N/A Unit Count: ❑Yes ❑ N/A Lot Width and Size ❑Yes ❑ N/A Pathway Additional standards for Courtyard Units and Cottage Clusters only: ❑ Yes 0 N/A Unit Area: ❑ Yes 0 N/A Floor Area (per story) ❑ Yes 0 N/A Courtyard 0 Yes 0 N/A Fence ❑ Yes ❑ NoV/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995) ❑ Yes ❑ NoN/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: 0 Yes ❑ No, stop intake ❑ Sensitive Lands: ❑ Yes 9No Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance Approved By Planning: Date: 10/11/2022 Notes Revision 1: ❑Approved 0 Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: /O//2/Z2- Site Plans #: Building Plans #: 3 Building Permit #: uilding per it# entered on page 1 Workflow Routing: ,ianning gngineeringrmit Coordinator ,ef Building Workflow Sign-off: 1'gn-off for Planning (include notes from planning review) Route Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan an original plan review routing form. Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: Date: 1 0)l$! .o7Z_, Notes: Engineering Review • Ia./Slope at building pad: 44 ova Oa[conditions met prior to issuance of permit pa'Easements (encroachments) per engineering conditions of approval and plat L'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes fNo Assess Water Quantity Fee in-lieu: ❑ Yes f4Vo LIDA Facility on lot: ❑ Yes 1:11-11ii Add Fee: 0 Yes 0 No Final Plat Recorded ❑ NOT Approved: Notes: Date: Approved By Engineering: Date: /t7�/per Revision 1: 0 Approved of Approved Date: -� Revision 2: ❑ Approved 0 Not Approved Date: Permit Coordinator Review .L'J Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: .;'SDC Exemption: ❑ Applied for ❑ Received ❑ Does not apply .„21-SDC Fees Entered: Wash Co Trans Dev Tax: ,PlYes ❑ N/A Tigard Trans SDC: 45 Yes ❑ N/A peferred Parks SDC: B'Yes 0 N/A Deferred / LIDA ❑ Yes iN/A /d OK to Issue/Approved by Permit Coordinator: AtSVN Date: tV ii5126q11 Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: