Permit IN . CITY OF TIGARD MASTER PERMIT
* COMMUNITY DEVELOPMENT Permit#: MST2022-00459
T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2023
Parcel: 2S 107AD06500
Jurisdiction: Tigard
Site address: 16649 SW BEEMER LN
Subdivision: SOUTH RIVER TERRACE Lot: 5
Project: Northside View at South River Terrace, Lot 5
Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 781 sf Basement: 0
sf Left: 3 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 1094 sf Garage: 429
Units: 1 9 sf Front: 8 Smoke Yes
Dwelling Third: 0 sf Right: 3 Detectors:
Total: 1875 sf Value: $308,805.72 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: Storm Sewer 100
0
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 1875
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: $21,418.47
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. ATTE TION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nnl-nnln fhrn,, AP Qc nn1-n Q V 1 ma„ hfmin a rnrni nffha nilAc nr rlirarf rniactinne In fll IAI(:by Tallinn cnR 939 1QR7 nr 1 Ann``119 9144
Issued By: Permittee Signature: l t 4` v L2
Call 503.639 4 5 by 7:00 a.m.for the next available inspection date.
This permit card shall be tin a conspicuous place on the job site until completion of the pr ject.
Approved plans are required on the iob site at the time of each inspection.
•
- Building Permit Application RECEIVE ) /.01-5"
Residential FOR OFFICH: USE ONLY
NOV 0 8 2022 Received /
City of Tigard Date/By: 1(, ( � KA P ' ,• �I . -UC 4 5/
111 ill 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review
ttf _
Phone: 503 Line:
439 Fax: 503.598.196 BUILDING DIVISIONDateB' 11 113 ?'Z � °04-C 8
I'I G 1 R U Inspection Line: 503.639.4175 Date ReadyBy: / Juris: H See Page 2 for
Internet: www.tigard-or.gov otified/Method: 1/3 /j Supplemental Information
'Isf:L: .,''ii.''",J-,,:13::',A.:.-If!:
TYPE F WO t REQUIRED DA'T :I-AND 2-FAMIL7 DWELLING
®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 profit for the
R e*f'° n ;' work indicated on this application.CATEGQRY UE G`0�1STRUCTION � PP '' (-)112)(to r)c,
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $495,
ElAccessory building 0 Multi-family Number of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms1,2:5'3
0 JOB S E I FO TIO iiAb OGA I N i Total number of floors:2
Job site address: 16649 SW BEEMER LN New dwelling area: 1,875 square feet}09
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 429 square feet -7
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
illIF_ —AA. i. .ji3iJt7//_«/r,/tarIV.1LIlL-+stniu- .,. Other structure area: square feet
....7..visrliiat4I 1m �JM.I:dr_9%-.ffm',MaWTri' MYa r?Z'a, - 'a-''iI D . I'OM" MTa IA i75ECB CICLIST I
Subdivision: Northside View at SRT Lot no.: 5 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
R, equipment,materials,labor,overhead,and the profit for the
N' W k work indicated on this application.
ew Construction/Type: SFU (483200CR) 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
` t R OER M t
P wt ..�
�" �� � sa Q�i�Al�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 Existing:
Phone:(360) 946-8674 Fax ( ) New:
,., APP` ANT ;0?CONTA PERSON„£ ,'''',4:-4,, .Y UILDING PERMIT FEES* ,
..4 .(P e refer to ee schedule)
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 P$OTO O` ? ! SYSTEM FEES' 4
Commercial and residentialprescriptive installation of
CI�TIFA TO �
4 4- z - N R_C : :::**a :' 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
Phone:( )360 695-7700 Fax: and administrative fees):
( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature: Dote., ,fQ " 46.9 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)
j RECEIV i
Electrical Permit Application FOR OFFICE USE ONLY
' City of Tigard NOV 0 8 202E Received
Date/B : Permit#:
l _ sil 13125 SW Hall Blvd.,Tigard,OR 97223
Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGA Related Permit#:
Inspection Line: 503.639.4175 >•
TIGAKI) BUILDING DIVIS c Yrdit : June: 0 See Page 2for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
, ., , 'TYPE'.OF:WORK, .,,. ' -,r, r. PLAN.REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
c .:CATEGORY OP:CONSTRUCTION," exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other:
❑Fire pump. ❑Installation of 150 KVA or
;::: JOB SITE INFORMATION AND,LOCATION, 'f_ g . ` ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 16649 SW BEEMER LN 10011P or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Northside View at SRT 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: FEE SCH DILL
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Northside View at SRT Lot#: 5 Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 I
4. . ."; Y "DESCRIPTION'OIl.WORK U..';. ,'' Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY O Renew ❑ ge 2
'4NER ' ❑.TENANTi'. '•; .. ."' Services orable Energy feeders installation,alteraSeetion,Pa 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:PermitSubm ittals@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
j _ m APPLICANT; .. %: „. Q#CONTAt PERSONS 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
Address: 703 Broadway St., Ste 710 service or feeder fee,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
dwelling,service and/or feeder 67.84 2
Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2
. : iA ..COITEAC1OR 4: .. 0 O 1
�$: k Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 1915 E 5th St., Ste D panel,alteration,or extension. ❑ See Page 2 2
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
CCB Lic.: 194066 Electrical Lic.
: ��C760 Suprv.Lic.: 49205 specifically listed('/A hr min) 90.00/hr
l/I.0 Ci�' `,; 7, 'ELECTRICAL,-PERMIT"'FEESy C I t:
Suprv.Electrician signature,required: Subtotal:
Print name: Alex Shalya /30/20 0 Plan Review Required(25%of permit fee):
Job ')'� 0 _ 0 L State surcharge(12%of permit fee):
Authorized signature: �CJe�LQP.hY / l Lf.4�/IrC�► .4.4., TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Sergey Mishchuk Date:12/21/20 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
r t DatelBy- Permit No.
13125 SW Hall Blvd.,Tigard,OR 97223
r Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
YltiAI ) Inspection Line: 503.639.4175 Date Ready/By: tuns:
Internet: www.tigard-or.gov Notit td/ .ethod: i 3 See Supplemental 2 for
Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECICUST
®New constructionMechanical permit fees*are based on the value of the work
0 Add performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
1� 1-grid 2-familywenRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
dwelling 0 CommerciaUindustrial ❑Accessory building For special information use checklist.
I j Multi-family 0 Master builder
❑Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heatin„/cooling:
Job site address: 16649 SW BEEMER LN Air conditioning 1 46.75 46.75
Furnace 100.000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91
Su ite/bldg./apt no.: Project name: Northside View at SRT Heat pump 1 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,suspende4etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Northside View at SRT -
Lot no.: 5 Other. 23,32
Other fuel appliances:
Tax map/parcel no.: 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/Due/vent 23.32
ElPROPERTY OWNER ❑ TENANT Otherr
23.32
- • Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. 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, 1 23.32
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic./crawlspace fans 23.32
�. APPLICANT ❑ CONTACT PERSON Other.
23.32
Business name:Taylor Morrison Northwest LLC. Fuel piping:
SI4.15 for first four;S4,03 for each additional
Contact name: Omar Alami Abouhafs 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
E-mail:permit submittals,taylormOrrmSOH.com Range 1
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
Address: NW Alociek Dr,Ste.1104 MECHANICAL PERMIT FEES*
Subtotal_ $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%ofpermit fee)
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Zli. ., b�i(-11 days after it has been accepted as complete.
Authorized si¢ruature: ` Fee methodology set by Tri•Counry Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
rtn,.,I4 nelPrrmir,\M5C V..m,Ann aani I:An. awn a.i Tr.i.M+rv+..mrrD.
Plumbing Permit Application
Building Fixtures IIIIIIICICZMZCIIIMIII
City of Tigard Received
Date.B Permit No.:
} "r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
3 Phone: 503.718.2439 Fax: 503.598.1960 Data/By: Other Permit No.:
T1G.1RD Inspection Line: 503.639.4175 Dale Ready/By: runs: Ei 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 42-Multi-family SFR(3)bath 1 500.32 500.32
El Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16649 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 I Lot no.: 5 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
0 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
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 Alarm 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 piping/DWV 56.29
Address:P.O.Box 92 w"C-" Other. 25.02
City/State/ZIP:St.Paul, 37 ZH'e I.-
vP Subtotal 600.40
Phone:(503 417 kV Fax:(971)727-8170 Minimum permit fee: 572.50
ic.:184372 V 1)_3 ALL-/ Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: &' ((J
TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 Thls 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`iwidugWPemitslPLMLI.PermitApp.dnc I(601/09 440.4616T(10'02/COM+wEB)
RECEIVED
City of Tigard NOV 0 8 2022
" COMMUNITY DEVELOPMENT DEPARTMENT
g CITY OF TIGARD
Building Permit Review - Residential BUILDING DIVISION
TIGARD
r,.
Building Permit #: /t4 TT .O —001i
Site Address: 16649 SW Beemer Lane Verified in Accela
Project Name: Northside View at South River Terrace Lot/Unit #:
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-C
Required Site Plan Elements:
V3 copies of site plan on min 11x17"
Drawn to standard scale Retained trees, drip line/tree protection
North arrow Street and site trees shown/ labeled
Site address, project name, lot # -Et-Table calculating tree canopy at maturity
Street names (N/A for SFR)
Applicant name and phone # -61-Courtyard rectangle dimensioned (if applicable)
Lot and setback dimensions -lam-Vision clearance triangle
-B-Existing structures &square footage 91,Utility locations &easements
Footprint of new structure and FFE Npf Property corner elevations
Nfj/Sidewalk/driveway dimensioned -8-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
Drawn to standard scale Sy-nmary table with calculations for:
VIT Building height dimensioned NO Total façade area
VFagade dimensioned Total window and door area
Windows and doors dimensioned NO Total garage area
Required Floor Plan Elements: Summary table that includes
NO/Each story dimensioned VS Total floor area
Each story floor area calculated VFloor 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
` Yes ❑ N/A Landscape
0 Yes Cd N/A Screening (Quad only)
''Yes ❑ N/A % Window Coverage
VIYes ❑ N/A Garage (SFR Only)
Parking(Other Res)
f'Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes EJ N/A Other building design standards (Rowhouse only)
❑Yes d 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:
0 Yes VIN/A Unit Count:
❑ Yes'N/A Lot Width and Size
❑ Yes 'N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
0 Yes B1'N/A Unit Area:
❑ Yes CIN/A Floor Area (per story)
❑Yes d N/A Courtyard
0 Yes ® N/A Fence
❑As ❑ No /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 ci/No
Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approved BV Planning: Date: 10/20/2022
Notes Single creamed Ouse and ow u wi w esignstandards of i8.640.ui0.E.(River i errace Building Permit
Review Addendum).Those with side lot lines on River Terrace Blvd must meet all except 18.640.070.E.3 Entrances
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: Ki g<. -,
Site Plans #:
Building Plans #:
Building Permit #: Building permit# entered on page 1
Workflow Routing: PQ Planning ,[ Engineering fig Permit Coordinator [Building
Workflow Sign-off: *Sign-off for Planning (include notes from planning review)
Route Documents: gEngineering: (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.
Permit Technician: Date: (t //C)4a1
Notes: ////
En ineering Review
.hrSlope at building pad: el cyo
/04 fd'Conditions met prior to issuance of permit
ti'tasements (encroachments) per engineering conditions of approval and plat
Pt/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes D'No
Assess Water Quantity Fee in-lieu: ❑ Yes la'No
LIDA Facility on lot: ❑ Yes PrNo Add Fee: ❑ Yes ❑ No
- inal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: l� Date: z � /(//#/ec
Revision 1: ❑ Approved Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
firConditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
fVSDC Exemption: ❑ Applied for ❑ Received J Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: A Yes ❑ N/A
Tigard Trans SDC: ,,16 Yes ❑ N/A R'Deferred
Parks SDC: %Yes ❑ N/A ,li Deferred
LIDA ❑ Yes 0 N/A
/OK to Issue/Approved by Permit Coordinator: Date: (L L' ( 26 ZZ
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: