Permit CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2022-00457
TIC,;A I��T� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2023
Parcel: 2S107AD06600
Jurisdiction: Tigard
Site address: 16635 SW BEEMER LN
Subdivision: SOUTH RIVER TERRACE Lot: 6
Project: Northside View at South River Terrace, Lot 6
Project Description: New detached single family 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 sf Front: 8 Smoke Yes
Dwelling Units: 1 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: 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
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: $21,626.11
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 you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9_M1_nnln thnyonlk OAP QF9_ n may nhtain a runt,of the mlac nr riinart ni lactinnc to nu IMR by Tallinn Fn4 9Z9 1QA7 nr 1 Ann 43,99d 9'3d
Issued By: 74 Permittee Signature: ' ' CD .p t i 1 6 V)
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I
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.
46
Building Permit Application RECEIVED
&IJI° igP
Residential
City of Tigard NOV Q R 2U'�2 Received �`
Ill 13125 SW Hall Blvd.,Tigard,OR 97223.11111
DateBy: (� ` j},} Pe - �O'=J �
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGA�R+ D Plan Review I
Inspection Line: 503.639.4175 BUILDING DIVISIONDateRe 1tl 17 22 � (y• -� 2for
C I G A R U Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov Notified/ thod: Supplemental Information
_: ,,.., ii , , .kiiii OF# ,,,6, ,4i--,-k . ,'` - fi , ` i;:.= REQUIRED DATA,':1 AND tf-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 ❑Other: equipment,materials,labor,overhead, nd the ofitt ffoorr-the
CATEGORY OF CONSTRUCTION it` r work indicated on this application. 1 �7]./
Valuation: $
® 1-and 2-family dwelling 0 Commercial/industrial -
❑Accessory building El Multi-familyNumber of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms: 3
' JOBS SITE;INFORMATION AND LOCATION - :. Total number of floors:2
Job site address: 16635 SW BEEMER LN New dwelling area: 1,875 square feet 1 j(.}
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 429 square feet -7s'
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
i REQUIRE.:P I)A1�A CO i(:; jS *:c:zZI .f
,
Subdivision: Northside View at SRT I Lot no.: 6 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
x
", `;;.�. DESCRIPTION OF W R��" : l " i work indicated on this application.
ew Construction/Type: SFU (483200B) 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
® PROPERTY OWNER a 0TN ,* ;, 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:
.la APPLICANT LE tiA 0 CONT CT PERSOPI ...> BUILDING RMIT FEES* 1 A
Business name:Taylor Morrison Northwest LLC ' - (P e`r ,toff cheduleJ � � . z
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:
E-mail: OAlamiAbouhafs@taylormorrison.com P VOROW TAICSotARPANEL I'SIEMFEES
' -, CO TKAR C1 UR f, stOft, Commercial and residential prescriptive installation of
' ': °� : P. ° :* - . . ; 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
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: Dj1t.Q/2,.C4 444, 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)
s
Electrical Permit ApplicatioIRECEIVED FoR OFFICE USE ONLY
City of Tigard 1 Receiveda Permit#:
71 al13125 SW Hall Blvd.,Tigard,OR 97223 Novo )I')
' g N l l I i t1 C v. Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit#:
Inspection Line: 503.639.4175 C Ready DateBy: Juris: Ei See Page 2 for
I IGARD CITY OF TIGA RD
Internet: wwwti rd-0r. ov _- •,LDIN,G Nottfied/Method. SupplementalInformation
� g F�jt�J DIVISION
1 ,., TYPE OF,v. 4 - : .i .r PLAN:`REVIEW,-w, t
®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 0 Other:
where the available fault current ❑Marinas and boatyards.
. '. ., .; E CATEGORY:OP CONSTRUCTIOY 4„ r ,.. :`,: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 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 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
-JOB`SITE INFORMATION AND,.LOCATION , 's: { ❑Emergency system. larger separately derived
Job#: Job site address: 16635 SW BEEMER LN ❑A ORP o of oew 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.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Northside View at SRT ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site:
El Service or feeder 600 amps or more. 600 volts nominal.
i,:. , : .,4$„ IiEE`SCHEDULE . ;:
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Northside View at SRT Lot#: 6 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
,, .:„7:11,,, , -4 t,DESCRIPTION;,OF WOE ., h rt .„:. Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
f F ;: I PROPERTY OWNER = ., r`f ` .a.TENAN'.I. ;. . ' g
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.com 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
'IM11111 irgYwittrolT _ o` CONTAC�P,RSo 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
seAddress: 703 Broadway St., Ste 710 branche 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
CONTRACTOR . . g , ', 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. ID 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 90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically listed('/z hr min)
��C�i `.`` 'i' ,<ELECFRICAL.PERMIT''FEES
Suprv.Electrician signature,required: 111. �. Subtotal:
Print name: Alex Shalya Da e.10/30/20 0 Plan Review Required(25%of permit fee):
.,JOB �'1/1 ' - D ,. L State surcharge(12%of permit fee):
Authorized signature: Aut,er� / / LG,4� k, 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
4
Mechanical Permit Application . 'FOROFFICE USE.,ONLY
City of Tigard Received
DatelB Pcnni.No.:
III `I 13125 SW Hall Blvd.,Tigard,OR 97223
• Phone: 503.718.2439 Fax: 503,598.1960 y Plan Review Dale/By: Other Permit:
I cA I;I? Inspection Line: 503.639.4175 Dale Read/B runs; ElSee Page 2 for
In Y y
ternet: ttww.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
RESIDENTIAL EQUIPMENT/SYSTEMS FEES''
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
I j Multi-family ❑Master builder ❑Other: Description Tary. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75 46.75
Job site address: 16635 SW BEEMER LN
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
Suite/bldg./aptno.: 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,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Northside View at SRT Lot no.: 6 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 lights(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENANT 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, 23.32
toilet compartments,utility rooms) 1 23.32
Phone:(360)695-7700 Fax:( ) Atticicrawlspace fans 23.32
® APPLICANT 0 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. I
Address:703 Broadway St.,Ste 510 Gas heat pump 1
Wall/stspeoded/unitheater
City/State/ZIP:Vancouver,WA 98660
Water heater 1
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1
Ranee 1
E-mail:permitsubmittals(taylormorrison.com Barbecue
rj CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES"
Address: Air A.lociek Dr,Ste.1104
Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit 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
Z.�a. Iti(-�1�Q.41. 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: 10/30/20
r-tF.atA6wtPrrmnetMFi P...nti Ann rani 11 elm- A.1/1 ALA.T i n ow+ir N /mccol
•
Plumbing Permit Application
Building Fixtures e
City of Tigard Received
Date1B Permit No.;
III O 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: tuns: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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 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 -Multi-family SFR(3)bath 1 500.32 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Pagc 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16635 SW BEEMER LN Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 m
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.: 6 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.O2
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/basidlavatory 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:permitsubmittais@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 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
CCB Lic.:184372 Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
+ State surcharge(12%of permit fee)
Authorized signature: +*GPTOTAL 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.
t:lauildaglPermasWLMU.PermiiApp.doc IO/O1/09 44-4016T110,02/COMnvEB)
RECEIVED
City of Tigard NOV 0 8 2022
11, COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
Building Permit Review - Residential BUILDING DIVISION
TIGARD
Building Permit #: A497. - -OD 4 ")
Site Address: 16635 SW Beemer Lane Velferified 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:
y3 copies of site plan on min 11x17"
Drawn to standard scale -I -Retained trees, drip line /tree protection
Nyc North arrow Street and site trees shown/ labeled
Nyf Site address, project name, lot # -Table calculating tree canopy at maturity
Street names (N/A for SFR)
VJ Applicant name and phone # --Courtyard rectangle dimensioned (if applicable)
V Lot and setback dimensions -a-Vision clearance triangle
-8-Existing structures &square footage NVUtility locations &easements
Footprint of new structure and FFE V Property corner elevations
Sidewalk/driveway dimensioned -tEl-LIDA (>1,000 sf disturbance)
V Lot area and lot coverage percentage 'Erosion control
Required Elevation Plan Elements:
(For SIR: calcs needed only on street-facing) Garage doors dimensioned
V Drawn to standard scale Su nmary table with calculations for:
We Building height dimensioned `4Total façade area
sytfFagade dimensioned ViTotal window and door area
Windows and doors dimensioned NO Total garage area
Required Floor Plan Elements: Ve,Summary table that includes
Each story dimensioned VTotal floor area
Each story floor area calculated Floor area per story
Planning Review
The following standards have been met:
Setbacks 0 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
❑ Yes 12f N/A Screening (Quad only)
' 'Yes ❑ N/A % Window Coverage
V/Yes 0 N/A Garage (SFR Only)
Parking(Other Res)
t/Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes 0 N/A Other building design standards (Rowhouse only)
❑Yes El N/A Accessory Structure Standards
❑ Yes Ef 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 t'N/A Lot Width and Size
❑Yes'N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
0 Yes g N/A Unit Area:
❑ Yes CIN/A Floor Area (per story)
❑Yes N N/A Courtyard
❑Yes 0 N/A Fence
❑•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:
Required: ❑ Yes 0 No
Applied For: ❑Yes ❑ No, stop intake
❑ Sensitive Lands: ❑Yes 9/No
Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approved By Planning: Date: 10/20/2022
Notes Single tac a ous and fownouses witn frontage er i errace diva.must meet au ounamg aesign standards of 18.640.0/O.E.(River Terrace Building Permit
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: j fj / i( )?
Site Plans #: "1i
Building Plans #:
Building Permit #: 14 Building permit# entered on page 1
Workflow Routing: Planning %Engineering &Permit Coordinator t Building
Workflow Sign-off: $Sign-off for Planning (include notes from planning review)
Route Documents: Engineering: (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
/ID
I y�
Notes:
Engineering Review
"Slope at building pad: 22 %
1/,4— 'Conditions met prior to issuance of permit
gtEasements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: ,�
Assess Water Quality Fee in-lieu: ❑ Yes 6410
Assess Water Quantity Fee in-lieu: ❑ Yes 6'No
� 'Fin� LIDA Facility on lot: ❑ Yes &No Add Fee: ❑ Yes ❑ No
l al Plat Recorded
O NOT Approved: Date:
Notes:
Approved By Engineering: Date: it/l4/lL
Revision 1: ❑ Approved ❑ No pproved Date:
Revision 2: 0 Approved 0 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 'Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: /Yes ❑ N/A 7Deferred
Parks SDC: ,/Yes ❑ N/A 221Deferred
LIDA ❑ Yes N/A
/OK to Issue/Approved by Permit Coordinator: Date:
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: