Permit CITY OF TIGARD MASTER PERMIT
` • COMMUNITY DEVELOPMENT Permit#: MST2023-00168
T i i;A i I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2023
Parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13642 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 97
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 667 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 949 sf Garage: 390 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1616 sf Value: $267,373.62 Rear: 3
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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 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'I 500 sf: 2 201-400 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 1616
Owner: Contractor:
AG EHC II(NWHM)MULTI STATE 2 LLC TNHC OREGON LLC Required Items and Reports(Conditions)
BY THE NEW HOME COMPANY INC 15231 LAGUNA CANYON ROAD 1 Ersn Cntrl 503-639-4175
BY KAWANAMI,MARK SUITE 250
15231 LAGUNA CANYON RD STE IRVINE,CA 92618
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $20,022.02
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
0c9_nnl_nnln fhrn,,nh oc9_nn1_MOn Vni i mau nhfain a rnnv of fha nJnc nr Airart ne eactinne fn nI Don by Tallinn cn'2 919 10R7 nr 1 Ann110 9'4d
Issued By: Permiftee Signature: See UIPP Ulliri 1 I •
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
Residential FoR OFFICE ESL ONI.I
I�/
r.[/
City of Tigard REC E 6 tl : iBved ,�12q 2 23• �}P
• y: Permit No.:11IIT1.323-li6 11D
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /��/�//��//��
II I Phone: 503.718.2439 Fax: 503.598.1960 5 t Other Permit:S R.101Z.WU"I
p 202
� i Date/By:
TIC A R n Inspection Line: 503.639.4175 r uL. Date Ready/By: { � Jri I See Page 4 for
Internet www tigard or gov Notified/Method: i \OW
/1 d, Supplemental InformationCITY.QFTIGARD TYI Y �1
0 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 ❑Other equipment,materials,labor,overhead,and the profit for the
: � work indicated on this application.
0 m . , l ..r. , xF , Zlo,7, ,373
El 1-and 2-familydwellingValuation: $1 0 Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms: 3
❑Master builder ❑Other:
Number of bathrooms: e 3
,° : OB � MAT� � ' x. E Total number of floors:
Job site address:13642 SW 166th ave New dwelling area: 1 589 square feet lq /
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 390 square feet (e6 7
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: square feet �C
Cross street/directions to job site: Deck area: square feet
SW Jean I ouise Other structure area: square feet
suba;vis;on:River Terrace � �A � C :r.
Lot no.:97 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:parcel no: 2S 1060003300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
` , I $ r wk a work indicated on this application.
Requesting Deferred SDC fees Valuation: $
Existing building area: square feet
New building area: square feet
„ ... ~, 1**. ,..: 10 .,. Number of stones.
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP:Irvine/CA/92618
Existing:
Phone:(503)310-7571 Fax ( )
e� New,,, 4, t� f t `, . ' i ' 4 -MINVI:. ". . xv u % s i 3k ! ,
Business name:TNHC OREGON LLC r° . .{.: . ,. w. , .
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
Address:15455 NW Greenbrier Parkway Suite 240 FLS plan review fee(if applicable):
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax::( ) Amount received:
E-mail: fsandoval@nwhm.com , � NE i Atitt
f r ,,': Commercial and residential prescriptive installation of
g` `' :...... , . .: . ,..:' ,,.�.�.v .,,.,.:,, ... .. a a t sf hrv.,:,` ...,..', :r.v, . roof-top mounted Photo Voltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108
Total fee due upon application: $201.60
Authorized signature. ✓/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval Date: 5/2,y/7,,0 23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-46 13 T(1 1/02/COM/WEB)
Mechanical Permit Application ///...��� tt FOR OFFICE USE Oy1.QY'(
City of Tigard RECEIVE
E E I E �.. Permit No.:t 1101Q 'OM 1
v V 'l : v 13125 SW Hall Blvd.,Tigard,OR 97223 Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G g R D Inspection Line: 503.639.4175 APR y y Jur 4 2023 Date Read /B is
Internet: www.tigard-or.gov H See Page 2 for
-�/(� T�i pn Notified/Method: Supplemental Information
CIi 1 W�F;1px,,:.t�f
. :':°. .:.:ice ? ..' s tm viv �..:�:I'. 09 s . .:.. 'I ..: t w 0 8
8 ^t� i
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:
4 Value:$
ilie :. u,,�... C. r ..:...:�... ` ,s t...l..: .,4 MillIat ' I 3�.^S ! 3tR t 6 i j '
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description P Qty. Ea. Total
Heating/cooling:
....::. . .. ...,. >: ,v .... x . : : , . #.. .. '.. ..::? Air conditioning 1 46.75
Job site address:13642 SW 166th ave Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Town Center
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
SW Jean Louise rd 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:River Terrace Town Center Lot no.:97 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
t$ ; . c:: "� Gas fireplace/insert 1 33.39
Namer
„�.:: ... .: ..> . .,w .., >.,r::. ''.r..'"' .' a...> ::... s. , ..: ::..:*., . Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
tt r Other: 23.32
�...., �� -�'���� r " 1 - `:'�1 1 '': Environmental exhaust and ventilation:
Name:
TNHC OREGON LLC Range hood/other kitchen
equipment 1 33.39
Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)310-7571g Fax:( ) Attic/crawlspace fans 23.32
> e 1ei� � i s .'a ! `, f Other:
x..:, w.. ... .,e.. .......: .. t .:......r. ;.. t,, �,ait lta : .. „;i, 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax::( ) Fireplace
Range
E-mail:f m andoval@nwhm.co
Barbecue
^s s;; 1, ,...3, '...,.._., .. ,.... . ... ...::.y t ,. .::: ., . : .. ,._w,.z,,..,,..:. Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
Address:
4200 NW Leisy rd ., ...'.„i �. .,.. + ... .� °
Subtotal
f�;.....,_.. :.,:
al
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
(971 n05 4989 ( ) Plan review(25%of permit fee)
Phone: Fax:
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
( D� � 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:3/17/2023
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE ESE ONLY
City of Tigard R EC E I IE t•te ceiveti
II a 13125 SW Hall Blvd.,Tigard,OR 97223 I �( B Y ��� I •
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Related Permit#.
24 2023 Rate/B
inspection Line: 503.639.4175 ReadyDate/By: ® See Page 2 for
T 1 G A R p ]uris:
Internet www.tigard-or.gov Notified/Method:m t l l f
: , . . :. .. r ., ' < !,, CTY O . ,. . . istomessintoczzAstaintsien®New construction ❑Addition/alteratio u 4 LDrY DIVISION
Please check all that apply(submit 2 sets of plans w/items checked)
❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
$ °i ... ., where the available fain current Marinas and boaTyards.
t ❑
�'• • :r- _ „:. .. ..r:, ,v .,., „,•, ., ,:y exceeds 10,000 amps at 150 volts or Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi family ❑Master builder ❑Other: ❑amps for al other installations. bu dings.1 it
ire pump. 0 Installation of 150 KVA or
, t.
' a0r ❑Emer ene s stem. larger separately derived
Job#: Job site address:13642 SW 166th ave ❑Addition of new motor load of system
100HP or more. ❑"A" "E" "1-2» "1-3"
City/State/ZIP:Sherwood OR 97140 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River Terrace Town Center ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site:
SW Jean Louise rd Description 16y Each j Total j'=f'
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Town Center Lot#:97- Includes attached garage.
Tax map/parcel#:2s1060003300 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 1 33.92 1
KN1Vttaggltaa.. ........ . ....... :....,.. t.. „..::. . :..::so...s .,..n Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
to t Ren: 111111111ewable Energy ❑ See Page 2
.. :., '"tI "" 0 `311 :u" " t'"'"` ^•0$I " Services or feeders installation,alteration,and/or relocation
Name:TNHC OREGON LLC 200 amps or less 1 100.70 2
Address:15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 133.56 2
City/State/ZIP:Irvine CA 92618 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:603 310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:fsandoval@nwhm.com Temporary services or feeders installation,alteration,and/or
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
Branch circuits—new,alteration,or extension,per panel
TNHC OREGON LLC A.Fee for branch circuits with
Business name. above service or feeder fee,
each branch circuit 8 7.42 2
Contact name:Frank Sandoval B.Fee for branch circuits without
Address:15455 NW Greenbrier Parkway#240 Service°`feeder fee'srst
branch circuit 56.18 2
City/State/ZIP:Beaverton OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503 810-7571 Fax::( ) Each manufactured or modular
Email:fsandoval@nwhm.com
dwelling,service and/or feeder 67.84 2
Reconnect
only 67.84 2M£ :phw } !1 R1 % E S " ,.. . 11 fitnk1 n : Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 4th signal circuits)or limited-energy
panel,alteration,or extension. ❑ See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Portland, OR 97213
Additional inspection(1 hr min) 66.25/hr
Phone:(503 3192192 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:soIarpdX@me.COm Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.:199188 Electrical Lic.:c923 Suprv.Lic.:4754S specifically listed 'h hr mm 90 00/hr
Suprv.Electrician signature,required:
*,., ... a o:.i t .sits 11G 3
Subtotal:
Print name:Dave Lister Date:3/17/2023 0 Plan Review Required(25%of permit fee):
77�� State surcharge(12%of permit fee):
Authorized signature:f/ `� TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 1S0 Print name:Dave Thompson Date:3/17/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.I:\Buildiag\Permits\ELC_PernsitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB
Plumbing Permit Application
Building Fixtures roi OFFlc 1: 1 si; ()NIA
City of Tigard RECEIV:eltd MT2a23.OQlb%
;•III
. 13125 SW Hall Blvd.,Tigard,OR 97223AP Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 ry Plan Review
T I t g h p Inspection Line: 503.639.4175 � (� L� Date/By:
Ready/By:
y d B Other Permit No..
U ate/B
Internet www.tigard-or.gov
ate Rea y runs See Page2Notified/Method S t l Informationnr
>, „� ._,„ ., Supplemental
®New construction j�ppe� r < '�
❑Demoli'ti� � 1v��10� For special informationQdAfg use checklist
Description I Qty. j Ea. I Total
❑Addition/alteration/replacement 0 Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)
..,; **vf slue SFR(1)bath
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building ID Multi-familySFR(3)bath 500.32
0 Master builder Each additional bath/kitchen 25.02
❑Other
Fires sprinkler
r # v , w . „. P ( sq.ft.) Page 2
4,.,. ,.,a.,., sl 10.,.. .', iar ! , Site utilities:
Job site address:13642 SW 166th ave Catch basin or area drain J 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Sherwood OR 97140
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:River Terrace Town Center
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
SW Jean Louise rd 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:River Terrace Town Center I Lot no.:97
Fixture or item:
Tax map/parcel no.:2S 1060003300 Backflow preventer 31 27
Backwater valve
**** $,f `*!',m, s9 ll1 r11 6 r .k, s 12.51
NEW HOME CONSTRUCTION Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump
25.02
: A Expansion tank g 2.51Somfem ,, " , .4 ,s ? .-.., : ,, ..,...> . .. . .� <...:<, ,.. v,.Name:TNHC OREGON LLC Fixture/sewer cap 25.02
Address:15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
City/State/ZIP:Irvine CA 92618 Garbage disposal 25.02
Hose bib 25.02
Phone (503 310 7571 Fax ( ) Ice maker
r 12.51
r* ,? :< ' 3 °b i �fr '^ t 4 a Interceptor/grease trap 25.02
Business name:TNHC OREGON LLC Medical gas(value:$ ) Page 2
Contact name:Frank Sandoval Primer 12.51
Address:
15455 NW Greenbrier Parkway#240 Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503 310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail:fandoval@nwhm.com Urinal 25.02
v 1 *'. > 7 ,.,: t i'xx # ,,.. :'�: ;r i f :� u.F '"`.=Artwol 25.02
x f r Water closet
Water heater
37.s2
Business name:G&B Plumbing &Sons, INC
Water piping/DWV 56.29
Address:PO BOX 92 Other:
25.02
City/State/ZIP:St. Paul, OR 97137 Subtotal
Phone:(503 868 1417 Fax:( ) /1j\Vil/ Minimum permit fee: $72.50
CCB Lic.:184372 Plumbing Lic.no.$B3 VV�� Plan review (25%of permit fee)
Authorized signature: (/ // -P-6`G //
State surcharge(12%of permit fee)
' •Qh TOTAL PERMIT FEE
I Print name:Kelly Fowler / I Date:3/17/2023 I 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.
L\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)
;1 41
Building Division
One & Two-Family Dwelling
T,c n u Fees Checklist
PERMIT INFORMATION: Application Date -FEE VERSION 'V I Li 7.0Z ,y.
Permit#: 202 -0 p‘(oS Plan #: 2ti I D D (L') Floors:
Valuation: Covered Porch: ,- - Basement
Bedrooms: 3 Deck: —' 1st Floor
WC (toilets) 3 Deck Cover: .----, 2nd Floor
Lavatories Patio Cover ---- 3'Floor
Tub/shower Accessory Struct. R-3 Total l (49 l lo
Laundry Tray ' Water Heater ` / Gas 1 - Garage 39 0
Exhaust Vents 51 Gas Flue Vents Total for Elec. Cs0k4%.
Backflow Prey. -----' 'elite Heat Pump rATT- # for Electrical 2
BBQ ---- Gas Fireplace 1 .-t_9 #Fuel Lines 3
FEES: Description: Fee Ap li : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) /LL
Info Proc/Arch: Sm$.50 (up to 11x17) [b S
Metro CET: Residential Use �/
School CET: District: c�
Tigard CET: Admin ✓-
Tigard CET: ODHCS
Tigard CET: AH 1 -
Electrical Permit: Permit Fee:
Limited Energy: ✓
12% State Surcharge ` -
Mech. Permit: Permit Fee:
12% State Surcharge /
Plumbing Petinit: Permit Fee: ✓
12% State Surcharge
Erosion Control: w/Permit-Ping ✓
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: 1'1ST'L0�.3' 001App
Site Address: 13642 SW 166th Avenue ® Verified in Accela
Project Name: River Terrace Town Center-New Home Co. Lot/Unit #: 97
Proposal: New Detached SFR Zone: Res-C/C-C
Housing Type: ®SFR(®Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad❑Other
Required Site Plan Elements:
® 3 copies of site plan on max 11x17"
® Drawn to standard scale -fetaincd trccs, drip linc/trcc protcction
® North arrow ® Street and site trees shown/ labeled
® Site address, project name, lot # rcc canopy at maturity
® Street names (N/A for SFR)
® Applicant name and phone # imcnsioncd (if applicable)
® Lot and setback dimensions ® Vision clearance triangle
❑ Existing structures &square footage ® Utility locations &easements
® Footprint of new structure and FFE RI Property corner elevations
® Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance)
® Lot area and lot coverage percentage ® Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary table with calculations for:
® Drawn to standard scale ® Total facade area
® Building height dimensioned ® Total window and door area
® Façade dimensioned
® Windows and doors dimensioned
® Garage doors dimensioned
or Plan Elements:
(Not required for mmary table that includes
❑ Each story dimensio I floor area
oor area calculated 0 Floor area pe
Planning Review
The following standards have been met:
8'(porch)
Setbacks ® Front: 12' Rear: 3' Side: 3' Min/Max Street Side: N/A / N/A Garage: 3'
Height ® Max. Height: 35' Proposed Height: 29'6 5/8"
IN Yes 0 N/A Landscape
❑ Yes ® N/A Screening (Quad only)
❑ Yes ❑ N/A % Window Coverage Garage standards not applicable-not fronting a public street
❑ Yes ® N/A Garage (SFR Only) Parking (Other Res)'
I Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ® N/A Other building design standards (Rowhouse only)
❑ Yes ® N/A Accessory Structure Standards
❑ Yes ® No Qualifying pre-existing unit exempt from standards (Cottage unit only)
'onal standards for Co Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ it
❑ Yes ❑ of Wi Size
❑ N/A Pathway
Ilona! standards for Court nits and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes 0 N/A ea (per story)
❑ Yes 0 Courtyar
N/A Fence
I
❑ Yes ❑ No EN/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
0 Yes ❑ No EN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake H 03 J -
E Sensitive Lands: E Yes ❑ No •%
E Main Land Use Case #s: PDR2021-00004 C ❑ Conditionsm_
E Applicant notified of land use ex irati n date' Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: y/ /)--� Date: 4/24/2023
Notes Permit can be issued prior o final plat approval b not prior to conditions being met on PDR
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: i,
Site Plans #:
'� Building Plans #:
fl' Building Permit #: N4uilding permit # entered on page 1
\ Workflow Routing: Si/Planning L'tngineering Kermit Coordinator VBuilding
Workflow Sign-off: B'tign-off for Planning (include notes from planning review)
�� Route Documents: i 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
HeBuilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: t/i(1.Gt-
,)
Notes: Date: dill-guts
Engineering Review
O PFI Permit:
VSlope at building pad: 2 A 04,
0 onditions met prior to issuance of permit
N,.� 0 asements (encroachments) per engineering conditions of approval and plat
O ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
4 LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes El No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date:
Revision 1: 0 Approved 0 Not Approved Date:
r Revision 2: 0 Approved ❑ Not Approved Date:
6i P rmit Coordinator Review
conditions met prior to permit issu nce
Approved, NOT Released: \V( �C° <-----_-,Date notified applicant: ' "' I./�i ,..
❑ ENG Revisions Required: Date notified applicant:
,.DC Exemption: 0 Applied for ❑ Received toes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 0 N/A Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA Yes ` /A
OK to Issue/Approved by Permit Coordinator: a) 1 GV( \ Date: 6 C' " 0'2
—3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
RECEIVED
City of Tigard MAY 0 2023
F
:1111 " Deferral Until Occupancy Request BUILDING DI VIES ON
T i G A R D Washington County Transportation Development Tax(TDT),Transportation and Parks System
Development Charges (SDCs)
...
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24,as amended by Ordinance No.21-09).
Date: 5/4/2023 Site Address: 13642 SW 166th
Project River Terrace Town Center Land Use Case or
Name: Building Permit#: MST2023-00168
Tax Lot Lot 97 Total Parks $11,830.00
#: Amount*:
TDT Total TSDC
Amount: N/A Amount*: $12,004.00
*The total TSDC amount shown above is the sum of$ 7,760.00 for TSDC-Improvement,3 448.00 for TSDC-
Reimbursement,and$ 3,769.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$ 6,812.00 for Parks-Improvement,$ 1,887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option,I understand that any deferred TDT,TSDC,and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: Date:
Developer: Date: y�3
Permit C rdina 5/4/2023
0o tor: Date: