HomeMy WebLinkAboutPermit (4) CITY OF TIGARD MASTER PERMIT
N--.
• • • COMMUNITY DEVELOPMENT Permit#: MST2023-00445
Date Issued: 10/12/2023
T I(1 A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S108DC34000
Jurisdiction: Tigard
Site address: 15673 SW EVERGLADE AVE
Subdivision: CROSSING AT BULL MOUNTAIN Lot:
Project: River Terrace Crossing, Lot 198
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Reaulred
Stories: 2 Bedrooms: 4 First: 1629 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1825 sf Garage: 497 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3454 sf Value: $620,310.78 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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: 6 201-400 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 3454
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
11815 NE 99TH ST STE 1200 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98686 LAKE OSWEGO,OR 97035
PHONE PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $30,831.29
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
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Issued By: 1 f/7L'4 � .SL/( ."---"--`_" Permittee Signature: 1,a N'S '7 (44--
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
Residential :. �. FOR OFFICE LSE ONLI
RECELI ��si�ti3. & A4
City of Tigard Date/B y ct 12 . p Permit No.:
13125 SW Hall Blvd.,Tigard, 03 98.19 ^ y n Plan Review Q 'L,e Z,j /� y`1 i A^�J nn^g S
_ Phone: 503.718.2439 Fax: 503.598.1960Q�� 3 I 2t923 l jJ'/Q Other Permit�YV W V\�IJIJ(/U
Date/By: fd
T I G A K D Inspection Line: 503.639.4175 Date Ready/By: nn 1 s See Page 2 r
Internet: www.ti and-or. ov t t" Notified/Method: �I '7 pV Supplemental Information
KAI g g CITY ��`�� �N c '��l/ ��r4��f/� �t�
,... , ... ��
l
®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 0 Other: equipment,materials,labor,overhead,and the profit for the.,_,
t work indicated on this application.j WiS i o
. .:. , ,> r .�,,. ���d:x��„„ ,.., ....�,,.., ..�,: .,� �,.. V l
1 1-and 2-family dwelling ElCommercial/industrial a uation:
53587.1327
ElAccessory building ❑Multi-family Number of bedrooms: 4
•
❑Master builder 0 Other: Number of bathrooms: 3
�� _351
t, € 11': f � y tt� ., � ;: Total number of floors: 2
....aJu .... . ..{ /F r' v...L,,✓.�ff�, >f. � ,..1 i FY.r t.�u ,r.��i,1 ie
Job site address: 15673 SW Everglade Ave. New dwelling area: 3,454 square feet (G'1
City/State/ZIP: Tigard, OR 97224 Garage/carport area: 497 square feet 1(42i,ot
Suite/bldg./apt.no.: Project name: River Terrace Crossing Front Covered porch area:80 square feet
Cross street/directions to job site: Back Patio: 196 square feet
Other structure area: square feet
' d a,#,,, 1 tT, r' 'U r .4 f'9
Subdivision: River Terrace Crossing Lot no.: 198 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
' � N u t 1 % work indicated on this application.
New, single family residence Valuation: $
Existing building area: square feet
New building area: square feet
Y .. ,„ ,, ,
ia�• �t ;� �F; Number of stories:
Name: Stone Bridge Homes NW, LLC Type of construction:
Address: 423-Galewood St. Suite#100 Occupancy groups:
City/State/ZIP: Lake Oswego, OR 97035 Existing:
Phone:(503)387-7577 Fax:( ) New:
l �, � ` r -A
Business name: Stone Bridge Homes NW, LLC Structural plan review fee(or deposit):
Contact name: Permit Tech
FLS plan review fee(if applicable):
Address: 4230 Galewood St. Suite#100
Total fees due upon application:
City/State/ZIP: Lake Oswego, OR 97035 .--
Phone:( 503) 387-7577 Fax: :( ) Amount received
y r x mr ,cFsr
E-mail: portlandpermits@stonebridgehomesnw.comliC ;; P,
ercial and residential
ve
allation
CO • rooftop mounted PhotoVol aicsSolartPaneltSystem.of
Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist.
City/State/ZIP: Lake Oswego, OR 97035 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503)387-7577 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 173318 Total fee due upon application: $201.60
Authorized signature: ) !/� This permit application expires if a permit is not obtained
g �iir,,-r/ /t,i o within 180 days after it has been accepted as complete.
Date:8-31-2023 *Fee methodology set by Tri-County Building Industry
Print name: Tiana Rudolf Service Board.
L\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati FOR OFFICE USE ONI,\
Cl of Tigard ReceivedH-CrdiVr yt(I n n"� � 1
liPlig Date/By: Permit No.: '�J 1 '1`W
• - . 13125 SW Hall Blvd.,Tigard,OR 97223
A 4 r�� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 I (, Date/By: Other Permit: ,
T I(3 A R[� Inspection Line: 503.639.4175 Date Ready/By: Juris I3 See Page 2 for
Internet: www.tigard-Or.gov CITY OF TIGI D Notified/Method: Supplemental Information
U DIVISION
'` , o3°1 , � +1t ,� n * 40 tad, •':::4
Mechanical permit fees*are based on the value of the work
❑X New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
r. Value
❑X 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
l•r 1 att> Heating/cooling:
�,�,.e , �..r,-• .. ,, . ,•_..• , .F,.uu;, .,..« ..4, Airconditioning )
1
Job site address:1 5673 SW Everglade Ave.
(requires site plan showing placement 46.75
Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: River Terrace Crossing Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: River Terrace Crossing Lot no.: 198
Flue/vent for any of above 1 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
11•' 11 f .t,e Water heater 1 23.32
New, single family residence Gas fireplace 1 33.39
Flue vent for water heater or gas
2 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
r rF t 1 1 3 ,r r Chimney/liner/flue/vent 23.32
f �.,. .f ._,1; <, �,,,,;.;,� ,,,r z�w,..,, � „,y ,u a Other. 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation:
Address: 4230 Galewood St. Suite#100 Range hood/other kitchen
equipment 1. 33.39
City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 - 33.39
Single-duct exhaust(bathrooms,
Phone:( 503)387-7577 Fax:( ) toilet compartments,utility rooms) 6 23.32
_,, 4; "1 , .;, 1°lifra ' ! s,t) '11Attic/crawlspace fans 23.32
Business name: Stone Bridge Homes NW, LLC
Other: 23.32
Fuel piping:
Contact name: Permit Tech $14.15 for first four;$4.03 for each additional
Address: 4230 Galewood St. Suite#100 Furnace,etc. 1
Gas heat pump
City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater
Phone:(503) 387-7577 Fax::( ) Water heater 1
Fireplace 1
E-mail: portlandpermits@stonebridgehomesnw.com Range 1
Cl'O Barbecue
Business name: Comfort Zone Clothes dryer(gas)
Other
Address: 1032 NW Corportate Dr. (� ,t
City/State/ZIP: Troutdale, OR 97060 Subtotal
Minimum permit fee($90.00)
Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee)
CCB lic.: 110091 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab Date: 8-31-2023 * Fee methodology set by Tri-County Building Industry Service Board
I\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(1I/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLI
City of Tigard AUG 3 1 2023 Date/Bed , 1
,1111 r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
: Phone: 503.718.2439 Fax: 503.598.194@fl 'OF TG RD Date/B : Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: kris: ® See Page 2 for
I I G A RD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
i
f .
❑X New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boaty ds.
">, 2 *8''2 1 i ;yt8) exceeds 10,000 amps at 150 volts or ❑Floating buildings ar
X 1-and 2-familydwelling ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ ❑Commercial/industrial
amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: El Fire pump.
it rtt ❑Emergenccy system. ❑Installation
largerem.
sseparately derived
or
❑Addition new motor syst
of load of
Job#: 3285 Job site address:15673 SW Everglade Ave. 1oo1-HP or more. ❑"A","E","l-2","l-3",
City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: River Terrace Crossing ❑Hazardous locations. El Supply voltage for more than
❑Servtce or feeder 600 amps or more 600 volts nominal.
Cross street/directions to job site: egigNAQR4:#41:-:-:7,1
r�, ram., Z
Description I Qty. I Each j Total I'"
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#: 198 Includes attached garage.
1,000 sq.ft.or less 3 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 1 33.92 1
.. ,. t..1 �� �,, Limited energy,residential
(with above sq.ft.) 75.00 2
New, single family residence Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
8 � 1
• � „, � `�4„::W" - A ii F 1,,:: ,i .. ,.. a ,. Services or feeders installation,alteration,and/or relocation
Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2
Address: 4230 Galewood St. Suite#100 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Lake Oswego, OR 97035 601 amps to 1,000 amps 301.04 2
Phone:( 503) 387-7577 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: portlandpermits@stonebridgehomesnw.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
C 'i8 ao, , Branch circuits 7 o ew„alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Stone Bridge Homes NW, LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Permit Tech B.Fee for branch circuits without
service or feeder fee,first
Address: 4230 Galewood St. Suite#100 branch circuit 56.18 2
City/State/ZIP: Lake Oswego, OR 97035 Each add]branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( 503)387-7577 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2
—t a . ,. .. ,. , p or irrigation circle 67.84 2
P tn
Business name: Garner Electric Sign or outline lighting 67.84 2
to Signal circuit(s)or limited-energy
Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension ❑ See Page 2 2
x City/State/ZIP: Each additional inspection over allowable in any of the above
Y Hillsboro, OR 97123 Additional inspection(1 hr min) 66.25/hr
Phone:( 503)648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr
�. Email: chelsea@garnerelectric.com Industrialplant(1hrmin) 78.18/hr
Inspections for which no fee Is 90.00/hr
CCB Lic.: 4 Electrical Lie.:34-305C Suprv.Lic.: 3ioi S specifically listed(A hr min)
Suprv.Electrician signature,required: ��� �atifhvls LX. 1O1 t 11, ,. . � ,. �. �� ;a t, . =
V Subtotal
c,._) Print name: Charles Garner Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
/ / TOTAL PERMIT FEE:
Authorized signature: . Jifri/ri . /tii�Z/
This permit application expires if a permit is not obtained within 180
Print name: Tiana Rudolf Date: 8-31-2023 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
•
Plumbing Permit Application RECIVrii
Building Fixtures FOR OFFICE USE ONLY
City of Tigard A U G 31 2023 Received Permit No.: ,"\J� V V V�•UV A.
Date/By:
II 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ Phone: 503.718.2439 Fax: 503.598.196 Other Permit No.:
'CITY OF TIG A D Date/By:
Inspection Line: 503.639.4175 BUILDING
T I G A R D p DIVISION Date Ready/By: Iuris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
. #7 i f%
�..1 ., .. ., .. .... .��, r � , t.. , ,f, �Mi F,f .•,,..t .. ,,. ..... ... •.. .•..,••,; i'w`,; .,.0: i'.,,.a.., r..1...5, .. �..� ...,5. .., /,/£, u
®New construction ❑Demolition For special information use checklist_
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
1 *# '1r I#, SFR(1)bath 312.70
❑X 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
i °"#1 t, ( : It, b'tf# Site utilities:
Job site address: 15673 SW Everglade Ave. Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:River Terrace Crossing 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: River Terrace Crossing l Lot no.:198 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
ac water valve12.51
�.,!,. , ;... u ,. ,v,F. .. r.-r,4. ...P. ,, .,., 4 ,.,�I nd . Clothes washer 1 25.02 -..
New, single family residence Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Expansion tank
12.51
Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 4230 Galewood St. Suite#100 Garbage disposal 1 25.02
City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02
Phone:(503)387-7577 Fax ( ) Ice maker 12.51
Interceptor/grease trap 25.02
Page 2
Business name: Stone Bridge Homes NW, LLC Medical gas(value:$ )
Primer 12.51
Contact name: Permit Tech Roof drain(commercial) 12.51
Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 7 25.02
City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54
Phone:(503)387-7577 Fax::( ) Tub/shower/shower pan 4 12.51
E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02
x - Water closet3 25.02
*i1
,.,. .,, Water heater 1 37.52
Business name: Edward Mullen Plumbing Water piping/DWV 56.29
Address: S. E. River Road Other: 25.02
City/State/ZIP: Hillsboro, OR 97113 Subtotal
Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 92689 Plumbing Lie.no.: 34-260PB Plan review (25%of permit fee)
1 , State surcharge(12%of permit fee)
Authorized signatures K TOTAL PERMIT FEE
Print name: Jeremy Crace Date:8-31-2023 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.
I.\Building\Permits PLMU-PermitApp.doc 10/01/09 440-4616T(IO/02/COM/WEB)
IN Lt-e &--
_'PI ® Building Di Sion
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION ---9 kl WZI2
Permit#: `l?�� ` cj ` Plan #: (j �` -� 1W loons: g
Valuation: '' `� / �J O , 16� i g Covered Porch: 11 rlV Basement _
Bedrooms: 14 Deck: c� ( P 1 S`Floor [Ilf, q z/
WC (toilets) 3 Deck Cover: � 2nd Floor I bZ5L(/ �
Lavatories 5 Patio Cover 3`d Floor
Tub/shower Li
Accessory Struct. R-3 Total 3469
Laundry Tray ji Q Water Heater I [as' Elec Garage
Exhaust Vents �J 1 Gas Flue Vents _ J Total for Elec. 3 q 6
Backflow Prey. Furna / Heat Pump lap # for Electrical 4l
BBQ _ Gas Fireplace y #Fuel Lineski
FEES: Description: Fee Ap✓ : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential,,Use
School CET: District:��'�1 (i�
Tigard CET: Admin
Tigard CET: ODHCS 4
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee: J
12% State Surcharge
Plumbing Permit: Permit Fee: V;,._
12% State Surcharge /
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: ( 5le7 3 '5 inJ er y) -14 e
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
4!Pi a Transmittal Letter
r 3(;A i.r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 13o r c`7 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: T^; AAA.a F---, d b I r OCT 0 3 2023
COMPANY: 4+"h e .5 r 1 c 1 E CITY OF TIGA9D
PHONE: BUILDING DIVIS�C
EMAIL:
RE: ( 5673 5W 5-Ve-v,/q-de /'tigi'.)0c)?--00`fLi5-
(Site Address) (Permit Number)
,TC t of ( r6
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Co �i �, r Iam- lit�, ,& -
o 1) D. h R.i do1i t t I o E.iN D 1 i S " a.t r,m [yS .: di"
Additional set(s) of plans. )C Revisions: of k--er +-o ov 1 ; IAc
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
Routed to Permit Technici . Date: (O ' 2 Initials: /
Fees Due: ❑ Yes o Fee Desc iption: Amount Due:
N-- ° ° 1-- $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: J Date: \\\Alti . Initials:
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: tt1'U0, 'UO4'
Site Address: \S b13 xceA9 loch Are ❑ Verified in Accela
Project Name: ( 7<firg_ COSStA5 /Unit #: �a8
Proposal: 1Q'V" PectO`eo `S{ - Zone: C"", -C
Housing Type:ISFR(I/Single Detached El Duplex El Triplex❑ADU) 0 Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements: REV 1510 JS 1 k/r^1 �ect f°re ds d v► $���p ,,••�i•
�3 copies of site plan on max 11x17" 1
Xrbrawn to standard scale . R___ r_ _ra ned trees, drip line/ tree protection
Kr North arrow ,Street and site trees shown / labeled
Site address, project name, lot # -0 Table calculating tree canopy at maturity
/Street names (N/A for SFR)
71 Applicant name and phone # -D-Cotn•tyard rectangle dimensioned (if applicable)
grLot and setback dimensions ,Vision clearance triangle
a 4ist-Mg structures &square footage /f Utility locations &easements
71 Footprint of new structure and FFE Property corner elevations
K Sidewalk/driveway dimensioned LfBA•(>1,000 sf disturbance)
12(Lot area and lot coverage percentagerosion control
Required Elevation Plan Elements:
(For SFR: needed only on street-facing) Summary table ' calculations for:
❑ Drawn to s lord scale ❑ Total a area
❑ Building height ' ensioned al window and door area
❑ Facade dimensioned
0 Windows and doors dimens ed
❑ Garage doors dimensioned
Required Floor Plan ents:
(Not required for ❑ Su ary table that includes
❑ Each s dimensioned 0 Total floo a
❑ E story floor area calculated 0 Floor area per story
Planning Review
The following standards have been met:
Setbacks %Front: \t Rear:t51 t0 Side: Min/Max Street Side: g / Garage:
Height /Max. Height: gig Proposed Height: 2S
6Yes El N/A Landscape
• -s 0 N/A Screening (Quad only)
❑ Yes • N/A % Window Cover-•e (7, f '• / Z(o /.
❑Yes 0 A Garage (SFR • y) Parking (Other Res)
❑Yes ❑ N/A Entrance ( '•, Rowhouse, Quad only)
❑Yes 0 N/A 'ther b ' ding design standards (Rowhouse only)
❑ Yes 0 N/A Ac -s-.ry Structure Standards
❑Yes 0 No Q - i ing pre-existing unit exempt from standards (Cottage unit only)
Additional sta• •ards •r Courtyard Units, Cottage Clusters, Rowhouses,and Quads:
❑ Yes 0 N/A Unit Count.
❑Yes 0 N Lot Width and 'ze
❑ Yes • /A Pathway
Addi '•nal standards for Courtya • Units and Cottage Clusters only:
❑ Y s ❑ N/A Unit Area:
• es El N/A Floor Area (per story)
• Yes ❑ N/A Courtyard
El Yes ❑ N/A Fence
❑ Yes 0 No /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes 0 No VV/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: ❑ Yes 0 No, stop intake
Sensitive Lands: 0 Yes krNo
I/Main Land Use Case #s: f 1*-24 16 -0001(e , De ,O tB-0O0O5 J2'Conditions met
'Applicant notified of land use expiration date: 1 (?LZ)Lto
Approved By Planning: Date: S Pk, fa%
Notes e1C OIfCil ✓101 afful o S'Eav\ dI.
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal t
Original Submittal Date: �! i ' 7,U1✓3
Site Plans #: 4
Building Plans #: ,
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: :Planning L/Engineering VPermit Coordinator Building
Workflow Sign-off: [9/Sign-off for Planning (include notes from planning review)
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
aryl 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: -&/Y A/ ; t/Y�A.� Date: 1 7i�
Notes:
Engineering Review
❑ PFI Permit:
Slope at building pad: `'2 0/0
conditions met prior to issuance of permit
Casements (encroachments) per engineering conditions of approval and plat
i '`vNater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes iNo
Assess Water Quantity Fee in-lieu: ❑ Yes grlo
LIDA Facility on lot: 0 Yes 0 No Add Fee: 0 Yes 0 No
l 'Final Plat Recorded
IoNOT Approvgd: i G C � �� Date:
Notes: jOvj
Approved By Engineering: Date: /6'l/d/2
Revision 1: 0 Approved 0 of Approved _ Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
Approved, NOT Released: Date notified applicant:
i-ENG Revisions Required: \A t)\Vkvd Date notified applicant: G- VI -'Z3
\iwSDC Exemption: 0 Applied for 0 Received (Does not apply
IfSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes 0 N/A 0 Deferred
Parks SDC: Yes 0 N/A 0 Deferred
LIDA 0 Yes i@ N/A t `.,
s ji K to Issue/Approved by Permit Coordinator: 7 Date: tD 1V-2Zj
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: