Permit (8) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00569
Date Issued: 12/18/2023
T i C7,A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DD13300
Jurisdiction: Tigard
Site address: 16651 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 132
Project Description: New attached dwelling(3 of 4)units. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES
HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 64 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 34 Bathrooms: 2 Second: 558 sf Garage: 497 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 568 sf Right: 3 Detectors:
Total: 1190 sf Value: $236,199.66 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
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!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 SFA VB R-3 1190
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 2 Fire Sprinklers Required
15231 LAGUNA CANYON RD STE IRVINE,CA 92618
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $14,982.45
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. ATTENTI regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QS9_nt11_nnin thrro. AR 9_nn1_nnOn V a,nhtain n rnn,,of tho ndoe nr din:-4 niiuetinne to(ll iMf by rallinn Sag
919 1QR7 nr.1 aria 119 9Zda
Issued By: ��: �1i7'Li — Permittee Signature: &i, Qpplr L tLZ)V\.
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 RECEIVED
Residential FOR OFFICE l SF:ONLY
City of Tigard I (,T ! 2023 Received \IAS 110ti3. Pt MS1/14/5.005194
Date/By: Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax 503.598.1960 CITY OF TIGARD Date/By: 1t /41 m( Other Permit:WIV40/1.60S15
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/ y: Juris: VI SeePage4 r
Internet wwwtigard-or.gov {-Notified/Method: Il1n.�� Rp,, �`��� Supplemental Information
TYPE OF' ' QU DATA:
11« LY'DWELLIN
(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 . ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
ERYOAR � Li
1I14)
Valuation: $ QQ
❑ 1-and 2-family dwelling ❑Commercial/industrial t
Number of bedrooms: 2
CIAccessory building 0Multi-family
❑Master builder ❑Other: Number of bathrooms: 2
Ittff � l DLO TI Total number of floors: 3
Job site address:16651 SW Jean Louise Rd New dwelling area: 1 1 90 square feet 5(tg+
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: (,IGI1 square feet 5543,
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 50 square feet (o4
Cross street/directions to job site: Deck area: 70 square feet "� 1
-SW River Terrace Blvd Other structure area: square feet
t. ...: 11 A:TA:cO l t,wtUS lEH ti 1St`
Subdivision:River Terrace Lot no.:132 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
DESC 0. O1 WORK work indicated on this application.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
(1 .t Et# y *�°' ., Number of stories:
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:( ) New:
I titt��,.,�+kt,u..>It,
,y .,, cP +eeto i, t. . ... ..'r .......
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Amount received:
Phone:(503) 310-7571 Fax::( )
E ' fandoval@nwhm.com �1 ' 1 - `A� r` SEIt'. t'Elltt tS"
. ,
ACT
Commercial and residential prescriptive installation of
I'� ..� � . .. .:.. .. .. .....:t;nWZ,. ,< .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 $180.00
and administrative fees):
Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108 Total fee due upon application: $201.60
AUt tom; e-----------' 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:
fo/25/. r23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
DMechanical Permit Applicat CElVE FOR OFrICL I SF()Nil
City Of Tigaard OCT 25 2023 Received
Date/By: Permit No.: , `1r1, • ( I
II 13125 SW Hall Blvd.,Tigard,OR 97223 V
Phone: 503.718.2439 Fax: 503.598.196 Dan Review
CITY OF TIGARD Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read/B Jus
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:y Ready/By: ® See Page for
Supplementall Information
`1"4'PE O WWtO RK :; . F 3:",, DULL ACC t. f;
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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
. CATE R Ol#:C#311STRK3 LO Value
E�Ad E+ I7WW f,:§X§: 1t S Fff"
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
B SITE {j titvA Heating/cooling:
Job site address:16651 SW JEAN LOUISE RD Air conditioning 1 46.75
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 RIVER TERRACE BLVD 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.:132 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
?Ese 1€ E{ Gas fireplace/insert / 33.39
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
P R ERTY OWNER EZ Oth r 23.32
e.
' Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
equipment i 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)310-7571 Fax:( ) Attic/crawlspace fans 23.32
00.0CANT : Other: 23.32
Business name:TNHC OREGON LLC 4 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 fandoval@nwhm corn Barbecue
O 4 .-. : < , Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other
Address:4200 NW Leisy rd Subtotal
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
days after it has been accepted as complete.
Authorized signature: C?eD/1-4-44' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
1:\Building\Permits\MEC_PermitApp_040113_doc 440-4617r(1 I/02/COM/WEB)
RECEIVED
Electrical Permit Application FOR OFFICE 1 SE ONLY
OCT 2 5 2023 Received r'IJA� U VOS� 1
City of Tigard Date,/By. Permit#: I
13125 SW Hall Blvd.,Tigard,OR 972, 3,,,,OF TICAR® Plan Review
:14 2 Phone. 503.718.2439 Fax: 503.59L1 I0Y Date/By: Related Permit#:
TIUARD Inspection Line. 503.639.4175 BUILDING DIVISION Ready Date/By: Juns: BJ See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑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 ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1:/ 1-and 2-family dwelling ❑Commercial/industrial El Accessory building less to ground,or exceeds 14.000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump.
p 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Add of
Job#: Job site address: 16651 SW Jean Louise Rd 0 I00H ooP or mores motor load of system.
IOOH more. ❑"A","E","1 2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP' Sherwood/ OR/ 97140 0Recreationalvehicie arks_
❑Health-care facilities. P
Suite/bldg./apt.#: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts notional
Cross street/directions to job site: FEE SCHEDULE
SW River Terrace blvd Description I Qty. i Each l Total I R
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:132 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2s 1060003300 Eu,add'!500 sq.ft.or portion 33.92 i
DESCRIPTION OF WORK Limited energy,residential 75.00 2
NEW HOME CONSTRUCTION (with abovesq.fi.)
Limited energy,multi-family 75.00 2
residential(with above sq.$-)
Renewable Energy ❑ See Page 2
N PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps toaooamps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Irvine CA 92618 601 amps to 1,000 amps 301.04 2
Phone:(503)310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Fsandoval@newhomeco.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
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
APPLICANT ❑ CONTACT`PERSON' Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee, 742 2
each branch circuit
Contact name: Frank Sandoval B.Fee for branch circuits without
Address: 15455 NW Greenbrier Parkway#240 ranch ir feeder fee,first
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)310-7571 Fax::( ) Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
Fsandoval@newhomeco.com
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67,84 2
Business name:Development Northwest inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 Address:1075 W Historic Columbia River Hwy panel,alteration,or extension. See Page 2 2
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.251 hr
Phone:(503)853_9420 Fax:( ) Investigation(I hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT,PRO Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:112220 Electrical Lie.:C 1272 Sum.Lie.:5782S specifically listed('/hr min)
ELECTRICAL PERMIT' FEES
Suprv.Electrician signature,required:" -. Subtotal:
Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee):
/�
State surcharge(12%of permit fee):
Authorized signature: 4 kzo TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Malachi J. Wolcott Date:10/12/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:iBuilding'PermitslELC_PernitApp_ELR_ERE.doc Rev 0647/2015 440-4615T(t 1105/COMJWEB
s
Plumbing Permit ApplicaECl
Building Fixtures OCT �j (n� host OFFICE USE (NIA.
OCT 5 2U23
Received thy/r)�n/l �Qlr��
City of Tigard Permit No.: 1,y.}1 Y) S
Date/ley:
q 13125 SW Hall Blvd.,Tigard,OR 99A Plan Review
1 a Phone: 503.718.2439 Fak: 503. 9 OOF 1 IUARD Other Permit No:
Date/By:
9 1 CARD Inspection Line: 503.639.4175 BUILDING DIVISION
Date Ready Bye runs. 0 See Page 2 for
Internet: www,tigard-or.gov Notified/Nlethod: Supplemental Information
1'YPE OF WORK FEE* SCUEDULE'
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 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 1 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
SOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 16651 SW Jean Louise Rd
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: RTTC Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW River Terrace Blvd 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.: 132 Fixture or item:
Tax map/parcel no.: 251060003300
Backflow preventer 31.27
Backwater valve 12.51
. uEscRTrrioN OF WORK
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
lg PROPERTY OWNER I ` 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewercap 25.02
Floor drain/floor sink/hub 25.02
Address: 15231 Laguna Canyon Rd STE 250
Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
APPLICANT ' .04'CONTACT PERSON Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page2
Primer 12.51
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 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: Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Wolcott Plumbing Water Pm iP P>/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other: 25,02
City/State/ZIP:Troutdale OR. 97060 Subtotal
Phone:( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:112220103 Plumbing Lie,no.:26824 PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: j‘W TOTAL PERMIT FEE
Print name:Mark Baleme Date:10/12/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
'Tee methodology set by Tri-County Building Industry Service Board.
t\BuitdingiPermits\PLMU-PermitApp.doc 10/01/09 440-4616T(t0/02/COMIWEB)
a
Building Divisi
on 1 rh
One & Two-Family Dwelling
T i G I R D uk •
ci1n (p Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION C AL( 2O2'S
Permit#: rlits r 2023 Oo5499 Plan #: 1c---D Floors: 3
Valuation: n/34,( p�(,�, Le2 Covered Porch: Basement __
Bedrooms: / a Deck: 7 b 15t Floor l f
WC (toilets) Deck Cover: 2na Floor SSg
Lavatories 2 Patio Cover 3'Floor i_ /2
Tub/shower Accessory Struct. ____--- R-3 Total ItC10
Laundry Tray Water Heater I / Gas /L�' Garage 4„�9 7
Exhaust Vents Gas Flue Vents l Total for Elec. 1 la ea 7
Backflow Prey. urnac / Heat Pump (AC'— # for Electrical
BBQ �-- Gas Fireplace 1115 #Fuel Lines
FEES: Description: Fee Applies: 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}Tse
School CET: District: �\, t
Tigard CET: Admin ✓
Tigard CET: ODHCS v
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge N .
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping /
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
71
. " COMMUNITY DEVELOPMENT DEPARTMENT
. .
Building Permit Review - Residential
TIGARD
Building Permit #: MSA14'S.0b51061
Site Address: 16651 SW Jean Louise Rd 0 Verified in Accela
Project Name: RT Town Center, Building 6 Lot/Unit #: 132
Proposal: New attached dwelling (3 of 4) Zone: C-C
Housing Type: ❑ SFR(❑Single Detached ❑ Duplex❑Triplex❑ADU)0 Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale ❑ itelai..,1 L.cs..3-;-+ip-4h-i / L. Sri vLection
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # turity
O Street names (N/A for SFR)
0 Applicant name and phone # ❑ Courtyard rcctanglc dimcn:ioncd (if applicable)
O Lot and setback dimensions
❑MI-Al LI 1y MIA L.I,LU1 ca et 31.11-1u1\. n,v Luy,.. 0 Utility locations &easements
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned ❑ LIDA (_ 1,000 ..f J;..L..,L..,.....)
O Lot area and lot coverage percentage 0 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
O Drawn to standard scale 0 Total facade area
O Building height dimensioned 0 Total window and door area
O Facade dimensioned
O Windows and doors dimensioned
Alley load
Required Floor Plan Elements:
(Not required for SFR) 0 Summary table that includes
O Each story dimensioned 0 Total floor area
O Each story floor area calculated 0 Floor area per story
Planning Review
The following standards have been met:
Setbacks 0 Front: 8'/12' Rear: 3' (alley)Side: 3' Min/Max Street Side: 8' / Garage: 3' (alley)
Height 0 Max. Height: 45' Proposed Height: 33.5'
O Yes ❑ N/A Landscape *Per PDR, landscape % is taken as for all rowhouses as a total, not per lot
❑ Yes 0 N/A Screening (Quad only)
O Yes ❑ N/A % Window Coverage 18% for entire Building 6
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)
0 Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) *Faces street, porch min 48sf, width min 6ft
O Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
O Yes ❑ N/A Unit Count: 4
O Yes ❑ N/A Lot Width and Size *15ft wide min
O Yes ❑ N/A Pathway
Add' 'oval standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ it Area:
❑ Yes ❑ N/A Floor r story)
❑ Yes ❑ N/A Courtyard
❑ Yes 0 N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes 0 No, stop intake
{a Sensitive Lands: 0 Yes 0 No
0 Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
m Applicant notified of land use expiration date: Permits by 1/31/25. Final by 1/31/27
Approved By Planning: Date: 10/24/23
Notes `—
Revision 1: 0 Ap ed 0 Not Approved Date:
Revision 2: 0 A roved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: lI0,S1141,3
Site Plans #:
Building Plans #:
Building Permit #: QBuilding permit # entered on page 1
Workflow Routing: 6/Planning VEngineering Permit Coordinator Building
Workflow Sign-off: 1Sign-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.
2/Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: .,/Y14, PVY�Ak, Date: 10I31 114123
Notes:
Engineering Review
❑ PFI Permit:
'Slope at building pad: y.A►
oh
/conditions met prior to issuance of permit
` asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes [ \lo
Assess Water Quantity Fee in-lieu: 0 Yes It-No
LIDA Facility on lot: 0 Yes trNo Add Fee: 0 Yes ❑ No
final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering:• Date: i4//(Z IA
Revision 1: El Approved 0 A t Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
-,conditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
O ENG Revisions Required: Date notified applicant:
RkDC Exemption: 0 Applied for 0 Received fides not apply
ID DC Fees Entered: Wash Co Trans Dev Tax: h Yes 0 N/A
T Tigard Trans SDC: 0 Yes 0 N/A Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA 0 YtTe
`Erl\I/A
OK to Issue/Approved by Permit Coordinator: Date: `�' ` -2-3Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: