HomeMy WebLinkAboutPermit (6) 111 CITY OF TIGARD MASTER PERMIT
� COMMUNITY DEVELOPMENT
Permit#: MST2023-00570
Date Issued: 12/18/2023
TIC;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 16645 SW JEAN LOUISE RD
Subdivision: Lot: 133
Project: River Terrace Town Center, Lot 133
Project Description: New attached dwelling(4 of 4)units.NO FINAL INSPECTION UNTIL DEFERRED SDC FEES
HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 136 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 34 Bathrooms: 3 Second: 725 sf Garage: 588 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 731 sf Right: 3 Detectors:
Total: 1592 sf Value: $313,720.32 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: 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 Tvpes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description:
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1592
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 Rated Conditions
15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 Fire Sprinklers Required
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $17,327.67
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•' • -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9_M1_nnln thrni in• -M1_nnon V may nhfain a rem ,of the niliac nr dirt nteactinne to rll IMr:by rallinncccn3 919 10R7 nr 1 Rnn'119 9'1dd
Issued By: 4001.10111171... Permittee Signature: S1.i app t k t"_,U:afro .
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
E
Residential nri 2 5 2023 FOR oFFICI: ISE ONLY
City of Tigard Received q �'06516
g Date/By: io\I ` 1/` ' AP Permit No.:viSitai,3///
II
• 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGAR p,�Review V\
Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISI Nate/By: 1 i '1/3 0 Other Permit:S��wz 00316
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Ions: ® See Page for
Internet www tgard or gov Notified/Method U q01
l) 4� I Supplemental Information
14 ttr~a r\IG
;Ttom UJ"..>
, : ; REQUIRED113A'1<'z4:::;1 .riiiii ` '.
E 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
C t40 F cONS`I Uc'.I f work indicated on this application. 22
El 1-and 2-family dwelling ❑Commercial/industrial Valuation: $1.5a,1U6 513, 7'")b,�
El Accessory building ❑■ Multi-family Number of bedrooms: 3 d
❑Master builder El Other: Number of bathrooms: �g'?j
+SOBINFORMATION AND LOCATION Total number of floors: 3 j I`fib
Job site address:16645 SW Jean Louise Rd New dwelling area: 1592 square feet -7 31
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 588 square feet 77S
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 50 square feet t`JG
Cross street/directions to job site: Deck area:, �,,r 98(� square feet
SW River Terrace Rlvd Drc/}e,,"" l square feet
Subdivision:River Terrace I Lot no.:133 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:parcel no: 2S1060003300 Indicate the value(rounded to the nearest dollar)of all
equipment,D. materials,labor, ead overh d ofit for the
SC,REF l ON )� work indicatedon this application ,an th p e r
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
P tO . R .: NA 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:( )
A M1 0 1.r PERS ON
w
)���111x1Cit11'�Il4��` �"*
Business name:TNHC OREGON LLC ' " '
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:
Amount received:Phone:(503) 310-7571 Fax: :( )
P TGVOtT CS1OLARPANELSTSfb 1l �
E-mail:. fsandoval@nwhm.com .,,
. f
Commercial and residential prescriptive installation of
..... : ' 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
rued si nature: 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: !6 (25f 2rzz *Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I1/02/COM/WEB)
RECEIVE
Mechanical Permit Application FOR OFFICI? FS1:Om .1
City of Tigard OCT 2 9 2023 Received
Date/By: Permit No.: M , ,
13125 SW Hall Blvd.,Tigard,OR 97223 t"
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIG�RD Plan Review
Dale/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO 1 Date Ready/By: 3nds
Internet: www.tigard-or.gov See Page 2 for
Notified/Method: Supplemental Information
' TYPE.O ' ORK C s 1 >l l $0 #D c` T
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
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
�1t otr11Y O ONSTRI1 ;fOl Value $
'bI11 1w1T.in*** #'***ti.t4g#1. ct*.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
❑Other: Description Qty. Ea. Total
IOB SI E FORMA €'AT Heating/cooling:
Job site address.16645 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
Residential boiler(radiator or
SW RIVER TERRACE BLVD
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.:133 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
:: ,: # ,, . P`'tO I:O fireplace/insert 1 33.39
Gas
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
Other: 23.32
PT';;SYS'lR <
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)310-7571 Fax:( ) Attic/crawlspace fans 23.32
A l cO1''.lw PERON Other: 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:fandoval@nwhm.com Barbecue
RA O 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)205 4989 ( ) Plan review(25%of permit fee)
Phone: Fax:
State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
�q This permit application expires if a permit is not obtained within 180
�/i�_ P �� days after it has been accepted as complete.
Authorized signature: L"""`� * 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 440-4617r(l 1/02/COM/WEB)
RECEIVED
Electrical Permit ApplicatiolrlCT 2 5 2023 FOR OFFICE USE ONLY
CityofTigard Received I�(} Q
g OF TIGARD Permit 4:ill
W1i3.Ob510
,11114 • 13125 SW Hall Blvd.,Tigard,( Plan Review
g ,('� DIVISION Dto/By Related Permit 4:
' s Phone: 503.718.2439 Fax: 5 :'. �:t +•n DIVISION Bate/By:
Inspection Line: 503.639.4175 Ready Date/By: Jaris ® See Page 2 for
TiCARD 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):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑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-and 2-family dwelling ❑Commercial/industrial ❑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
f
Job#: Job site address: 16645 SW Jean Louise Rd ❑ .0HP 0HAddP o moew motor load of system.
1 or more. ❑"A","E","I-2","I.3",
City/State/ZIP: Sherwood/ O R/ 97140 ❑Six or more residential units, occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: RTTC 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site:
FEE SCHEDULE
SW River Terrace blvd Description 1 Qty. 1 Each 1 Total
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:133 Includes attached garage.
1,000 sq.ft.or less I68.54 4
Tax map/parcel#: 2s1060003300 Fa add'/500 sq.ft or portion 33.42 1
DESCRIPTION OF WORK Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER' 0 TENANT: Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200ampsorless 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 zol amps to400amps 13356 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 5936 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
APPLICANT 0 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
h
Contact name: Frank Sandoval eachcircuit
B.Feeee for b branch branch circuits without
seAddress: 15455 NW Greenbrier Parkway#240 branche circuit
fee,first 56.18 2
branch circuit
City/State/ZIP: Beaverton OR 97006 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)310-7571 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: 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 Address:1075 W Historic Columbia River Hwy panel,alteration,or extension. 0 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) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(1 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 Lic.:C 1272 sum.Lie.:5782S specifically listed(/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:"17.11 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: �2 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.
t:\BuildinglPermits\ELC_PerrnitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t tI05ICOM WEB
Plumbing Permit ApplieatRECEIVED
Building Fixtures l: O
OCTFOR OFFICE t:sNL,V
City of Tigard O 2 5 2023 Received Permit No.: 11/4J1/�'06514
v 13125 SW Hall Blvd.,Tigard,OR 97223 Date By.
�. Plan Review
Phone: 503.718.2439 Faz: 503.59C) OFi�9UARD Other Permit No.:
Date/By:
Inspection Line: 503.639.4175 1 r )n C l5t i
TIGARIJ Internet: w��w.ti and-or. ov a4_t_"Al Ji" Date Ready/By: hris. ® See Page2 fur
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCRIEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(i)bath 312.70
® I-and 2-family dwelling I]Commercial/industrial SFR(2)bath 1 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.It) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 16645 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.: 133 Fixture or item:
Tax map/parcel no: 2s 1060003300 Backflow preventer 3 L27
DESCRIPTION.OF WORK Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
,..1 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
..IX APPLICANT MI CONTACT PERSON Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
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/showerishow-er pan 12.51
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Wolcott Plumbing Water piping/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.:112220 Plumbing Lie.no.:26824 PB Plan review (25%ofpennit fee)
�)� V3 State surcharge(12°Ln f mit fee)
EE
Authorized signature: 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.
"Fee methodology set by Tri-County Building Industry Service Board.
I.\Building\Permits\PLMt/-PernniApp.doe 10/01/09 440-4616T(I0/02/COMAVEB)
II g
Building Division riD- b
One & Two-Family Dwelling
T I G A R D i% i\c(, t0 Fees Checklist
i
..--
PERMIT INFORMATION: Application Date - FEE VERSION JJ l4 2 bia
► l
Permit#:yv,`L��Z�_ (�p 57 D Plan #: r�a 12) Floors:
Valuation:'+�513 I 7,28 ,3Z Covered Porch: 50_. Basement ___---
Bedrooms: Deck: J� 1S`Floor 3�
WC (toilets) 2 Deck Cover: c C 2nd Floor
Lavatories �u Patio Cover ___ , 3`a Floor ---73 I
Tub/shower - Accessory Struct. R-3 Total 1 S12
Laundry Tray Water Heater V / Gas / Garage Sg .
Exhaust Vents (_ Gas Flue Vents �--- Total for Elec. 2- 1 43 O
Backflow Prev. tt422-510 Heat Pump /CACS # for Electrical 3U
BBQ ,----- Gas Fireplace \(.)". #Fuel Lines
FEES: Description: Fee Applies. Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) L 0 �` Prs
Info Proc/Arch: Sm$.50 (up to 11x17) L aZ �- 0Y . (y 1h Suit
Metro CET: Residential Use c f
School CET: District: I tSc"r--;`
Tigard CET: Admin ✓'
Tigard CET: ODHCS
Tigard CET: AH v
Electrical Permit: Permit Fee: i'
Limited Energy: <,
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee: I/.
12% State Surcharge
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
(F
Building Permit #: MS11A 3'60516
Site Address: 16645 SW Jean Louise Rd 0 Verified in Accela
Project Name: RT Town Center, Building 6 Lot/Unit #: 133
Proposal: New attached dwelling (4 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 0 R,.Lci i.J Li cw J; I;, / L cc , vtection
O North arrow 0 Street and site trees shown / labeled
0 Site address, project name, lot # ❑
O Street names (N/A for SFR)
O Applicant name and phone # ❑ Courtyard rcctanglc dimcnaioncd (if applicable)
O Lot and setback dimensions 0 Vision clearance triangle
❑C.IaL��ry anucLun.a al'uu,c f�uluy. 0 Utility locations &easements
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned 0 LID/. (_ 1,000
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 façade 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 0 N/A % Window Coverage 18% for entire Building 6. 12% for "enhanced street side"
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)
O Yes 0 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 0 N/A Lot Width and Size *15ft wide min
O Yes ❑ N/A Pathway
'oval standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ it Area:
❑ Yes ❑ N/A Floor r story)
❑ Yes ❑ N/A Courtyard
O Yes 0 N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes ❑ No
❑ Main Land Use Case #s: PDR2021-00004 o Conditions met
o 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: ❑ Ap ed ❑ Not Approved Date:
Revision 2: 0 A roved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: ))\tis I'�o V3
Site Plans #: 3
Building Plans #: 3
Building Permit #: VBuilding permit # entered on page 1
Workflow Routing: L'Planning L9"Engineering Q"Permit Coordinator Building
Workflow Sign-off: P'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 Technicia : P • Date: 0 114V
Notes:
Engineering Review
❑ PFI Permit:
Slope at building pad: Z. 4. ok
///4- f"Conditions met prior to issuance of permit
3'Easements (encroachments) per engineering conditions of approval and plat
'Hater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 111410
Assess Water Quantity Fee in-lieu: ❑ Yes rielo
LIDA Facility on lot: ❑ Yes ArNo Add Fee: ❑ Yes ❑ No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /0/0 3
Revision 1: ❑ Approved ❑ of Approved Date:
Revision 2: 0 Approved ❑ 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
DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes > /A
_0441:5
Aro K to Issue/Approved by Permit Coordinator: l 1 Date:
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date: