Permit (18) CITY OF TIGARD MASTER PERMIT
s. COMMUNITY DEVELOPMENT Permit#: MST2023-00594
Tr ARj 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2024
Parcel: 2S107AD09200
Jurisdiction: Tigard
Site address: 16821 SW LEAF LN
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 4
Project: Creekview at South River Terrace, Lot 4
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 960 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1573 sf Garage: 393
g sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2533 sf Value: $450,074.85 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 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'500 sf: 4 201-400 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 2533
Owner: Contractor:
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $37,108.24
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9..nn1_nnln thrni AR oc ..nni_nnan VnVnn r, v n a rnnu of tha'lilac nr rlirart nnactinnc to nu IMf:by rn Ilinn Fn4 919 10R7 nr 1 eon 449 94114
Issued By: 4i'U"��' ! Permittee Signature: c j� E Cc�,.�)r£LJ
Call 503.63 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.
Electrical Permit Applicatio> a5
City of Tigard ae/ve
Date By: l /IC)/fi l'l.3 JG,._. - Permit#: ST', i3 r >"l
III . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone:503.718.2439 Fax:503.598.1960 ni Date/By: Related Permit#:
Inspection Line:503.639.4175 Ready Date/By: km I See Page 2 for
I 1"-\1`l) Internet:www.tigard-or.gov * i i ''' 1 1 Notified/Method: g
'°�/ Supplemental Information
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I.r _{ r ,:r ,v £3 l "y ': � t :`,f. r�ft,�'. ,J.+ r. ;'.. /r,r ir.
�„ ,..<�::.,M'r"fx.,;ryi,,;�/%_...�.,,.f.r ;a.f.;..,.>,..=r.�, �:..s=„F,r.,�'. ,�......,, <-=:,.: ...�.fr ,�'.�/t�:rs'�.�',;3=-��,'4�r. n-;?,<-.��'F'�� ,���,�'i"s`s��+;;'��.. ...r � j,r`;r':��.Irv,;,ii�`rf`xr",�'fm`��s"",,,.,
XNew construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
Service or feeder 400 amps or more ❑ Building over three stones.
o Demolition o Other: where the available fault current o Marinas and boatyards.
M n ` r # l� ® v ti ,:0,Na i" f exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑ Accessory building ❑ less to ground,or exceeds 14,000 ❑ Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family 0 Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 150 KVA or
fFg,.,,.,., . i1 7 �.,: „? t#2� <,... ❑ �`�: '' tStW ❑ Emergency system. larger separately derived
� ❑ Addition of new motor load of system.
lob#: Job site address:16821 SW Leaf Ln tooiiPormore. ❑ "A","E","1-2","1-3",
❑ Six or more residential units. occupancy.
City/State/ZIP:Tigard,Oregon 97140 ❑ Health-caze facilities. ❑ Recreational vehicle parks.
Suite/bldg./apt.#: Project name:South River Terrace ❑ Hazardous locations. ❑ Supply voltage for more than
❑ Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: '2 , '- ,r :L 4 '-fr,ir' ter, '
Description Qty. Each = Taal
New residential single-or multi-family dwelling unit.
Subdivision:South River Terrace Lot#:4 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
Tif..gat ,...... 2.}, ,., :*:,..,a 3=ngangla lrag Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable EnergySee Page 2
� %/ S31t . �a l'� f F /�' f,� ',_ � ,."if�,'��'F` �. �� � �+
, .._.�„, h , .-= ,5,:i . ,._,.cr s.. _,_,;,g,, a " :', s ue.r„ Services or feeders installation,alteration,and/or relocation I
Name:Taylor Morrison Northwest LLC 200 amps or less 1 100.70 2
710 201 amps to 400 amps 133.56 2
Address:710 Broadway St,STE
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695 7790 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:PermitSubmittals(i4taylormorrison.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
-Qtyly , ., ( f �,F�i I Branch circuits—new,alteration,or extension,per panel I
�" ;` A_Fee for branch circuits with
Business name:Taylor Morrison Northwest LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Tonja Morris B.Fee for branch circuits
without service or feeder fee,
Address:710 Broadway St,STE 710 first branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
I Miscellaneous(service or feeder not included) I
Phone:(971)409-5931 Fax:: ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:tmorrisa;taylormorrison com Reconnect only 67.84 2
'I) '1 Pump or irrigation circle 67.84 2
Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 2804 NE 65th Ave, Sutie D panel,alteration,or extension. ° SeePage2 2
98661 Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver WA Additional inspection(1 hr min) 66.25/hr
Phone:(971 )222-5758 Fax ( ) Investigation(1 hr min) 90.00/hr
Email:Peter(a�SunlightElectriclnc.conl Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee rs 90 00/hr
CCB Lie.:172549 Electrical Lic:C230 Suprv.Lic.:6652S specifically listed(t/z hr min)
Suprv.Electrician signature,require Subtotal
Print name:Yegor Shevchenko 7../ Date: 11/14/23 ° Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
r �1 " "
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Peter Kozarez ° Date: 11/14/23 days after it has been accepted as complete.
*Number of inspections allowed per permit.
I\Building\Permits\ELC PermitApp ELRERE.doc Rev 06/I7/2015 440-4615T(11/05/COM/WEB
. --- .
7t,,,,
Mechanical Permit ApplicatRkr-ILi'r:P1 77-, L.6. FOR OFFICE USE ONLY
- it t &-
City of Tigard Received ,
Date/By: I II/to 17/Y,,--?,7 i---0. Pemut No.- Vt/I5 j-2.-9
14.. 'I 13125 SW Hall Blvd.,Tigard,OR 97223 .l...' 1 ; :!:. l. Plan Review
Phone: 503.718.2439 Fax: 503.598,1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 „iiFY (1) --- "ri:. , ,) Dale Ready/By: luris:
T Hiii.It ro Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
nr":-'- n:
TYPE OF WORK COMMERCIAL FEE* SCRVDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
EZI New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
2 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
I j Multi-family El Master builder 0 Other: Description Qty. Ea. Total
Heating,/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 1 46.75 46.75
Job site address: 16821 SW Leaf Ln Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54 91
.
Heat pump 1 61.06 61.06
Suite/bldg./apt.no.: Project name: South River Terrace
Duct work 23.32 . .
Cross street/directions to job site: Hydroids hot water system 23.32
...
Residential boiler(radiator or
.1ydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other. 23.32
Subdivision: South River Terrace Lot no.: 4
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
-
Flue vent for water heater or gas
New construction-Type SFU fireplace 23.32
Log lighter(gas) . 23.32
• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0.. PROPERTY OWNER 0 TENANT
• Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
equipment 1 33.39 33.39
Address:703 Broadway St.,Ste.510
Clothes dryer exhaust 1 33.39 ' 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 1 23.32
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
.
.7.1 APPLICANT 0 CONTACT PERSON ' Other: 23.32
' Fuel piping:
Business name:Taylor Morrison Nortft.yest LLC.
514,15 for first four;54,03 for each additional
Contact name:Tonja Morris Furnace,etc. I
Gas heat pump I Address:703 Broadway St_,Ste 510
Wall/suspended/unit heater
City/State/ZIP: Vancouver,WA 98660
Water heater I
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace I
Range I
E-mail:permitsubmittalsgtaylOrMOITiS011.corn
Barbecue
ilt CONTRACTOR Clothes dryer(gas)
Other.Business name:Pro Heating&Cooling
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste. 1104
Subtotal ' $262.84
City/State/ZIP: Hillsboro,OR Minimum permit fee($90.00)
Plan review(25°10 of permit fee)
Phone:(360)270-1590 Fax.( )
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
4,(L 1)U-1/A.& days after it has been accepted as complete.
Authorized signature:
• Fee methodology set by Tn-Counry Build/mg Industry Service Board
Print name:Elia Duran Date: 11/14/23
Plumbing Permit Application ''..:: ...,.
Building Fixtures FOR OFFI('F. USE ONLI
City of Tigard Received
Date/By: t 1 i l h/P-'-3 ✓- Permit No.: 1/11A6 2" - -
II an 13125 S W Hall Blvd.,Tigard,OR 97223 :: i _ `- T L3 7
it
Plan Review
Phone: 503.718.2439 Fax: 503.598 19§Q „ ,,Th , Date/By; Other Permit No.:
Inspection Line: 503.639.4175
T I G A R D Internet: www.tigard-or.gov Date Ready/By: lure: fd See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. 1 Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes I00 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
XI-and 2-family dwelling 0 Comrnercialfindustrial SFR(2)bath 437.78
❑Accessory building VI-Multi-family SFR(3)bath 1 _ 500.32 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16821 SW Leaf LN 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.:_) 1 Page 2
Suite/bldg./apt.no.: Project name:South River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:i) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: South River Terrace Lot no.: 4 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02 25.02
New construction-Type SFU
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Y
Ejectors/sump 25.02
2 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660
Hose bib 2 25.02 50.04
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2
Primer 12.51
Contact name: 1"Hi II AI tnu Ah.-oh it;.
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittats@taylormorrison.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water pipingDWV 5629
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal 600.40
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50
CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
ty�� State surcharge(12%of permit fee)
Authorized signature: ,(/ ,,,..._ TOTAL PERMIT FEE
Print name:Steve Fowler Date: 1 1/1 4/23 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.
IN s Building Division
'4 1$ Il' l'WV One & Two-Family Dwelling
���'���� Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION iY Z6Z3
Permit #: s.-Tirsaj _0005)cf Plan #: I E Floors:
Valuation: Covered Porch: -�Th Basement
Bedrooms: H Deck: -- 1" Floor CI 0
WC (toilets) 3 Deck Cover: 2nd Floor S7 3
Lavatories Patio Cover 3'd Floor
Tub/shower 3 Accessory Struct. R-3 Total 1-e 33
Laundry Tray Water Heater l / Gas /0 Garage ✓3
Exhaust Vents 5' Gas Flue Vents Total for Elec. 2-9)zc
Backflow Prey. MO/ Heat Pump AC # for Electrical Li'BBQ ._...---- Gas Fireplace tf-52 #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) (.121.--
Metro CET: Residentialjse f
School CET: District: l
Tigard CET: Admin V/
Tigard CET: ODHCS V/
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge t "
Erosion Control: w/Permit- Ping V
I:A Building\Forms\ResPlanCheckFees_Dec2U22_AA.doc 12/21/22
Page 1
City of Tigard
11
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: i1/t5 T -3- `—t
Site Address: 16821 SW Leaf Ln X Verified in Accela
Project Name: Creekview at South River Terrace Lot/Unit #: 4
Proposal: New Detached SFR Zone: RES-D
Housing Type: SFR(IX Single Detached ❑ Duplex❑Triplex 0 ADU) ❑ Rowhouse ❑Cottage Cluster El CYU ❑Quad 0 Other
Required Site Plan Elements:
RI 3 copies of site plan on max 11x17"
X] Drawn to standard scale 0 Retained trccs, drip linc/ tree protection
® North arrow ® Street and site trees shown / labeled
IR Site address, project name, lot # c canopy atmaturity
X Street names (N/A for SFR)
IX Applicant name and phone #
IX Lot and setback dimensions 0 Visiui, cleat ante tt tangle
isting structures & square footage IX Utility locations & easements
X Footprint of new structure and FFE IXJ Property corner elevations
IX Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
IX Lot area and lot coverage percentage IX Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
l Drawn to standard scale [X Total façade area
® Building height dimensioned ® Total window and door area
IX Façade dimensioned
IX Windows and doors dimensioned
alley-loaded garage, non street facing
Require Elements:
(Not required for SFR) ❑ Summary table that includes
O Each story dimensioned loor area
❑ Each story floor area calculated ❑ Floor area per
Planning Review
The following standards have been met:
12'bldg 15' 3' 8' 20'
Setbacks IX Front: gpordi Rear: Side: Min/Max Street Side: / Garage:
Height X Max. Height: 35' Proposed Height: 24' 1"
XI Yes 0 N/A Landscape
❑ Yes XI N/A Screening (Quad only) 9 (7 req'd) design elements met; 53%
IX Yes ❑ N/A Window Coverage garage/facade width allowed. See Sheet A9
ix Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
IIX Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes 0 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:
❑ Yes 0 N/A Unit Count:
O Yes 0 N/A Lot Width and Size
❑ Yes 0 N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N/A Unit Area:
O Yes 0 N/A Floor Area (per story)
❑ Yes 0 N/A Courtyard
O Yes 0 N/A Fence
❑ Yes 0 No ®N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No ®N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: ❑ Yes 0 No, stop intake
® Sensitive Lands: 0 Yes E2J No
® Main Land Use Case #s: PDR2018-00003/PDR2021-00003 0 Conditions met
❑Applicant notified of land use expi ation te: permits11/3/2fl24, final occ by 11/3/202
u I _� t
Approved By Planning: 17.-- __ Date: 9/13/2023 it /2-c)--3
Notes
Revision 1: 0 Approved 0 of Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: t 1//Le/y,>3
Site Plans #:
Building Plans #:
Building Permit #: 13/Building perfnit # entered op page 1
Workflow Routing: ii,lanning 2 Engineering Ef Permit Coordinator iBuilding
Workflow Sign-off: m,Sign-off for Planning (include notes from planning review)
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
an,original plan review routing form.
2'Building: original permit application, site plans, building plans, engineer and
Team calculations and t t details, if applicable, etc.
Permit Technician Date: 1,1 r C tv /2 3
Notes:
Engineering Review
❑ PFI Permit:
IZ/ lope at building pad: y/v ok
t`Conditions met prior to issuance of permit
'Easements (encroachments) per engineering conditions of approval and plat
p'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0No
Assess Water Quantity Fee in-lieu: 0 Yes P"No
LIDA Facility on lot: 0 Yes trNo Add Fee: 0 Yes 0 No
Oinal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: ///1-//y3
Revision 1: 0 Approved Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
o Approved, NOT Released: Date notified applicant:
Q ENG Revisions Required: Date notified applicant:
' DC Exemption: 0 Applied for 0 Received Ofiboes not apply
?DC 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 Z
OK to Issue/Approved by Permit Coordinator: Date: z.J ?
7)-
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: