Permit (16) a CITY OF TIGARD MASTER PERMIT
14 ,>' Permit#: MST2023-00593
COMMUNITY DEVELOPMENT Date Issued: 01/11/2024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD09300
Jurisdiction: Tigard
Site address: 16835 SW LEAF LN
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 5
Project: Creekview at South River Terrace, Lot 5
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: 925 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1341 sf Garage: 421 sf Front: 12 Smoke Yes
Dwelling Units: 1
Third: 0 sf Right: 3 Detectors:
Total: 2266 sf Value: $407,248.50 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: Storm Sewer: 100
0
1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Tubs/Showers: 3 Garbage Disp: Bckflw Prevntr: 0
Footing Drain: 100 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 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
Ecompasing:
Other: N Other Description:
BUILDING INFO
Class of Work:
Type of Use: Type of Constr: Occupancy Group: Square Feet:
2266
NEW
SF VB R-3
Owner: Contractor:
Required Items and Reports(Conditions)
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC
703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510
1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $36,283.19
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. ATTE TION: 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: t1
Permittee Signature:
Call 503.639 175 by 7:00 a.m.for the next available inspection date.
j This permit card shall be pt 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 RECEIVE * FOR OFFICE USE ONLY
Received
City of Tigard ,: Date/By: k•tlI til215 �.Z PermitNo.: SST Zn23— aoc t
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review j
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: V'� /�i3 Other Permit:G ��� 6o3o1 3
T I G A R D Inspection Line: 503.639.4175 L 3 t ' I l a'AF j L) Date Ready/By: Juris ® See Page 4 for
Internet: www.tigard-or.gov • .S t i sf, f I3,if,,, Notified/Method: I 1 ,, Ttct Supplemental Information
44 Cc Jr .,
f / / '` % 5 Y . fl` Y �'
1 i ZT# � l ��y'
Q 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
/ . 1' Y work indicated on this applicaf on.
.... ..r • ..., ... r Valuation: $ '01 1L lbt l7
❑■ 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family
Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: 3
a A /I i4``f F 4 ! Its 'I tlr frf f`�f 51 f Total number of floors: 2 L.,-(0 !
4.
Job site address:16835 SW Leaf Ln New dwelling area: 2266 square feet t'?,
City/State/ZIP:Tigard, OR Garage/carport area: 421 square feet ✓✓74
Suite/bldg./apt.no.: Project name:CreekVieW @ South River Terrace Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
' Other structure area: square feet
f
Subdivision:Creekview @ South River Terrace Lot no.:5 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
a ` equipment,materials,
labor,overhead,and theprofit
ofit for the
` ' %� t1 `` rf work indicated on this application.
, ,
Valuation: $
New construction
Existing building area: square feet
New building area: square feet
/, .,,,. .». %;t ., ;: Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St, Ste 710 Occupancy groups:
City/State/Z1P:Vancouver,WA 98660 Existing:
Phone:(360 )695-7700 Fax:( ) New:
° �) � ti 7 „, tJ y ff 1 1�
Business name:Taylor Morrison Northwest LLC
Structural plan review fee(or deposit):
Contact name:Tonja Morris FLS plan review fee(if applicable):
Address:703 Broadway St, Ste 710
City/State/ZIP:Vancouver,WA 98660 Total fees due upon application:
Amount received:
Phone:(971 )409-5931 Fax: :( )
E-mail:permitsubmittals@taylormorrison.com
/ , Commercial and residential prescriptive installation of
f;i / ' �,� „ . .", .v�, . .�, ,, . , , roof-top moantedPhotoVoltaio Solar Panel System.
Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St, Ste 710 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360 )695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: 1 �g � „. This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Tonja Morris Date:11/14/23 Service Board.
L\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Electrical Permit Application
City of Tigard Date/By. I t/W/'14 IQ� Permit#: VIA 5T Za 2-3 — Era 5°I aj
111 al 13125 SW Hall Blvd.,Tigard,OR 3 Plan Review
Phone:503.718.2439 Fax:503.598.1960 Date/By: Related Permit#:
Inspection Line:503.639.4175 ,; Ready Date/By: tiais I See Page 2 for
I IG.\RL) Internet:www.tigard-or.gov ' Notified/Method: Supplemental Information
t fit rr "" r >s r�,�f! ,.,:.. ..
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;., .:�:-. ..,.,.vr .s�.`�...r�., ��.�\�,�rf��.�r,�, ,,v<L.,:::!:,..,:,;,: ,„:,.,,,:,.r?;'.=�'..ur';'t:;"',"�'j„>;.;�.s.. ,f�".:� ,F.f���ff��,`.v,�'� .�:'.,.�.s':'' ,,;'�f'�.,,w.<r`� �,.. I } �;�r."�,`. s� �,�.s;F,' ,`;`!��;s>,6..
XNew construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
Service or feeder 40o amps or more ❑ Building over three stories.
o Demolition o Other: where the available fault current ❑ Marinas and boatyards.
/" : , n ` `l r f exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
.,�F,.,,.,,, ,.. �,� 6 ,� �.. F� . � Yi,...„,, . ;.. .�,w. .,. ,.,x,',r...., .,�,,.,,, ;,: %fr,.lso
❑ 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building ❑ less to ground,or exceeds 14,000 ❑ Commercial-use agricultural
amps for all other installations. buildings.
o Multi-family 0 Master builder 0 Other: ❑ Fire pump. ❑ Installation of 150 KVA or
; >y ' y a ', ,, IT:',,,; i ri:Vinentan ❑❑ EAdditimergenncyof system. larger separately derived
o new motor load of systan.
Job#: Job site address:16835 SW Leaf Ln 100HPormore. ❑ °`A","E",°°t-2",°°t-3",
❑ Six or more residential units. occupancy.
City/State/ZIP:Tigard,Oregon 97140 Health-caree 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: fir ;% ;ff {f '1 1 I ktl f ; `i 'iVe �r.��
Description Qty. Eadi Taal I .
New residential single-or multi-family dwelling unit.
Subdivision:South River Terrace Lot#:5 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#:
Ea.add'l 500 s ft.orportion
rt aff�'`F * h�,^`r , q- 33.92 1
�. . „.,ff.f:, ,..,, i ,/ ... ,,. ;.. u. .. N Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
fr Renewable Energy Ill I See Page 2 1
r,r�� .;`r��.r t_, ..,.,,, .,... , , „�����.f, ���,1�,.,,,fW„�� Services or feeders installation,alteration,and/or relocation
Name:Taylor Morrison Northwest LLC 200 amps or less 1 100.70 2
201 amps to 400 amps 133.56 2
710
Address:910 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(ct),tavlormorrison.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
1 Branch circuits-c new,alteration or extension,per panel
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'I branch circuit 7.42 2
I Miscellaneous(service or feeder not included)
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
tl;`' 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 see
Address:2804 NE 65th Ave, Sutie D panel,alteration,or extension. ° page t 2
City/State/ZIP:Vancouver WA
98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971 )222-5758 Fax ( ) Investigation(1 hr min) 90.00/hr
Email:Peter(�SunlightElectriclnc.com Industrial plant(1 hr min) 78 l8/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:172549 Electrical Lic:C230 Suprv.Lie.:6652S specifically listed(1/3 hr mmj)
'� ;f,,,'�.�;f,f f,^f y�, imy ,' t u 1Ri t ref`. u
Suprv.Electrician signature,require Subtotal
Print name:Yegor Shevchenko 7 / Date:I 11/14/23 ° Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 16 "" 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.
r\Building\Permits\ELCPermitADD ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
;
Ti ,,E I V E P FOR OFFICE USE ONLY
Mechanical Permit Applicatix4r c- ,
City of Tigard Received
Date/By: i th(fiti* 4f--- • Perm"N°: vf.AST 2224-
114.i 13125 SW Hall Blvd.,Tigard,OR 97223 • .., , ,,,,,,, Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 Dateil3y: Other Permit:
•
Inspection Line: 503.639.4175
'm.4 RD . C;i:c y (-::::, f.,,c,:;,,, ,,, , Date Rcady/By: fur See Page 2 for
internet: www.tigard-or.gov 'n4 Notatied/MeMod• Supplemental Information
...
TYPE OF WORK COMMERCIAL FEE* SeRVDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
El 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*
17! 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
i j Multi-family E 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: 16835 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 6 Luto
Suite/bldg./apt_no.: Project name: South River Terrace
Duct work _ 23.32 _
Cross street/directions to job site: Hydronic hot water system _ 23.32
_
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,riot 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.: 5
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
e PROPERTY OWNER Li TENANT
- Environmental exhaust and ventilation:
Name: Taylor Morrison Not-thy/est 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,
toilet compartments,utility rooms) 1 23.32 . 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT El CONTACT PERSON Other: 23.32
Fuel piping:
BUZ ineEg n2rne,Taylor Morrison Northoiest LLC.
S14.15 for first four;54.03 for each additional
Contact name:Tonja Morris Furnace,etc. , 1
I Gas heat pump 1 Address:703 Broadway St.,Ste 510
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660
Water heater I
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace 1 ,
Ranee 1
E-mail:permitsubmittaisgtaylormorrison.corn
Barbecue
ellt 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(590.00)
Plan review(25%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
ei..ct. ict-il-alt. days after it has been accepted as complete.
Authorized signature. • Fee methodology set by Tn-County Building Industry Service Board
Print name:Elia Duran Date: 11/14/21-7
Plumbing Permit Application, ! i ;,,-'1 ` "-r,,
Building Fixtures "r `�e
Cityof Tigard Received
g Date/By: ((I(lt(.1,17 14-" '" Permit No.:vue5T147..-3--S'l j
llis 13125 SW Hall Blvd.,Tigard,OR 97223 ,l Plan Review
a Phone: 503.718.2439 Fax: 503.598 196�t i ' i ) Other Permit No.:
TIGARD Inspection Line: 503.639.4175 i I, r+i1l r,in Date/By
Date ReadylBy: lots; ® See Pale 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑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
X1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
El Accessory building 41-Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( _sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
.lob site address: 16835 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.:_) Page 2
Storm sewer(na linear ft:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: South River Terrace Lot no.: 5 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 1 25.02 25.02
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
CI PROPERTY OWNER ❑ 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
C APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2
Contact name: ' '111,11 \I i m gib.,IN d, Primer 12.51
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:permitsubmittals@taylormorrison.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G& B Plumbing&Sons Inc Water piping/DWV 56.29
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
Plan review (25%of permit fee)
CCB Lic.: 184372 Plumbing Lic.no.:pb634
(� State surcharge(12%of permit fee)
Authorized signature: ,6 TOTAL PERMIT FEE
Print name:Steve Fowler Date: 1 1/14/23 This permit application expires If a permit is not obtained within 180 days
after It has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
T 4.4 v -‘,
Building Division
One & Two-Family Dwelling
rlcARo Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 5)I y Z2
Permit #: ,, `C ?c��, 59_ Plan #: 30(40kityloors:
2
Valuation: � Covered Porch: Basement .,_— .—
Bedrooms: 9 Deck: 1" Floor QZr�
WC (toilets) 3 Deck Cover: 2nd Floor 1
l /39
Lavatories Patio Cover 3`d Floor ,----„--
Tub/shower 3 Accessory Struct. R-3 Total ' (-e r
Laundry Tray Water Heater \ / Gas / - Garage lit/ �p
Exhaust Vents S. Gas Flue Vents Total for Elec.
2CPB-7
Backflow Prey. ,: � ,urnace Heat Pump AC # for Electrical
ti
BBQ --- Gas Fireplace —,, #Fuel Lines -
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning ti/%
Info Proc/Arch: Lg$2.00 (over 11 x 17)
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential Use
School CET: District:
Tigard CET: Admin
Tigard CET: ODHCS I.
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
Erosion Control: w/Permit - Ping ✓
1:A Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard _ "%
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential a F;,;or ii k�
TIGARD
� �. . ;
Building Permit #: 4kST 2 7Z- ' - S°I 3
Site Address: 16835 SW Leaf Ln RI Verified in Accela
Project Name: Creekview at South River Terrace Lot/Unit #: 5
Proposal: New Detached SFR Zone: RES-D
Housing Type: IX SFR(IX Single Detached 0 Duplex C]Triplex 0 ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements:
l 3 copies of site plan on max 11x17"
El Drawn to standard scale 0 Rctoincd trccs, drip linc/ trcc protection
IX North arrow ® Street and site trees shown / labeled
IR Site address, project name, lot # El-Table calculating trcc canopy at maturity
IX Street names (N/A for SFR)
® Applicant name and phone # 0 Courtyard rectangle dimensioned (if applicable)
1M Lot and setback dimensions 0 Visiui i clearance t iai gle
❑ Existing structures &squanc footage NJ Utility locations & easements
E Footprint of new structure and FFE El Property corner elevations
1E Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
IX Lot area and lot coverage percentage ® Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
El Drawn to standard scale IX Total façade area
Illy Building height dimensioned IX Total window and door area
® Façade dimensioned
IX Windows and doors dimensioned
❑ Gai age doors dimensioned alley-loaded garage, non street facing
Require Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned loor area
❑ Each story floor area calculated ❑ Floor area per
Planning Review
The following standards have been met:
12'bld8'
Setbacks CZ Front: hRear: 15' Side: 3' Min/Max Street Side: / Garage: 20'8'
Height 1E Max. Height: 35 Proposed Height:
24' 3/4"
IX Yes ❑ N/A Landscape
❑ Yes El N/A Screening (Quad only)
8 (7 req'd) design elements met; 53o/o
I& Yes ❑ N/A % Window Coverage garage/facade width allowed. See Sheet A9
® Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
IIX Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
❑ Yes E] 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:
❑ Yes 0 N/A Lot Width and Size
❑ Yes ❑ N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N/A Unit Area:
❑ Yes 0 N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
❑ Yes 0 N/A Fence
❑ Yes 0 No XN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No IXN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes 0 No, stop intake
IE Sensitive Lands: 0 Yes 51 No
Xl Main Land Use Case #s: PDR2018-00003/PDR2021-00003 0 Conditions met
❑Applicant notified of land use expiration ; .te:
Approved By Planning: ll f i n ---- _ -- Date: 9/18/2023 ( i/it/a a--s
Notes �///
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: L1/t0 /1 .)Z-3
Site Plans #:
Building Plans #: / 3
Building Permit #: ®,Building permit # entered op'page 1
Workflow Routing: ®7lanning ® Engineering IJ Permit Coordinator ICJ Building
Workflow Sign-off: g Sign-off for Planning (include notes from planning review)
Route Documents: l (Engineering: (1) copy of permit application, (1) site plan, (1) building plan
an/original plan review routing form.
Q Building: original permit application, site plans, building plans, engineer and
be m calculations and t•t details, if applicable, etc.
Permit Technician2( Date: !ti 1 2-3
Notes:
Engineering Review
❑ EFI Permit:
Of Slope at building pad: oh
Q'Conditions met prior to issuance of permit
-Easements (encroachments) per engineering conditions of approval and plat
Y2-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes E 4Jo
Assess Water Quantity Fee in-lieu: 0 Yes gl'No
LIDA Facility on lot: 0 Yes 10 No Add Fee: 0 Yes 0 No •
&final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: �. -;' . Date: ///Z/Z.�
Revision 1: 0 Approved ❑ of Approved Date: L
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
eonditions met prior to permit issuance �`
pproved, NOT Released: Date notified applicant:
ENG Revisions Required: Date notified applicant:
r\l,
DC Exemption: 0 Applied for 0 Received $woes not apply
yi-•_ADC
Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes 0 N/A J Deferred
Parks SDC: ❑ Yes 0 N/A p Deferred
LIDA ❑ Yes /A
OK to Issue/Approved by Permit Coordinator: Date: 1\ z . Z3
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: