Permit (2) irL CITY OF TIGARD MASTER PERMIT
ri * Permit#: MST2023-00030
' COMMUNITY DEVELOPMENT
Date Issued: 01/11/2024
T 1 G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD09400
Jurisdiction: Tigard
Site address: 16849 SW LEAF LN
Subdivision: CREEKVIEW AT SOUTH RIVER TERRACE Lot: 6
Project: Creekview at South River Terrace, Lot 6
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 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2533 sf Value: $405,902.70 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
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,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 510 703 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: $35,158.96
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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6 ee e..e pr 1 , c a.1-;oil
Issued By: r Permittee Signature:
r
Call 503.639. 175 by 7:00 a.m.for the next available inspection date.
Y 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.
t („cr i';‘)
Building Permit Application
Residential RECEIVEr FOR OFFICE l-SF(l\1.1
City of Tigard FEB 20 -"2
Date/By: 0 3 � 9Pi t"7 .6 t9 o36
'� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1i ' P " ' _
�17�Y(�I�� ��piCai�t�� �-
T i;.\ t> Inspection Line: 503.639.4175 ` Date Ready/By: 1 5 la See 'age 2 for
Internet: www.tigard-or.gov BUILDING DIVISI('?i Notified/Method: e•® 4��1 �`A ' Supplemental Information
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%y:`.r��J'.hr'.,-�'/,'%'�sp�r���`,�,�/� .� .���r � �� � ...,d=, t . . ,, s ;i%.. F'Ai
®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
74, ,,,, f,,,,Arr , ,;,. /;'�,,' work indicated on this application.
Valuation: $
211 and 2-family dwelling 0 Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms:,213—3 \
I'; `j. a 5a, -, 1, - .s o Total number of floors:2 Z l'LQ
Job site address: 16849 SW LEAF LN New dwelling area: 2,533 square feet i573
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 393 square feet 1100
Suite/bldg./apt.no.: Project name:Creekview at South River Terrace Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Creekview at South River Terrace Lot no.: 6 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no equipment,materials,labor,overhead,and the profit for the
?',,t,—' f% ,, F i' f!%.''W,-":„ r�,r.v, rr ,r"'1:,', lr0,'51/.: ,� r .1,:' F
�� ' �., Y, ,%,:•;'�,,� ..f'#r�%�r�"`. f= work indicated on this application.
New Construction/Type: SFU (3041B) _ { Valuation: $
Please defer TSDC and Parks SDC until occupancy. Existing building area: square feet
New building area: square feet
f`�r'., frr� r '� r f�%' f ,,", r�4;" , , -' r, Number of stories:
%i%v`'`r,,t , �� .rr.,,,,:,. r.,� r`f;//:� fi V-' s!'r ;f '�;4:/.. ::l4— f,;,.,,'1;t'`,�`„.„.. FF NfFiF'.
Name:Taylor Morrison Northwest LLC Type of construction:
Address:703 Broadway St., Ste 710 Occupancy groups:
City/State/ZIP:Vancouver, WA 98660 Existing:
Phone:(360) 946-8674 Fax:( ) New:
r l ik r f ,`, r f r��� '' , ,,- J ,, fr,, , :f Syr
r`0� .%; s'A f F f F f '` ,.. ., ..',' `r ',',' , lr,'urs,`F`f rr ,�r'`-, `':;,„.
.� r: „tri .:,.r ..A.,� , r.'�f,� .£%/ /r;�;.' f,F. „��n �,� �r�r,. f/ry,'U ., ,,,,,� ';rr : �'4,;r e f',
Business name:Taylor Morrison Northwest LLC �� �� ffir ��
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 710
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98660
Phone:(360)946-8674 I Fax: :( )360 693-4442 Amount received:
E-mail: PermitSubmittals@taylormorrison.com i` '%,r ' ' - ,.!
re,,ff, vit izw, t , 4, ,2; : �, , r 1... err, �r Commercial and residential prescriptive installation of
r .z.„ `fry' .,',,4 ;,� ' fir,,,,-.L t �,. ., : .�` ,,��• 1 ,,,,� ' P Y
��; r�s,��, � ;rr�,�,; ,�. ,�'',, ;�� �ref,, � ,,,. ��,r,af�,; roof-to mounted Photovoltaic 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:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 �/ Total fee due upon application: $201.60
�rY Authorized signature: 7 t&. - E ,4 dd This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 01/26/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
•
Mechanical Permit Applica ' FOR OFFICE USE ONLY
City of Tigard '��". W _; Received (�� ^ ^ hn 5 Date/By: Permit Na.; ►01�1�U� UV'! 13125 SW Hall Blvd.,Tigard,OR 97223 FEB ��2 Plan Review
Phone: 503.718.2439 Fax: 503.598.1964IN B DateBy: Other Permit:
Ir t{rA h l i Inspection Line: 503.639.4175 Date Ready/By: luns. H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAHL
BUILDING'` �ry �+ �y p Notified/Method- Supplemental information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUTIhp/SYSTEMS FEES*
1$ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
j Multi-family El Master builder 0 Other: Description
Qty. Fa Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 16849 SW LEAF LN Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/Starr/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductstvents) 54.91
Suite/bldg./apt.no.: Project name: Creekview at South River Terrace
Heat pump 1 61.06 61.06
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,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Creekview at South River Terrace Lot no.: Other 23.32
6 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
El PROPERTY OWNER ❑ TENANT Other _ 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 33.39
Address:703 Broadway St.,Ste.510 equipment 1 33.39
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 23.32
toilet compartments,utility rooms) 1 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other 23.32
Business name:Taylor Morrison Northwest LLC.
Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas heat pump 1
Wall/suspended/unit heater
City/State/MP:Vancouver,WA 98660
Waterheater 1
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1
Range 1
E-mail:permitsubmittalsttaylormorrison.tom Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal $262.84
City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
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 ISO
&&,a bf�-�1.{�. days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building industry Service Board
Print name:Elia Duran Date: 10/30/20
r lRnilA ne\Premwcti*tPC Pmmil arm 1101111.in, AAA'",9r r t 4 MsMYIAt117CO3
Electrical Permit Application 1.0R Ol l'1('h t-sh;OM,v
City of Tigard IR C l '' t-y va M�'\4 -��
Permit# () Jv
* 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
ll`V st
Phone: 503.718,2439 Fax 503.598,1960 FEB ' Dare/ByRelated Permit tr:
Inspection Line: 503.639.4175 � LW./
1 I C A I t) internet www ti and-or. ov Ready d/D a th lung
P, g �� NonfiedtMethod ® �Page 2 for
z Supplemental Information
t r� 4„4t a r ; . ), r;;;. , 4 st
E New construction ❑Addittonialterationlrep e -� l .t9' Please check all that apply(submit sets of plans w;items'checked):
❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stones.
0 ' where the available fault current
� ;^r�'�'h`' �3` li+, . �r� .. � � ❑Marinas and boatyards.
�3 .,�a . < exceeds I0,000 amps at ISO volts or ❑Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less ro ground,or exceeds la,o00 ❑Commercial-use agncuhural
❑Multi-familyamps for all other installations buildings
0 Master builder 0 Other: 0 Fire pump
, - _ Installation of 150 KVA or
- �, �C s f ; t m t ' u 0 Emergency system. larger separately derived
I Job 4: Job site address: 16849 SW LEAF LN ❑Addition of new motor load of system.
i I OOHP or more ❑"A "E" i-2" `i-3"
City/State/ZIP: Tigard,OR 97140 ❑Six or more resrdendai un is occupancy
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.4: I Project name:CreeLview at SR"t' ❑Hazardous locations. 0 Supply voltage for more than
❑Servicemore
or feeder 600 amps or 600 volts nominal
Cross street/directions to job site: °. � t ot.li:-:
Description
Qty. I Each i Total [ •
New residential single-or multi-family dwelling unit.
Subdivision: Creekview at SRT I Lot#: 6 Includes attached garage.
Tax map/parcel 4: 1,000sq.tl or less 168,54 4
,' - Ea.add'I 500 sq.ft.or portion 3 33.92 101.76 I
�r li,' s .,. 73 + oNi F`{ 1 dill/, *r l Limited energy,residential 1
Ness construction.Type SEC
f _r (with above sq.ft.) 75 00 2
Limited energy,multi-family
residential(with above sq ft.) 75,00 2
ra�' 1 ❑ SeePage2
.a a44 a '.a,!, x. 4 =f' . ., ; 11t ''` Renewable Energy
Name: Taylor Morrison Northwest LLC.
Services or feeders installation,alteration,and/or relocation
200 amps or less 1 100 70 100.7 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200 34 2
CityiState/ZIP: Vancouver,WA 98660
601 amps to 1,000 amps 301.04 2
Phone:( 360 )946 8674 Fax:( ) Over 1.000 amps or volts 552 26 2
Email: UAIamiAbouhafssa).ta}`lonnorrison.cum-PermitSubmittalsa)taylormorrison.com , Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59,36 i I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70 I.
20I amps to 400 amps 125.08 a 2
Owner signature Date: 401 amps to 599 amps 168.54
' tr Branch circuits-new,alteration,or extension,per panel
Business name.Taylor Morrison Northwest LLC. A.Fee for branch circuits with
above service or feeder fee,
Contact name: Omar Muni Abouhafs
each branch circuit 7 42 2
B.Fee for branch circuits without
Address: 703 Broadway St.,Ste 710service or feeder fee,first 56 I8
branch circuit 2
City/State/ZIP: Vancouver, WA98660 Each add'1 branch circuit 742 2
Phone:(360 )946 8674 I Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email:OAIamiAbouhafs@taylormorrison.com-PermitSubmittals! taylormorrison.com dwelling,service and/or feeder 67 842
, ,x- Reconnect only 67 84 2
,.`..: '/` l }iQ t"t/lt;O , t)lt . Pump or irrigation circle 67.84 2
Business name: A i..-t t�r' )Pt C") ,r- r-i t L,1 �� Signor outline lighting 67 84 2
Address: 3 /5 r to NE
T t t /tli itil • /1�4 Signal alteration,
t(s)or limited-energy ❑ See Page 2
i`+ -t `i r`1 panel,alteration,or extension. 2
City/State/ZIP:lStatclZlP: �.F` Ci Each additional inspection over allowable in any of the above
�' } { Additional inspection(1 hr min) 66.25,hr
Phone: f�
( , 319, '7 9 j Fax:( ) investigation(I hr min) 90 00/hr
Email: 5c f_' t—�°Alit r C�c,M Industrial plant(1 hr min) 78.18t hr
Inspections for which no fee is
CCB Lie,: C� v+3 Electrical Lie.: �1 Suprv.Lie.: �5 specifically listed('G hr min) 90001 hr
Suprv.Electrician signature,required: / �. �� > r` � �7)4 7` 6-3 Subtotal.
Print name:^�-� $202.46
!/ 1j ,- L.. ,),,T-E it, Date: (0""5-21 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee),
Authorized signature: v PM TOTAL PERMIT FEE:
Print name: c -Tilt� This permit application expires if a permit is not obtained within 180
pq L- 1 t'YI es Ot+. /.) Date: 10.5-2.I days after it has been accepted as complete.
` Number of inspections allowed per permit.I\BuildingVPermit\ELC_PermitApp_FLR_ERE.doe P.m 06,i7?2at5 440-46i5T(Iir0SJCOM'WEB
e •
Plumbing Permit Applicatio ,,��.-�.
Building Fixtures E L) FOR OFFICE USE ONE I
City of Tigard FEB 2V S Received R hC^n S,0� 1),`
Date18 Permit No.; 1V`J 1'l�ii u
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a Phone: 503.718.2439 Fax: 503.598.t 1,,OF• Other Permit No.:
4,i I Y i� f� t Date/By:
T i r A R D Inspection Line: 503.639.4175 y Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov UILD NG DIVISICA,' Notified/Method: _Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist _
Description L Qty. 3 Ea. 1 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
/ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑"Accessory building 41-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: 16849 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.Japt.no.: I Project name:Creekview at 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(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Creekview at South River Terrace Lot no.: 6 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
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. Fixturetsewercap 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 ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2
Primer 12.51
Contact name: Omar Alami Abouhafs
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sinktbasin/lavatoty 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
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.24
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)
�a�,�,��, State surcharge(12%of permit fee)
Authorized signature: V`^�` �._ TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires It 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:\BuitdiogTermics\PLMU-PermitApp.doe l01f01/09 440-46161(IN02/COM/WEB)
Building Division
One & Two-Family Dwelling
T i A u n Fees Checklist
PERMIT INFORMATION: Application Date - FEE V .. SION �L '#
Permit#: nn,51-2023—0 by 30, Plan #: 4 I Floors:
Valuation: L.ID5-1 c1 1 1 7 o Covered Porch: ------ Basement
Bedrooms: L-f Deck: - - 1"Floor 1(e
WC (toilets) Deck Cover: 2 d Floor `
Lavatories 5 Patio Cover . , 3'Floor
Tub/shower 3 Accessory Struct. R-3 Total 2 S33
Laundry Tray — Water Heater / Gas / Garage 3 3
Exhaust Vents S Gas Flue Vents -- Total for Elec. 29` -Le
Backflow Prey. 4. i . / Heat Pump / AC # for Electrical
BBQ Gas Fireplace �� #Fuel Lines
40 ,rtt ;
FEES: Description: Fee Applie . Fee Entered:
DC Prov Revw: Planning
Info Pioc/Arch: Lg$2.00 (over 11x17) 23
Info Proc/Arch: Sm $.50 (up to 11x17) S
Metro CET: Residential Use
School CET: District:
Tigard CET: Admin
Tigard CET: ODHCS
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
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: ./7/S 7--L6,).3 ...00a3o
Site Address: 16849 SW Leaf Lane Verified in Accela
Project Name: Creekview(South River Terrace) Lot/Unit#: 6
Proposal (include housing type): New Small Form Residential Unit(detached) Zone: RES-D
Required Site Plan Elements:
V3 copies of site plan on min 11x17"
Drawn to standard scale —p-Retained trees, drip line/tree protection
North arrow VStreet and site trees shown/ labeled
Site address, project name, lot # Table calculating tree canopy at maturity
Street names (N/A for SFR)
Applicant name and phone # -0-Courtyard rectangle dimensioned (if applicable)
VLot and setback dimensions —0-Vision clearance triangle
-H-Existing structures &square footage Utility locations &easements
Footprint of new structure and FFE VProperty corner elevations
Sidewalk/driveway dimensioned $LIDA (>1,000 sf disturbance)
Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Summary table with calculations for:
Vd Building height dimensioned V Total façade area
VFagade dimensioned ,,,Total window and door area
Windows and doors dimensioned ®Total garage area
Required Floor Plan Elements: Summary table that includes
Each story dimensioned Npf Total floor area
Each story floor area calculated VFloor area per story
Planning Review
The following standards have been met:
Setbacks 0 Front: 8 Rear: 15 Side: 3 Min/Max Street Side: NA / NA Garage: 20
Height 0 Max. Height: 35 Proposed Height: 24'-1"
5/Yes ❑ N/A Landscape
❑ YesV N/A Screening (Quad only)
c(Yes ❑ N/A % Window Coverage
*1Yes ❑ N/A Garage (SFR Only)
Parking(Other Res)
v(Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑ YesVN/A Other building design standards (Rowhouse only)
❑ YesVN/A Accessory Structure Standards
❑ Yes9No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes i N/A Unit Count:
❑ Yes V N/A Lot Width and Size
❑ Yes 9.N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
0 Yes V N/A Unit Area:
❑ Yes 9.N/A Floor Area (per story)
❑ Yes 'N/A Courtyard
❑ Yes 'N/A Fence
•
❑ Yes 0 Noo /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ NOON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes ❑ No, stop intake
❑ Sensitive Lands: 0 Yes c/No
Land Use Case #: PDR2021-00003 ❑ Conditions met prior permit issuance
Approved By Planning: Date: a l I r "-•" 3
Notes
Revision 1: 0 Ap roved 0 Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal /
Original Submittal Date: OV //2. S
Site Plans #: 3
Building Plans #: 3
Building Permit #: i -Building permit # entered on page 1
Workflow Routing: Planning prErigineering-4 -Permit Coordinator .e-Building
Workflow Sign-off: Et-Sign-off for Planning (include notes from planning review)
Route Documents: ET-Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
1uilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. /
Permit Technician: G�' �_ 444t/k,(44)
Date: �1; /�3
Notes: Y2� G
En neering Review
i
Slope at building pad: Z4 0/0
N/f Conditions met prior to issuance of permit
Easements (encroachments) per engineering conditions of approval and plat
lk'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I No
Assess Water Quantity Fee in-lieu: ❑ Yes I14Vo
LIDA Facility on lot: 0 Yes liflO Add Fee: 0 Yes 0 No
nal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: --- Date: 2/P-/2 3
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
,Conditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
4'SDC Exemption: ❑ Applied for ❑ Received jAoes not apply
YL SDC Fees Entered: Wash Co Trans Dev Tax: ,r'Yes 0 N/A
Tigard Trans SDC: 4/Yes 0 N/A .211beferred
Parks SDC: , Yes 0 N/A ,Deferred
LIDA ❑ Yes p'fV/A
rOK to Issue/Approved by Permit Coordinator: it‘flak
Date: Zl tJ 1202/3
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
DocuSign Envelope ID:60A7425D-7526-4897-B218-5286C6AB6D92
City of Tigard
" Deferral Until Occupancy Request
T i G A R D Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval (TMC 3.24, as amended by Ordinance No. 21-09).
Date: 2/8/2023 Site Address: 16849 SW Leaf Ln
Project Creekview @ SRT Land Use Case or
Name: Lot 6 Building Permit#: MST2023-00030
Tax Lot 2S107AD09400 Total Parks $8,699.00
#: Amount*:
TDT N/A Total TSDC $12,004.00
Amount: Amount*:
*The total TSDC amount shown above is the sum of$ 7,760.00 for TSDC-Improvement,$448.00 for TSDC-
Reimbursement, and$3,796.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$ 6,812.00 for Parks-Improvement,$ 1,887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ N/A for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
DocuSigned by:
ILLauA.u, PowtiseLk, 2/9/2023
Property Owner: eno16eraeoD ,A... Date:
DocuSigneed by:
L
Developer: r O Sb� 2/9/2023
p oAsuuorc 00D44A... Date:
Permit Coordinator: r/ '/J (7 A/V1 Date: 2/8/2023
DocuSign-
Certificate Of Completion
Envelope Id:60A7425D75264897B2185286C6AB6D92 Status:Completed
Subject:Complete with DocuSign: MST2023-00030 Lot 6.pdf
Source Envelope:
Document Pages: 1 Signatures:2 Envelope Originator:
Certificate Pages: 1 Initials:0 Christine Erickson
AutoNav:Enabled 4900 N Scottsdale Rd
Envelopeld Stamping:Enabled Ste 2000
Time Zone:(UTC-08:00)Pacific Time(US&Canada) Scottsdale,AZ 85251
cherickson@taylormorrison.com
IP Address:50.43.45.75
Record Tracking
Status:Original Holder:Christine Erickson Location:DocuSign
2/9/2023 8:43:53 AM cherickson@taylormorrison.com
Signer Events Signature Timestamp
Lance Powlison ,—DoeuS1pn'°D" Sent:2/9/2023 8:53:24 AM
LPowlison@taylormorrison.com ',AUAU. P sow Viewed:2/9/2023 9:11:31 AM
Land Development Director
`-6A9156FC460D44" Signed:2/9/2023 9:11:34 AM
Security Level:Email,Account Authentication(None) Signature Adoption: Pre selected Style
Using IP Address:4.2.46.94
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
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Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 2/9/2023 8:53:24 AM
Certified Delivered Security Checked 2/9/2023 9:11:31 AM
Signing Complete Security Checked 2/9/2023 9:11:34 AM
Completed Security Checked 2/9/2023 9:11:34 AM
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