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Permit (2) CITY OF TIGARD MASTER PERMIT '^. COMMUNITY DEVELOPMENT Permit#: MST2023-00329 Date Issued: 01/11/2024 TIC A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05300 Jurisdiction: Tigard Site address: 16845 SW BEEMER LN Subdivision: SOUTH RIVER TERRACE Lot: I Project: South River Terrace,Tract I, Bldg 8, Unit 1 Project Description: New attached dwelling (1 of 2)units. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 85 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1941 sf Garage: 454 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Total: 2026 sf Value: $340,106.56 Rear: 10 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: 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: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addll 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 2026 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 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $24,182.12 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 0c2.nn1-nnln fhrnl Intl AR Qc9-nnl-nnon II nhfain a rnnv of the rI IIPC nr dirarf nI IPCtinne fn ni IN!'.by rnllinn 6(11 719 1oa7 nr 1 Rnn 119 91A4 Issued By: p Permittee Signature: 4Ce p / t .% - LL"7 / Call 503.6 .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 Residential RECEIVE FOR OFFI( I: I SF:O\1.1 City of Tigard Received '^I� uMn Ill g DateBy: I "y 1/ f I Y Permit No.: S OD 13125 SW Hall Blvd.,Tigard,OR 97223 JUN '9 8 Itl L �0�� Plan Review 3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / ° d it Other Permit: �16 •00 f 1 T I t ;1 F n Inspection Line: 503.639.4175 Date Ready/By: t 1 J to See Page 2 fo W t•}� Internet: www.tigard-or.gov CITY OF TIGAR?Notified/Method: /.,�9i> . '`4 . Supplemental Information • e ► I VISIJN tee o ' - ®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 - ,; ,R.p..rftr, work indicated on this application. S Mte 1-and 2-familydwellingValuation: $ ❑Commercial/industrial( I • ❑Accessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder El Other: Number of bathrooms: 3 „-t`.r ,. ' a r; t � ,' Total number of floors:2 1,4 SO Job site address: 16845 SW BEEMER LN New dwelling area: 2,026 square feet ( L( City/State/ZIP: Tigard,Oregon 97120 Garage/carport area: 454 square feet Suite/bldg./apt.no.:BLDG 8,Unit 1 I Project name:South River Terrace Covered porch area: square feet Cross street/directions to job site: Deck area: 1 L 4 square feet •iii__y urSil: square feet Subdivision: South River Terrace I Lot no.: TRACT I 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 ( : 'f t' work indicated on this application. ew Construction/Type: Duplex type B (UNIT 1) Valuation: $ Deferrals:Park SDC& TSDC until occupancy. Existing building area: square feet New building area: square feet r"r;^fiJr*r : ..y. P,,y. t ,' ` :,,fy'.•fi.;71,.f .4 . „„; 3, ]. /-> f /'„ '"' //''`<./4 // Number of stories: 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: Business name:Taylor Morrison Northwest LLC ~' `~ _ Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 710 City/State/ZIP:Vancouver, WA 98660 Total fees due upon application: Phone:(360)946-8674 I Fax: :( )360 693-4442 Amount received: E-mail: PermitSubmittals@taylormorrison.com v '' s t<;a€ 't t ' ~` f f ,` „*,'" 4 �/ r �t qt e ", /,7f, AV Commercial and residential prescriptive installation of - s•': 3. i<;/. ,,,... roof-top 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 Phone:( )360 695-7700 Fax:( )360 693-4442 and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lie.:207247 �/ �/" Total fee due upon application: $201.60 Authorized signature: t 7ht4.L ,fQ1 ,ry 6,5w/�/a This permit application expires if a permit is not obtained CJ within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs Date: 12/05/2022 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application Fo►z orF►cI: I si.oyl.v City• ofW Tigard g RECEIVE g G V Permit No.: A l .11 . 66 Ili 111 13125 SW Hall Blvd.,Tigard,OR 97223 ]1 1 Ilan Review Phone: 503 718 43. Fax: 503.598.1960 DateBy: Other Permit: l I c n t.a Inspection Line: 503.639.4175 2023 Date Ready/By: ... ® See Page 2 for Internet: www.tigard-or.gov JUN 28Notified/Method: Supplemental Information f fifG'f»,ln`f:'f%�,I;i'f�,,r,''��• �r F S�F% �'"�d',, i±:P i^ ;'� a,,> .�rG f r ` r .. y at- f elt } rf,�`?'�`'�'"s�r:r �r�rf`„'�/� ,�fA��"if,��l�`�.,��44J'��£$ir�'��... ., 3 # . �.tb��f t t:.I � � � _ i x'It I 1 r' `� .FA.� ( ���\ r Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration' . I performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. El Demolition El Other: j'fri y/ ,� 1 ' 0 i' f l •' fr Value:$ .:. ,, ter ' .rs; '' .' ,,:,2�'3E: �qfs t3.,, 1 7 as ,..../6 ❑ 1-and 2-family dwelling ❑Commercial/industrialuse checklist. 0 Accessory building For special information checklrst. ®Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total '` t ; 1 r t , : t 1 t t 7" Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 16845 SW Beemer 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.:BD 8,unit 1 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,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: South River Terrace I Lot no.: TRACT I Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,� e t ,� t € o'' / �� ' ,4 Gas fireplace/insert 33.39 f �� 4 � 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 rE t ,, y?' r "r,. l . ', x Other 23.32 e , "%""/ .f , Environmental exhaust and ventilation: Name: Taylor Morrison Northwest LLC Range hood/other kitchen 1 33.39 33.39 equipment Address: 703 Broadway St.,Ste 710 Clothes dryer exhaust 1 33.39 33.39 Single-duct exhaust(bathrooms, 1 23.32 City/State/ZIP: Vancouver,WA 98660 toilet compartments,utility rooms) 23.32 Phone:( 360 )695 7700 Fax ( ) ✓.. /rJ .r� „+ra .Y,r,nrri a ,.,Js .a.l�, Aic/crawlspace fans 23.32 2r rr , 0 Other:fl f y 4 r- gy . ' �/r a ,r ; ,:, 23.32k --"' ''''lf ,.. '' ..0 ft1 ,Yr �. Business name: Taylor Morrison Northwest LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. 1 Address: 703 Broadway St.,Ste 710 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 Water heater 1 Phone:( 360) 695 7700 I Fax::( ) Fireplace Range 1 E-mail: PermitSubmittals@taylormorrison.com Barbecue r , yr r r` ?„ t ,',A ',,,,,„, Clothes dryer(gas) Business name:Development Northwest Inc. dba Wolcott HVAC oche` Address: 1075 W Historic Columbia River Hwy � � subtotal City/State/ZIP:Troutdale/OR/97060 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(971)256-4584 Fax:(503) 667-9891 State surcharge(12%of permit fee) CCB lic.:112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: [Dennis L. , tninq * Fee methodology set by Tri-County Building Industry Service Board Print name:Dennis Dunning Date:10/18/2022 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 l/02/COM/WEB) k Q�(`` v Electrical Permit Applicatld4l•-v�� ` �® City of Tigard Al N ? n 2023 Received Eimintwatimi , 4 . 13125 SW Hall Blvd.,Tigard,OR 972 UIY F) Date B Plan Review Phone: 503.718.2439 Fax: 503.598CITY OF TIGARD Date/B : Related Permit#: Inspection Line: 503.639.4175 BUILDING DIVISION Read Date/B Saris II J1111 y Y H SeePage2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ''ji`;��s�;rn�`' '-,f��'� ;�"��'j�/1 IIC i t P`" ffO Marinas and boatyards. exceeds 1Q000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ['Fire pump. ❑Installation of 150 KVA or 5/ '/,`4 /.a` i,:/ArS,al77.3727MIZECIESZIZMit 1:4" r ❑Emergency system. larger separately derived 16845 S W Beemer LN ❑Addition of new motor load of system. Job#: Job site address: lOOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#:BD 8,unit 1 I Project name: South River Terrace ❑Hazardous locations. El Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - ;l' 1, Description Qty. Each Total " New residential single-or multi-family dwelling unit. Subdivision: South River Terrace I Lot#: TRACT I Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: A ;. Ea.addl 500 sq.ft.or portion 33.92 1 ' r "Atrai f t t X 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.) Energy 'Iltt le See Page 2 f y "A" . r `� ri , / , . , ;f As �, ' .d.% Servicesbor feeders installation,alteration,and/or relocation no Name:Taylor Morrison Northwest LLC. 200 amps or less 100.70 2 Address: 703 Broadway St., Ste 710 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.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 f { ` i y F Branch circuits—new,alteration or extension �� ` " F �'�� A.Fee for branch circuits with Per panel Business name: Taylor Morrison Northwest LLC. above service or feeder fee, 7.42 2 each branch circuit Contact name:Omar Alami Abouhafs B.Fee for branch circuits without servAddress: 703 Broadway St., Ste 710 branche circuit fee,first 56.18 2 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 I Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:r permitsubmittals@taylormorrison.com Reconnect only 67.84 2 74/V = i7< a,,,, i ,, Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 1915 E 5th St., Ste D panel,alteration,or extension. 0 See Page 2 2 City/StatelZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 s cifrcally listed '/z hr min Suprv.Electrician signature,required: l./1.i.� "'L'filotr ' Subtotal: Print name: Alex Shalya I Da e: ❑Plan Review Required(25%of permit fee): .,JJpp�� State surcharge(12%of permit fee): )t Authorized signature: )30 e.f4j- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Sergey Mishchuk Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB ' Plumbing Permit ApplicatiJECEIVED Building Fixtures JUN 2 8 2023 City of Tigard Received Dateiv Permit No.: C Ir�\ Ill 111 13125 SW Hall Blvd.,Tigard,OR 972 h(y OF TIGARD plan Review `� ���'� V�� _ Phone: 503.718.2439 Fax: 503.59BU1 DING DIVISION Date/By: Other Permit No.: TIC;.�R n Inspection Line: 503.639.4175 Date Ready/By: Ju s: ® See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information ®New constructio ❑n Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) - �f 1f` qS t t i �f� r� l SFR(1)bath 312.70 El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ❑Accessory building 0 Multi-family 1 500.32 500.32 El Master builder ❑ Each additional bath/kitchen 25.02 Other. Fire sprinkler( sq.ft.) Page 2 t l z t t t sIYI '19 Site utilities: Job site address:16845 S W Beemer LNw'j '14 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.BD 8,unit 1 I 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(no.linear ft.: Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:South River Terrace I Lot no.: TRACT I Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 f f fr 1 , Ile' t f��; �sf Backwater valve 12.51 Clothes washer 1 25.02 25.02 New home construction. Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 f F; d`{ t t, r ; err. M'.F Expansion tank x 'r%,{.... tad : ./ .,/:a/ r!f a k $ b s f� P 12.51 Name: Taylor Morrison Northwest LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 710 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02 Phone:( 360 )695 7700 Fax:( ) Ice maker 12.51 r f f , a r , Interceptor/grease N fx�� 'st ti+ tlstrap 25.02 -�,?✓,;;/2r, : ,`r"a;.�„ .' J5�r „ ', / fi'',.. .rl r,,., ,.tfi r.,'f,''da`� Business name: Taylor Morrison Northwest LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Omar Alami Abouhafs Roof drain(commercial) 12.51 Address: 703 Broadway St.,Ste 710 Sink/basin/lavatory 25.02 City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:( 360 )695 7700 Fax::( ) Tub/shower/shower pan 12.51 E-mail: PermitSubmittals@taylormorrison.com Urinal 25.02 toitoria- t f Water closet 25.02 ,/ 4, , � `� Water heater 37.52 Business name: Wolcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale, OR 97060 Subtotal Phone:(503)-667-1781 Fax:(503)-667-9891 Minimum permit fee: $72.50 CCB Lie.: g 26-824PB Plan review (25%of permit fee) 112220 Plumbin Lic.no.: State surcharge(12%of permit fee) Authorized signature: 4..GigdG'Ui1L420., TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Cliff Bow Date'10/18/22 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 440-4616T(10/02/COM/WEB) I.\Building\Permits\PLMU-PemutApp.doe 10/01/09 Y,t- 1 -=-A----(J Cf?n d1 '; 'b'? _ '��' -'s^- Building Division One & Two-Family Dwelling V, I i TIC A 1 D Fees Checklist PERMIT INFORMATION: Application Date -FEE VERSION ci v l Z0ZZ Permit#: mQ(j/ 0 y?2ZQ Plan #: Lit,I ( DO Floors: Valuation: �� ✓ Covered Porch: Basement Bedrooms: 9 Deck: /it, 1"Floor Co WC (toilets) ') Deck Cover: /1 2nd Floor l / Y Lavatories (..� Patio Cover __ 3rd Floor �--- Tub/shower Accessory Struct. R-3 Total 0 ie Laundry Tray �—� Water Heater 1 / Gas ,I lec Garage L/5 Exhaust Vents Gas Flue Vents -------- Total for Elec. Z Backflow Prey. Furnace / Heat Pump / AC # for Electrical 3 BBQ Gas Fireplace _ #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) lI . Metro CET: Residential Use School CET: District: t`� Tigard CET: Admin t7 Tigard CET: ODHCS '✓- Tigard CET: AH l . Electrical Permit: Permit Fee: i`' Limited Energy: t ' 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge / Plumbing Permit Permit Fee: I! 12% State Surcharge ✓ Erosion Control: w/Permit-Ping / �-- / Notes: It f !�— -DV.P Xs I a°.'5-7 = 3D5, ( C'Z , le Z- V — L( 5cf )( (0,6,Li- = a-7 , 435', Zz D./ult., — ujz, 3o .'ZI = 3, DLit'"' Diz_0 . Coves 1 IQ Y. ,,o,Zk 31�'u�f . I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 S( lA Page 1 ��° 1 l D(.0 • City of Tigard 11 a COMMUNITY DEVELOPMENT DEPARTMENT C Building Permit Review - Residential TIGARD Building Permit #: Site Address: I(472 Lb Sc‘.) Lt rifled in Accela luvu�,ArkSs r Project Name: �l)T W Z �A� U,i1i'c=Y1� of/Unit #: -r %_ f . Proposal: N ..�f `>i,TLeY / u N i t Zone: gec P UN if4 Housing Type: FR(❑Single Detached'lex❑ Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster 0 CYU ❑Quad 0 Other Requi d Site Plan Elements: 3 co es of site plan on max 11x17" 2e.. n to standard scale ltlrt , h row treet and site trees shown / labeled • ddress, project name, lot # re names (N/A for SFR) plicant name and phone # le) Lot d setback dimensions • le m � i3t;�ly JtI UC�.UI CJlI JCIUdI C f�,otay� ity locations &easements yootprint of new structure and FFE Prope corner elevations ewalk/driveway dimensioned (>1,000 sf disturbance) Lot area and lot coverage percentage Erosion control Required levation Plan Elements: (For SF talcs needed only on street-facing) Sum ry table with calculations for: wn -. standard scale fefr fagade area Bvr'i�.'ng height dimensioned otal window and door area rade dimensioned A Wi ws and doors dimensioned arage doors dimensioned loor Plan Elements: -- ns? t,,41"i'c F 2 (Not required or Summary table that includes CPCAP Q€ ❑ Each story dimensioned ❑ Total floor area ulftg (9')1/"4- ❑ Each sto calculated rea per story SI f r,/y Planning Review ~� The following standards have been met: Setbacks ❑ Front: o i ; Min/Max Street Side: � � / Garage: -�, V2itear:( �� Side: O r Height Max. Height: 2 Proposed Height: i( "-lU (© `AC '. is,. rc OF ; .-t['r 6,kcJI LL ❑ Yes Landscape ❑ Y-- r N/A Screening (Quad onl �����-y ���n � �Mi�"� �'��� Y) e n vs - es ❑ N/A % Window Coverage e ,- peg.*- i -Ni i Y ❑ N/A Garage (SFR Only) Parking (Other Res) ` wv r Cr / 9 • �.1taiL ci �l" ' ('a:C-� c."-�V 1a'Yes ❑ N/ Entrance (SFR, Rowhouse, Quad only) , Via;;• ci,r - 0 e..0 ❑ Yes Other building design standards (Rowhouse only) , 6ALcAnY 04 quint-e ❑ Yes Accessory Structure Standards ❑ Yes o Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes ❑ N/A Unit Count: ❑ Yes 0 N/A Lot Width and Size ❑ Yes 0 N/A Pathway Additicnal standards for Courtyard Units and Cottage Clusters only: ❑ Yes [I] N/A Unit Area: ❑ Yes 4 N/A Floor Area (per story) ❑ Yes q N/A Courtyard ❑ Yes 151 N/A Fence ❑ Yes ❑ No.p'N/ Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No C417A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ N�stop intake 8'Sensitive Lands: ❑ Yes I No CI Land Use Case #s: PPV.2 1 0s J 2 '"'�Y)ey Conditions e Applicant notified of land use expirati ate: 14'CM rt-C : i1/ /&, qY FINAL Ca- WI: 01/2/ O Approved By Planning: / �L Date: ‘j,21/23 Notes - Revision 1: ❑ Ap6roved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: _ Building Permit Submittal Vilb IA Original Submittal Date: Site Plans #: Building Plans #: 3 Building Permit #: 67"Building permit # entered on page 1 Workflow Routing: ' lanning C"Engineering E ' ermit Coordinator Q'Building Workflow Sign-off: l9',Sign-off for Planning (include notes from planning review) Route Documents: !(Engineering: (1) copy of permit application, (1) site plan, (1) building plan aryl original plan review routing form. i~"Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc.Permit Technician: Y" lul,w Date: 11 I�1 Nn 1'2 Notes: Engineering Review ❑ PFI Permit: _ k' Slope at building pad: 2 % k7'Conditions met prior to issuance of permit Easements (encroachments) per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ZI4lo Assess Water Quantity Fee in-lieu: ❑ Yes E'No LIDA Facility on lot: ❑ Yes ViliNo Add Fee: ❑ Yes ❑ No EfkK'nal Plat Recorded ❑ NOT Approved: Date: Notes: ----, Approved By Engineering: Date: 7/Zz1 Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: cP rmit Coordinator Review onditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: �/� Date notified applicant: *DC Exemption: ❑ Applied for ❑ Received Eoes not apply ` SDC Fees Entered: Wash Co Trans Dev Tax: Yes ID N/A 1 Tigard Trans SDC: 0 Yes 0 N/A ❑ Deferred Parks SDC: fp Yes ❑ N/A ❑ Deferred LIDA ❑ Yes r N/A OK to Issue/Approved by Permit Coordinator: gc)\\46 Date: 417 ' ZC, r5 Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: City of Tigard RECEIVED _ ~ Deferral Until Occupancy Request JUL 10 2023 TIGARD Washington County Transportation Development Tax (TDT),Trans& 4 s Mks 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: Z5j /' 2 Site Address: 0 y(CJ 1`— C D� &?] (.4117R-• L4i Project 1- A � Land Use Case or l U Name: eitilik / V A.• ge Building Permit#: J\ %)J O0 2 G Tax Lot 4_b`D, ,4-t Total Parks a #: `1�^8_l� ts Amount*: ( 3 Le • 06 1 TDT Total TSDC Amount: Amount*: Ca l , Db *The total TSDC amount shown above is the sum of$ for TSDC-Improvement, $ '?-Le t for TSDC- Reimbursement,and$ for TSDC-River Te rac�plicable.. *The total Parks SDC amount shown above is the sum of$ 6117,ct for Parks-Improvement, $ for Parks- Reimbursement, and either$ for Parks Neighborhood or$ for Parks Neighborhood River Terrace. This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, to prior to final inspection. 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. 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. _____a: :?—.------Property Owner: Date: /2,-1./.262--. P tY Developer: Date: <:::ar----' 6 7 s (?O 25 -2� - Z� Permit Coordinator: Date: