Permit CITY OF TIGARD MASTER PERMIT
1191 111 . COMMUNITY DEVELOPMENT Permit#: MST2023-00330
Date Issued: 01/11/2024
-F ICE RT) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05300
Jurisdiction: Tigard
Site address: 16839 SW BEEMER LN
Subdivision: SOUTH RIVER TERRACE Lot: I
Project: South River Terrace, Tract I, Bldg 8, Unit 2
Project Description: New attached dwelling (2 of 2)units. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES
HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 1242 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 25 Bathrooms: 2 Second: 0 sf Garage: 281 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
Total: 1242 sf Value: $204,361.37 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
9Bckflw 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: 3 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 add'I 500 sf: 2 201-400 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:
NEW SFA VB R-3 1242
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: $21,255.84
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. ATTENT ON: Oregon law requires yo How the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
qc9-nn1-nnln thrnii nA oc9-nn1-neon vnii may n ai rnmi of tha nilac nr dirt n,iactinnc to ni We by rniiinn Fn3 919 1OA7 nr 1 Ann 119 93
Issued By: 44iii Permittee Signature: e e 71,
Call 503.639.4175 by :00 a.m.for the next available inspection date.
This permit card shall be kept in a onspicuous 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 / roll or it I: t Sl:O'\l.l
City of Tigard ECEI V D DateBy: ((ti ( 3 Ms i0Z • (I Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972 3
Phone: 503.718.2439 Fax: 503.598'1960 28 Date/By:Review
7 g i 3 Other Permit:Sl�� aV
/
Inspection Line: 503.639.4175 JUN 20 Date Ready/By. Juhm la See Page 2hir
E ri Ez�� Internet: www.tigard-or.gov i /J -. " \\
' , a Notified/Method: 7 J Supplemental Information
I4:. =.
®New construction El 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
y4 e. k F ;/ `"1. #„ r„ i• r work indicated on this application. $1
Valuation: $ j
El 1-and 2-family dwelling ❑Commercial/industrial °�/
❑Accessory building ❑Multi-family Number of bedrooms: 3
ElMaster builder ❑Other: Number of bathrooms: 2
s ' i >wo %;t.' 3's r t ... Total number of floors:1 l�oC3
Job site address: 16839 SW BEEMER LN New dwelling area: 1,242 square feet I�(../
City/State/ZIP: Tigard,Oregon 97129 Garage/carport area: 281 square feet
Suite/bldg./apt.no.:BLDG 8,Unit 2 I Project name:South River Terrace Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
:
Subdivision: South River Terrace l 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
y /,,; , % ;' �,, ;a't r. 4r t ; f " 4f!' '` ' , " , work indicated on this application.
f,JJr:'./�1,. f.. .r,:/ ,40, ,a°r 441..
ew Construction/Type:Duplex type B(UNIT 2) Valuation: $
Deferrals:Park SDC&TSDC until occupancy. Existing building area: square feet
New building area: square feet
t. '� ` „ `. f ' r. V . €' 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:
fyf� 7. '�%9,9 i@F; P .1/">. ',�,/,ry!,?.,.,/ , °;y r ,..7. 'fie75 '/� ` 7r-r-;rty v, -Tf?vr, -,,,;/,,/;.rYvf,
Business name:Taylor Morrison Northwest LLC
'" : ti
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
Amount received:
Phone:(360)946-8674 I Fax: :( )360 693-4442
E-mail: PermitSubmittals@taylormorrison.com
. ,� , # ,f, r x,,;, ,` Co
mmercial and residential prescriptive installation of
;� �✓" 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.
Permit Fee(includes plan review
City/State/ZIP:Vancouver, WA 98660 $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: $201.60
Authorized signature: O/'N.C-t-41ami,,s db This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 12/05/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
. Mechanical Permit Application 1.0R of r►cl: 1 sl:oyl.l
City of Tigard ` ' - Permit No.: 4 A I . 'A Al
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 R ECEI V • ST i •
a Phone: 503.718.2439 Fax: 503.598.1960 1 ` V Other Permit:
TIC;,\R U Inspection Line: 503.639.4175 ate Ready/By: Juns. la See Page 2 for
Internet: www.tigard-or.gov JUN 2 8 20, otified/Method:I Supplemental Information
' ����, 8 1 l'i Mechanical permit fees*are based on the value of the work
®New construction ElAddition/alteration/rep performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
�� r �, Value:$
rFr`"' r"' r�, s,;.e ?1,�;.: ,ram, r, .' i, �„' !'. ,'?:lf „� `�%' i# 4 I' rt
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
®Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
/ Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 16839 SW Beemer LN Fumace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard OR 97224 Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06 61.06
Suite/bldg./apt.no.:BD 8,unit 21 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
Lot no.: TRACT I Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
r r r r # d( i� s ;;r - t , r- ,; f ;, Gas fireplace/insert 33.39
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
n,-2 era '7i Other: 23.32
e/1,u4�/ fa, .� x,. ,,f;. �� 1. /-',v , - Environmental exhaust and ventilation
Name: Taylor Morrison Northwest LLC Range hood/other kitchen 1 33.39
equipment 33.39
Address: 703 Broadway St.,Ste 710 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
E � , �4/11',,,,,,, r ,W041 �'� f�'r��,.;: r Y .:76:°/}.fir ', Other. 23.32
�`` Fuel
Business name: Taylor Morrison Northwest LLC piping:
$14.15 for first four;$4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Gas heat pump
Address: 703 Broadway St.,Ste 710 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�r e r h i, 3 f F ' o, r 11 Clothes dryer(gas)
, � v. -vie , :-1 , o;v- v , , ' ,, rry -
•
Business name:Development Northwest Inc. dba Wolcott HVAC rOtner
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: `iPi/f L. Z)t.iJthing * Fee methodology set by Tri-County Building Industry Service Board
Print name:Dennis Dunning Date:10/18/2022
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)
I
• Electrical Permit Application 10k ow( r 1 st:0y1.)
City of Tigard RECEIVE e- :_. ��► ,+�
14 . 13125 SW Hall Blvd.,Tigard,OR 97223 an Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/B :
Inspection Line: 503.639.4175 JUN 2 8 2023 Ready Date/By: Juris H See Page 2 for
€I''\111 Internet: www.tigard-or.gov Notified Method: Supplemental Information
Pe .�::';�°�``.lae; ,,-� ,�;4 # # 1 ° ci' �.f ��".0 ; it tA. a /3-"% ' .,;�s�'i,�.'�.m
I New construction ❑Addition/alterationBUILVNGDIVISION Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
7
7j. ,�`K jV.,;" fN # ° # # Z ; g r,rA 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 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
rya' -: # 1. r# , # . € ,; #, ArryzArm ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 16839 SW Beemer LN I00HP or more. ❑"A","E","I-z, I ",
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:BD 8,unit 2 I Project name: South River Terrace 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: € s
Description Qty. Each Total "
New residential single-or multi-family dwelling unit.
Subdivision: South River Terrace I Lot#: TRACT I Includes attached garage.
Tax map/parcel# 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
: ,,ti 1' # # # ' i f Limited energy,residential 75.00 2
(with above sq.ft.)
New home construction.
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
r Renewable Energy ❑ 2
� ✓� - - h^ -A Services or feeders installation,alterationSeePage,and/or relocation
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 I 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
�/,�"d F Branch circuits—new,alteration,or extension,per panel
f421:EIII ,ir'ur�� '" 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:Omar Alami Abouhafs B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: 703 Broadway St., Ste 710 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 67.84 2
Email: permitsubmittals@taylormorrison.com dwelling,service and/or feeder
Reconnect only 67.84 2
0 e4 A VY?' -Z-V; M:f�' Z%:7 Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy CI See Page 2 2
Address: 1915 E 5th St., Ste D panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Vancouver, WA 98661
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 Fax:( ) Investigation(I hr min) 90.00/hr
Email:paul@portlandelectric.biz Industnal 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 cifically listed v2 hr min)
n A- f� {'° ,Nat € :k a /
1J1,
Suprv.Electrician signature,required: 1„x ta, Subtotal:
Print name: Alex Shalya ❑Plan Review Required(25%of permit fee):
JQ� Q It�IPi State surcharge(12%of permit fee):
Authorized signature: �CJe/LQe. irtt�IliC/IU, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Serge)/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
I
Plumbing Permit Application
/ '
Building Fixtures 1lEV IV Fo►z of i i i. ► si: O\►.\
C Da eiv Milt)
City of Tigard Date/By: Permit No.: MS i ,1i 11 \lt)
14 • 13125 SW Hall Blvd.,Tigard,OR 97223 V
_ g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ,,ii iOther Permit No.:
q�. / 4.) Date/By: _
T It. ,1 R n Inspection Line: 503.639.4175 Date Ready/By: Juno El See Page 2 for
Internet: www.tigard-or.gov , di r •Notified/Method: Supplemental Information
s ' i % ' �'e
> v ^� 4," 'f ' ; f t i' f `1 'r tr 1 ti/if . s� 3 > � ;16 „ a a � a. .
For special information use checklist
IN New construction ❑Demolition
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
F
r'r J F'Ff �9 f'r , ,, � r SFR(1)bath 312.70
IN 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder El Other: --
Fire sprinkler( sq.ft.) Page 2
itt~'/, 5, i I i ,fftjf,Az 4. t t t s. r f f Site •uti►ities.
Job site address:16839 SW Beemer LN Catch basin or area drain 18.76
Footing drain(no.linear ft.: Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard OR 97224
_) 1 Page 2
Suite/bldg./apt.no.BD 8,unit 21 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/ff f ,,r ,", i r �� r , , ,�,, r �, Backwater valve 12.51
;�,'i">;r`f�', f ff`,,i"lf,e,** i1 ."; tit` �t4, i f v:4:0 . ��,/,/1j`J,� ,,*"�'`:/A. '
'fies E"" /' f ` 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'ff/i 1' at=, ':`t fff'f•r/' ^`�,,/,,; '?..-„,..;',1, Expansion tank 12.51
rf
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
f /" f` a':::"1.- " tr 1r firit ;.t�% Interceptor/grease trap 25.02
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
/01 91 r t r P ~ r-7 >f%f'"/i'f f= Water closet 25.02
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:( Fax:( Minimum permit fee: $72.50
503)-667-1781 503)-667-9891
CCB Lic.: 112220 Plumbing Lic.no.:26-824PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: agG(ypjZCLIL TOTAL PERMIT FEE
Print name: Cliff Bow Date:1 1 �22 This permit application expires if a permit is not obtained within 180 days
0� after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Buiiding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
IZAJ G ckt
�`'� Building Division
cito),,
One & Two-Family Dwelling V✓I'1 Z-
r i c x n Fees Checklist
PERMIT INFORMATION: Application Date -FEE VERSION t) Ci 2,022-
Permit#: Plan #: Floors:
I'ri I Zo23 - c�0 33� Y$/ �� \
Valuation: Covered Porch: Basement
Bedrooms: '3 Deck: 1st Floor / Z'./l
WC (toilets) Deck Cover: 2t'd Floor
Lavatories '5 Patio Cover ,---_,. 3'Floor ---
Tub/shower Z Accessory Struct. — R-3 Total
Laundry Tray - Water Heater `/ Gas E� Garage t4 I
Exhaust Vents C c F e Vents ------ Total for Elec. 1 S ZZ
Backflow Prey. •------^ Furn Heat Pump C # for Electrical
BBQ - Gas Fireplace ----- #Fuel Lines
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) ``s
Info Proc/Arch: Sm$.50 (up to 11x17) ;
Metro CET: Residentia je e'
School CET: District: I (TT..)6C-c4 L .
Tigard CET: Admin
Tigard CET: ODHCS tVy
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: f-
12% State Surcharge c...---"v
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12%State Surcharge i�
Erosion Control: w/Permit-Ping St
Notes: VD-Li1 SO - CV-7 = L�j�/ 3 �JO . qLf
d2 0�, 3(01 , 3�
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
:IPI
® COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /1/ ' A '
Site Address: ad ❑ Verified in Accela
Project Name: i ���°rN� i ,{� "mpium - 't 9iYCP- rovatLot/Unit #: r A&-c,i.�R ' ,
Proposal: vv ` Q PU'if� �(ii°I�2 Zone: �RC/S- D
Housing Type: , FR(❑Single Detached uplex 0 Triplex 0 ADU) 0 Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other
Reqlijped Site Plan Elements:
CT3 co 'es of site plan on max 11x17"
tr
wn to standard scale 3, 4i&c/ ttiu,,
rth arrow"ifreet and site trees shown / labeled
e address, project name, lot # - - .rl�fe �aKulating If ee cainopy at maturity
Øsetbiensio
eet names (N/A for SFR)
licant name and phone #
y locations &easements
tprint of new structure a Property corner elevations
walk/driveway dimensioned dista+iee�-d
of area and lot coverage percentage rosion control
Required Elevation Plan Elements:
(For SX calcs needed only on street-facing) Su •-.ry table with calculations for:
pegwn to standard scale . façade area
ridinheight dimensioned A Total window and door area
g
ade dimensioned
ndows and doors dimensioned
Garage doors dimensioned
' ed Floor Plan Elements:
co (Not require or a at includes tY1 r
CI Each story dimensioned oor area �R ` 11ONO
CI A20 ❑ Each s rea calculated 0 Floor area per S Ail/Iw Y S
Planning Review
The following standards have
'Uhave been met:
0 Setbacks 0 Front: ear: Side: Min/Max Street Side: / Garage: '
Height Max. Height:ait3 Proposed Height: E
or
❑ Yes Landscape 60n2116e rs `rye
El Screening (Quad only) `' � �At iN� Ip
s ❑ N/A % Window Coverage VMgr, G '[]gi4- U j i�
pfts-D N/A Garage (SFR Only) Parking (Other Res) ia
r. • QFjkfri
0 Yes Other building design standards (Rowhouse only) • Ott ` '
O Yes A''' A Accessory Structure Standards ° g` '"r= f+- i -
❑ Yes Il No Qualifying pre-existing unit exempt from standards (Cottage unit only) ` 12,1,‘.4.ibil y
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses,and Quads: • gtOi QsK 1"->
❑ Yes N/A Unit Count: f 9rf
O Yes N/A Lot Width and Size ' Q.PC,PS,s(Y) i^ p�
❑ Yes N/A Pathway , a
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N/A Unit Area:
❑ Yes 0 N/A Floor Area (per story)
O Yes 0 N/A Courtyard
0 Yes LI N/A Fence
❑ Yes ❑ No IC
Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes ❑ No N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ , stop intake
Sensitive Lands: Yes No
®"M Land Use Case #s: V{X �( -D , PDR2ed axe' 0 Conclitions met
pplicant notified of land use expir ti n date: ViviAI; ii!2/2V 1 (-DUI txsr. it /2f?ut-(r_>
Approved By Planning: Date:
Notes IFt.ex leotl.i -rt-ja. Oval OsA It . on t.tc):.. cue 11t1 1 - m-vo iN F0(2202a -is,� :_;3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
j�j�
Original Submittal Date: _ —
Site Plans #:
Building Plans #: /
Building Permit #: ' 1 uilding permit # entered op. page 1
Workflow Routing: lanning IdEngineering l 'Permit Coordinator2/Building
Workflow Sign-off: 2'Sign-off for Planning (include notes from planning review)
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
an�1 original plan review routing form.
WBuilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. �1
Permit Technician: iP��4i V L' / Date: 6 t'7A 14 3
Notes:
Engineering Review
❑ PFI Permit:
'Slope at building pad: 2_,6
B'Conditions met prior to issuance of permit
Ler Easements (encroachments) per engineering conditions of approval and plat
(Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yeso
Assess Water Quantity Fee in-lieu: ❑ Yes to
LIDA Facility on lot: ❑ Yes CA'tio Add Fee: 0 Yes 0 No
Ifinal Plat Recorded
❑ NOT Approved: Date:
Notes:Approved By Engineering: — Date: 7Z7,,ll
�Z�
Revision 1: 0 Approved 0 of Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
`conditions met prior to permit issuance
E l Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: _ Date notified applicant:
—DC Exemption: 0 Applied for 0 Received i es not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A
Tigard Trans SDC: Yes ❑ N/A t Deferred ��a�n I)
1 Parks SDC: Yes ❑ N/A Deferred 'ill
LIDA ❑ Yes -1 'N/A
70 K to Issue/Approved by Permit Coordinator: \N" setZs.446, Date: ' ���`�
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved _ Date:
City of Tigard RECEIVED
Deferral Until Occupancy Requestilh : 41 JUL t 0 2023
CITY.OF T1 ' •D
T I G A R D Washington County Transportation Development Tax (TDT),Trans g I 1:1 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: . /2C/ /002? Site Address: / 3 ? 51-0 (Ec -un (-A)
Project � . Land Use Case or
Name: �k *w 11,74k� Building Pe l'A rmit#: %-1 �/V v to'30
Lot Z Tax S\T !A-01)5 tU Total Parks �'
#: <ea . 6 cil
g Amount*: CY,-121-e ' °'-)
TDT Total TSDC
Amount: X Amount*: aeQ- ' - DO
*The total TSDC amount shown above is the sum of$ for TSDC-Improvement, $ 2La l•DO for TSDC-
Reimbursement, and$ for TSDC-River Terr�plicable..
*The total Parks SDC amount shown above is the sum of$ b `"2 I for Par -Improvement,$ for Parks-
Reimbursement, and either$210 for Parks-Neighborhood or$ for Parks-Neighbor ood 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.
Property Owner: Date: c/q? /237 5
72-//20?->Developer: Date:
Permit Coordinator: Date: 1 - Pf) ' (iV U-7-)