Permit (4) CITY OF TIGARD MASTER PERMIT
II;1 COMMUNITY DEVELOPMENT Permit#: MST2023-00542
T I G A I: f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2023
Parcel: 2S 106DD08500
Jurisdiction: Tigard
Site address: 16559 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot: 85
Project: River Terrace Town Center, Lot 85
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1173 sf Basement: 112 sf Left: 3 Parking Spaces: 0
Height: 26.5 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2469 sf Value: $450,365.61 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'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
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 2469
Owner: Contractor:
AG EHC II(NWHM)MULTI STATE 2 LLC TNHC OREGON LLC Required Items and Reports(Conditions)
BY THE NEW HOME COMPANY INC 15231 LAGUNA CANYON ROAD 1 1-HR FIRE RATED EAVES
BY KAWANAMI,MARK SUITE 250 2 Geo Tech Required
15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 Ersn Cntrl 503-639-4175
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $25,787.14
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 N: 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: //I7 Permittee Signature: Q2 V 1 t tOh
Call 503.639.4175 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 ApplicationR E C EIVE D
Residential OC T l � � FOR OFFICE I'SE O1l.l
City of Tigard Received MS't. 3 ''fin0 f�^t
Date/B : to j7 23 PermitNo.: 0 Ci
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review� to� � iOther Permit:S%V(,1J }7 — � .ZS 1
Phone: 503.718.2439 Fax: 503.598.19 Date/B : • 00 A
TIGARD Inspection Line: 503.639.4175 buILDING DIVISION DateReady/By: 0 See Page4for
Internet: www.tigard-or.govv Notified/Method:II z V. Supplemental Information
r
..,'.'*;. i ?......., f%G.:..::.e. ,,.:.'::-f � . . .. .., !,.:ro:. .... ,```=.`yt:r.. .. ''. 'F/.., 88 t�`.. :. s...,...•. fir`"`f a� g.?�4 ,r.8 ..,,44: � ,..
E 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
,,,,�% work indicated on this application.
. ^!: r
... .. h r,-, ,. , f: :„ hz:a".., ,xa.. .!.:.,'... .„ ., ,"`al,,,,. F ,
...,.rci , :O
■❑ 1 and 2-family dwelling Valuation: $ 0 450) Q�
❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms: 4
El Master builder El Other:
Number of bathrooms: ?)
���°,;,�. y �w'w �1� ���, � "���, Total number of floors: 3 2
firJob site address:16559 SW Jean Louise rd New dwelling area: 2469 square feet 11I 9
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 1111
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 1 13 square feet 1 1
Cross street/directions to job site: Deck area: square feet
RivP.l~TerracP Blvd Other structure area: square feet
Ff
Subdivision:River Terrace Lot no.:85 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 parcel no: 2S1060003300 equipment,materials,labor,overhead,and the profit for the
e !: ", % , t;*y ,,S :: work indicated on this application.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
x � `4 V Number of stories:
�l"`aF.:<<'';�:� .., ...Atz„+'>:,.,,,-4 ./ ,r.' ..v...�>, .',:. .: Y F,A ..:....,:3..,, G::,{;?.`.�`a5,...k4 b
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP:Irvine/CA/92618 Existing:
Phone:(503)310-7571 Fax:( ) New:
nyozaRt w n e t l %t,. .:..,yr f f ff � l _ r '
r ' h . „t.�.f a*r f" d. �4.4 n.. .4t ' v.i ,. ?r,-, •f
fr w 4 .a._ d l. , en..*, a9
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Phone:(503) 310-7571 I Fax: :( ) Amount received:
E-mail: fandoval@nwhm coin ,, . i...•:. :
f 3 ,, x ,, 'MpaSk, Commercial and residential prescriptive installation of
r .. t,48 «4>: .. :,; "'Ef1 ,.. ,-4- ..... n,' ,f.ttf. okt ,..,,, AntlitaZailt roof-top mounted Photovoltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )310-7571 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:241108 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date:10/12/2023"Ifr *Fee methodology set by Tri-County Building Industry
Print name:Frank Sandoval Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
•
• Mechanical Permit ApplicatioiRECEIVE r
FOR OFFICE LSF:ONLY
City of Tigard Received
IIII13125 SW Hall Blvd.,Tigard,OR 97223
0 C T 17 2023 Date/By: Permit No.:1,IT `� — r+ y
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
TIC ARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Read /B Ju is:
Internet: www.tigard-or.gov BUILDING DIVISIO � otified/Myeth od: S Supplemental SeePent2Ifnr
Information
TV*F QF% i ' F F D 4 1J GIST`
®New construction -' ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
I l lkiA Value:
IuPeAT }W OF CfNSTRE3 gi II QA
I if l *® 1 and 2-family dwelling ❑Commercial/industrial E Accessory building For special information use checklist.
❑Multi-family ❑Master builder
❑Other: Description
Qty. Ea. Total
i'i` � o t:d ,�11€`u I Heating/cooling:
Job site address:
16559 SW Jean Louise rd Air conditioning 1 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Sherwood OR 97140 Fumace 100,000+BTU(ducts/vents) 1 54.91
name: Heat pump 61.06
Suite/bldg./apt.no.: Project
River Terrace Town Center Ductwork
23.32
Cross street/directions to job site: Hydronic hot water system 23.32
SW River Terrace blvd 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:River Terrace Town Center Lot no.:85 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23 32
ti. scol # Wf3RK Gas fireplace/insert 1 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
1'21#TP,1Rf t3f14 Other: 23.32
- "' Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
Address:15231 Laguna Canyon Rd STE 250 equipment 1 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503 0 10 7571 Fax ( )
Attic/crawlspace fans 23.32
I 4*E t . :: { Il i Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Fumace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax::( ) Fireplace
E-mail:fandoval@nwhm.com Range
0 � � Clothes
Barbecue
_u� E r.< .. ,.. .:,�� dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
111,11111
Adaress:4200 NW Leisy rd �.. °.. . :. ► .
Subtotal
l
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Phone:(971)205 4989 ( ) Plan review(25%of permit fee)
Fax:
State surcharge(12%of permit fee)
CCB he.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
( P 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:3/17/2023
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB)
RECEIVED
Electrical Permit Application OCT 1 7 2023
FOR OFFI(`F:L'S[;ONLY
City of Tigard Received
,IPIlIll 13125 SW Hall Blvd,Tigard,OR 9722 CITY OF TIGARD Date By: Permit#; rn���3_ y 2
' Ill Phone: 503.718.2439 Fax: 503.598.lc iJILDING DIVISIO\IPlanReview
Inspection Line: 503.639.4175 ate By: Related Permit#:
T!GA I7 Ready Date/By: furls: 0 See Page 2 for
Internet. www.tigard-or.gov Notified/Method:
Supplemental Information
TYPE OP WORK, PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
or more
❑Demolition ❑Other: ❑Service or feeder 400 amps
0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF GONSTRU4'l ION
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings.
JOB SITE INFORMATION AND LOCATIOND Eve pump. ❑largerlse a of y d RVA.or
1 0 Emergency system. larger separately derived
Job#: I Job site address:16559 SW Jean Louise rd ❑Addition of new motor toad of system.
100HP or more. ❑°`A""E""!2""1-3"
City/State/ZIP: Sherwood/ OR/97140 o Six or more residential units, occupancy.
Suite/bldg./apt#: D Health-care facilities. 0 Recreational vehicle parks.
I Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: River Terrace Blvd
,fit SCHRUM
Description I Qty. I Each I Total '-1
Subdivision: River Terrace Town Center New residential single-or multi-family dwelling unit.
Lot#:85j Includes attached garage.
Tax map/parcel#: 2s 1060003300 1,000 sq,ft.or less 168.54 4
DESCRIPTION OF WORK Ea add'1500 sq.ft.or portion 33.92 1
NEW HOME CONSTRUCTION Limitedwthabo egy,residential
tial
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq_ft.) 75.00 2
51.PROPERTY Ownitt 1 f3 TENANT
Renewable
Name: THNC OREGON LLC Services or feedersEnergy installation,alteraDSeetionPage,andlor2 relocation
200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to400amps 133.56 2
City/State/ZIP: Irvine CA 92618 401 amps to600amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(503)310-7571 I Fax:( ) Over 1,000 amps or volts 552.26
2
Temporary services or feeders installation,alteration,and/or
Email: Fsandoval@newhomeco.com
Owner installation:This installation is beingmade onpropertysrelocation200 amps
o
intended for sale,lease,rent,or exchange,according to OR 47,449,670,and 701.not 1 ampsam to less amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54
2
4 APPLICANT„ ` ' [f 0 CONTACT..PERSON Branch circuits—new,alteration,or extension,per panel
Business name: THNC OREGON LLC A.aboforbranchrireedefee,
above service or feeder fee,
Contact name: Frank Sandoval each branch circuit 7,42 2
B.Fee for branch circuits without
Address: 15455 NW Greenbrier Parkway#240 service ar feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Beaverton OR 97006 Each add'I branch circuit
7.42 2
Phone:(503)310 7571 I Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: Fsandoval@newhomeco.com dwelling,service and/or feeder 67.84 2
CON
TRACTOR C P<JR Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DBA Wolcott Electrical Signor outline lighting 67.84 2
Address:1075 W Historic Columbia River Hwy Signal circuit(s)or limited-energy
panel,alteration,or extension. D See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Troutdale, OR, 97060
Phone:(503)853_9420 I Fax:( ) Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(I hr min) 78.18/hr
CCB Lic.:112220 I Electrical Lic.:C 1272 I Suprv.Lic.: Inspectionsspecifically for which no fee is
P 5782S listed '/,hr min) 90.00/hr
Suprv.Electrician signature,required: -. '' LECRICAL PERipfII' fl
«,:,o,3,,s=e„ Subtotal:
Print name:David Campbell , Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4,. (�' h TOTAL PERMIT FEE:
lPrint name:Malachi J. Wolcott Date: I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I:Building\PermitslELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 { Number of inspections allowed per permit.
440-4615T(t 1/05/COMIWEB
" RECEIVED
Plumbing Permit Application
Buiildin Fixtures OCT 17 2023
g FOR orrl('E t SE oNL,Y
City of Tigard CITY OF TIGARD Received
g LDING DIVISION Date/By: PenmtN°"f✓1ST2AZ3`Oo5►}2
IIII13125 S W Hall Blvd.,Tigard,OR
C` Phone: 503.718.2439 Fak: 503.598.1960 Plan Review
Date/By: Other Permit No.:
T 1 C A R n Inspection Line: 503.639.4175 Date Read-B
Internet: www tigard-or.gov > is orris: See Page 2 for
Notified/Method: Supplemental Information
TYPE OF'WORK FEE*SCHEDULE
®New construction ❑Demolition For special infornmtion use checklist.
Description I Qty. I Ea I Total
0 Addition/alteration/replacentent 0 Other: New 1-2-family dwellings(includes 100 It.for each utility connection)
CATEGORY:ON CONSFItUCTION SFR(1)bath 312.70
® l-and 2-family dwelling [3Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFK(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other. Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION':AND LOCATION Site utilities:
Job site address: 16559 SW Jean Louise Rd Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76 City/State/ZIP: Sherwood/OR/97140
Footing drain(no.linear fl:_) Page 2
Suite/bldg/apt.no.: 1 Project name: RTTC
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW River Terrace Blvd Rain drain connector 18.76
Sanitary sewer(no linear ft. ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: River Terrace Town Center Lot no.: Fixtureeorii e(no,linear ft:_) Page 2
l 85 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
DESCRIPTION OF WORKi Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
h' PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewercap 25.02
Address: 15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib
25.02
Phone:(503)310-7571 Fax:( ) Ice maker
12.51
l l:'APPLIcANT'`. .,(>1CONTACT PERSON. Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/State/ZIP: Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503)310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR
Water closet 25.02
Water heater 37.52
Business name:Wolcott Plumbing
Water piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other 25.02
City/State/ZIP:Troutdale OR. 97060 Subtotal
Phone:( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:112220 1 Plumbing Lie.no.:26824 PB Plan review (25%of permit fee)
State surcharge of permit fee)
Authorized signature:`-'` TOTALJA.N....
PERMIT FEE
Print name:Mark Baleme Date:10/12/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
t\Building/PereriislPLMU-PermitApp_doc 10/01/09 440-4616T(to/02/COMAVgB)
1 44004 Ng MIEN EOM
11111 asmw, m �' i Building Division
. P
.: 1:': 11
R s FF
's I���P, rt LOne & Two-Family Dwelling
TIGARI r it " THE Ri01114.74
L Fees Checklist
PERMIT INFORMATION Application Date - FEE VERSION J ti �7..):J
Permit#: 3 I Lt� Plan #: 2a7c„A_ Floors: '.2
Valuation: Covered Porch: 11r, Basement
4454 3(05.C1
Bedrooms: u Deck: 1"Floor 1 1 7 2
WC (toilets) 3 Deck Cover: 2"d Floor Q�J
Lavatories S- Patio Cover - 3' Floor U�r
Tub/shower 3 Accessory Struct. R-3 Total 2-14(el
Laundry Tray Water Heater I / Gas z
Garage 5c -
Exhaust Vents Gas Flue Vents ------"— Total for Elec. 2q
Backflow Prey. ac / Heat Pump / A # for Electrical Li
BBQ Gas Fireplace \(,J?-1 #Fuel Lines 3
FEES: Description: Fee Applie : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) (y
Info Proc/Arch: Sm $.50 (up to 11x17) 7 g
Metro CET: Residential Use
School CET: District: el.; w-c!Y tZ
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
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
a
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MSTUrZ3 ^00fl_—
Site Address: 16559 SW Jean Louise Rd m Verified in Accela
Project Name: RT Town Center Lot/Unit #: 85
Proposal: New detached SFR Zone: RES-C
Housing Type: m SFR(m Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad El Other
Required Site Plan Elements:
m 3 copies of site plan on max 11x17"
m Drawn to standard scale El Rclan cJ ti cw, Ji iN In is/ h cc Ni election
m North arrow m Street and site trees shown / labeled
m Site address, project name, lot # turity
m Street names (N/A for SFR)
m Applicant name and phone # ❑ Courtyard rcctanglc dimcn.sioncd (if applicable)
m Lot and setback dimensions
❑ L.A ,Lli iy ou ui.Lui w &ayuul�, ,uwyw Utility locations &easements
m Footprint of new structure and FFE m Property corner elevations
m Sidewalk/driveway dimensioned ❑ LIDA (. 1,000
m Lot area and lot coverage percentage m Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
m Drawn to standard scale m Total façade area
m Building height dimensioned m Total window and door area
m Façade dimensioned
m Windows and doors dimensioned
Alley load
Re loor Plan Elements:
(Not required for ❑ Summary table that includes
❑ Each story dimensioned ❑ Total floor area
O Each story floor area calculated ❑ o r story
Planning Review
The following standards have been met:
Setbacks m Front: 8/12 Rear: 3 alley Side: 3 Min/Max Street Side: 7 / Garage: 3 alley
Height m Max. Height: 35 Proposed Height: 26.5'
m Yes 0 N/A Landscape
❑ Yes m N/A Screening (Quad only)
m Yes ❑ N/A % Window Coverage 21%
❑ Yes m N/A Garage (SFR Only) Parking (Other Res)
m Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes m N/A Other building design standards (Rowhouse only)
❑ Yes m N/A Accessory Structure Standards
❑ Yes m No Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Ye 5 N/A Unit Count:
❑ Yes 0 N/, of Width and Size
❑ Yes ❑ N/A Pat'' -
Additional standards for • rtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
❑ Yes El N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
O Sensitive Lands: O Yes ❑ No
O Main Land Use Case #s: PDR2021-00004 0 Conditions met
0 Applicant notified of land use expiration date: Permits by 1/31/25. Final by 1/31/27
Approved By Planning: _ Date: 10/2/23
Notes
Revision 1: ❑ Ap ed ❑ Not Approved Date:
Revision 2: ❑ A roved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 'fib (a \2i
Site Plans #:
Building Plans #:
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: KPlanning Engineering p-Permit Coordinator I;)t-Building
Workflow Sign-off: Sign-off for Planning (include notes from planning review)
Route Documents: 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
'Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: O l
Notes:
Engineering Review
oyfi Permit:
Ot Slope at building pad: 2'2 %
i( 4 'Conditions met prior to issuance of permit
l 'Easements (encroachments) per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes la-No
Assess Water Quantity Fee in-lieu: ❑ Yes WNo
LIDA Facility on lot: ❑ Yes le'No Add Fee: 0 Yes 0 No
Ilinal Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: Date: /b/_eZZ�
Revision 1: ❑ Approved 0 N Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant: _.
'SDC Exemption: ❑ Applied for 0 Received foes not apply
( l}SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
`fir Tigard Trans SDC: El Yes El N/A Deferred
Parks SDC: Yes ❑ N/A [ Deferred
LIDA ❑ Yes /A
K to Issue/Approved by Permit Coordinator: 049 Date: `\- U2`23
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date: