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Permit (5)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00543 T I(;A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2023 Parcel: 2S106DD08600 Jurisdiction: Tigard Site address: 16575 SW JEAN LOUISE RD Subdivision: RIVER TERRACE TOWN CENTER Lot: 86 Project: River Terrace Town Center, Lot 86 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: 29 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes 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 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 Ersn Cntrl 503-639-4175 BY KAWANAMI,MARK SUITE 250 2 Geo Tech Required 15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 1-HR FIRE RATED EAVES 250 PHONE: PHONE: 503-312-6213 FAX: Total Fees: $25,795.64 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. ATTENTI. Oregon law quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QS9_M1_nn1 n thrn,,n 'S9_MLn on v i may nhfain a rnn„of the.nJoc nr rlirnrt nuoctinnc to(ll INC.by Tallinn cn2 919 10R7 nrr 1, , R 9nn'i'29 AA4 Issued By: //4-i Z Permittee Signature: C.S. C\pV\ Aim h. 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. ` RECEIVE1 Building Permit Application Residential OCT 1. 7 2023 FOR orrl( I`: Fst:oNI.\ Received c City of Tigard o I�' Permit No.: � 3— J43 w 13125 SW Hall Blvd23 .,Tigard,OR 97223 LITY OF TIGARD Date/By: g Plan Review ® '1 Phone: 503.718.2439 Fax: 503.598.19 Date/By: t i 3 �, � Other Permit: t� s gUILDING DIVISION ,ors �W T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Page 4 for Internet www.tigard-or.gov Notifified/Method 1\ t, I Z3 qF' TL� Supplemental Information f .,:3`^* f I, a" ti .?.. :.:.r,:tFr:i f t% f I l *o*` . ,- , 0 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 ::: ti F f work indicated on this application. 1�l�/7(� /`n nom:z,H..rrxnfx'., r:.AY. ':, .'.`..s , ,,,,. .,..".`;`..�'&:,,,%.a 't,.,:,elva A.,,' .... �.�.�� V�/ 1' 16. Valuation: $ ❑■ 1-and 2-family dwelling ❑Commercial/industrial IDAccessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: '7 , Q f n..1, � . ,`''l asli . Total number of floors: 3 / 2i-11 1 Fm .... ",s-"-...,. ss... ., ,.,f. .:r. ..:.:..... ..0. ,.... h ........'...f,.lr`S ;xa k.F .�„+.,:%iraa'n...t .. Job site address:16575 SW Jean Louise rd New dwelling area: 2469 square feet 11 Ol.4 City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet I Li Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 1 13 square feet l i Cross street/directions to job site: Deck area: square feet SW River Terrace Blvd Other structure area: square feet Subdivision:River Terrace Lot no.:86 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: 2S 1060003300 equipment,materials,labor,overhead,and the profit for the ,/�,,, o ;`f`>r { ry { ','VI ; g4 work indicated on this application. :,f t ,,.':, `r£^a.,..,,.3._. S „E,✓.....'„,„t�' 'Iry `' ,e4,4 :, f",;,:,z e,:,1t4,,.:040."E!,,,,ar.: Valuation: $ Requesting Deferred SDC fees Existing building area: square feet New building area: square feet Vtiflattlf /`lrrf,,`f a„„.„. �3 x x,, ' !'' 4;% 1 ,4. �:, O IS Number of stories: 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: a st`.�� '4�-„,,. .G.4/.+ a+. � VI ...,:, .. W-. . ,_,.M . 7 a° '4nsw '° F y R..i"'' d t� �`��.. Y .�;�':.r°��, v'.S:�rti, �,,,�,. ,�a%.tv..,�..�.,d'.'�»,«�'�«�3.4�.?�"a� ir,' �c.�?>ru`,> h'.� '�t" j}� fi y�^' ,*�'�,. ', '� Business name.TNHC OREGON LLC y :. . . �.y . � " :: n. .. ittO,.' <`?T3 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 Amount received: Phone:(503) 310-7571 Fax::( ) Email fsandoval@nwhm.com " � 1 � voNA ,.. o'. m Commercial and residential prescriptive installation of itnaateelattaltiltgalaAit;':‘t, tri MAt:.,,.. .'..` : ... r' roof-top mounted Photo Voltaic 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 liized signature: 108 �, / 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 *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(I 1/02/COM/WEB) Mechanical Permit Application RECEIVE ■ FOR OFFICE Fsl:oNl.N City of OCTTigard 7 �0�� Date/ReceiByved: Permit No.:MS1�Ot - ip 4-2b4 / IN . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 1 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OFTIGAR A�ateReady/By: Juris: ® See Page 2for Internet: www.tigard-or.gov BUILDING DIVISI•14otified/Method: Supplemental Information OF W e CO �RI.AL `HF DL LE SE f ::00 T Mechanical permit fees are based on the value of the work ®New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. cATBoo ''i .O1 cON li [ol Value ® 1-and 2-family dwelling El Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB I :: INt:OAli TION AND ATIOJ Heating/cooling: m, Air conditioning 1 46.75 Job site address:16575 SW Jean Louise rd Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace Town Center Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or SW River Terrace blvd 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: Other: 23.32 River Terrace Town Center Lot no.:86 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 nEsc*1.rnoN f3 w*: 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 P Y 23.32OR : I � Other:Environmental exhaust and ventilation: Name:TNHC OREGON LLC Range hood/other kitchen equipment 1 33.39 Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503 810-7571 Fax:( ) Attic/crawlspace fans 23.32 A ANT 0 o OJN Other: 23.32 Business name:TNHC OREGON LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Frank Sandoval Furnace,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 Range E-mail fsandoval@nwhm.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating and Cooling, INC Other Address:4200 NW Leisy rd Subtotal City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(971)205 4989 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 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: �� * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:3/17/2023 I:\Building\Permits\MEC_PermitApp_0401 I3.doc 440-4617T(1 I/02/COM/WEB) RECEIVED Electrical Permit Application OC I 1 7 2023 FOR OFF7CF 1 SE ONLY City of Tigard Received /� f� (� �j CITY OF TIGARD Da,tte/By Permit#:MS 1 kIli o J .11,1 A 13125 SW Hall Blvd.,Tigard,OR 9722 am Rev ew m; Phone: 503.718.2439 Fax 503.598.19 ILDING DIVISIOI�ate,By: Related Permit#: r Inspection Line: 503.639.4175 Ready Date/By: ElSee Page 2 for lcinitrr y: rum: Internet. www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK;< PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSI RUCII.ON 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 0 Master builder amps for all other installations, buildings. ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address:16575 SW Jean Louise rd ❑Addition IooMpor of newmore. otor load°f system. ore. ❑"A""E" `I-2.... City/State/ZIP: Sherwood/ OR/97140 o Six or more residential units, occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: RTTC 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: River Terrace Blvd E SCIIEDI1t E Description I Qty. I Each I Total f New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center Lot#:86 Includes attached garage. Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 168.54 4 Ea add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION'01?WORK Limited energy,residential NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2 Limited r ,mumily resiitedentienealgy(with abovelti-fa sq.ft.) 75.00 2 PROPERTY OWNER ©. TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: THNC OREGON LLC 200 amps or less 100.70 2 Address: 15231 Laguna Canyon Rd STE 250 zol amps toaooamps 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 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: Fsandoval@newhomeco.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 fil,APPLICANT. I 0 CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel Business name: THNC OREGON LLC Aabo esbri c or feeder fee, above service or feeder fee, 7.42 2 each branch circuit Contact name: Frank Sandoval B.Fee for branch circuits without Address: 15455 NW Greenbrier Parkway#240 ihcir feeder fee,first branch circuit 56.18 2 bran City/State/ZIP: Beaverton OR 97006 Each add'I branch circuit 742 2 Phone:(503)310 7571 Fes;; Miscellaneous(service or feeder not included) ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Fsandoval@newhomeco.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2 Address:1075 W Historic Columbia River Hwy Signal t(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)853-9420 Fax:( ) Investigation(I hr min) 90.00/hr Email:MWOLCOTT@WQLCOTT.PRO Industrial plant(1 to min) 78.18/hr Inspections for which no fee is CCB Lie.:112220 Electrical Lie.:C 1272 Suprv.Lie.:5782S specifically listed(Va hr min) 90.00J hr EL%COAL FElI11�Ik Suprv.Electrician signature,required:'. T'.FEES Subtotal: Print name:David Campbell Date: 0 Plan Review Required(25%of permit fee): /� State surcharge(12%of permit fee): Authorized signature: 4 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Malachi J. Wolcott Date: days after it has been accepted as complete. ` Number of inspections allowed per permit. l:\Budding\.Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I 1/05/COMJ.EB RECEIVED Plumbing Permit Application Building Fixtures OC 202 FOR OFFICE 1 SF ONi,r City of Tigard CITY OF TIGA' I'eceived _•�� u 13125 SW Hall Blvd.,Tigard,OR 97223 BUILDING DIMS C k By' Permit No.: Sk� (wn ti ' a Phone: 503.718.2439 Fas: 503.598.1960 Plan Review 1'I C,11{p Inspection Line: 503.639 4175 Date/By: Other Permit No.: Internet: www.tigard-or.gov Date Ready/By: hots. .S See Page 2 for Notified/Method: Supplemental Information 'TYPE OF%VORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. New i-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 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: 16575 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 ft.: ) Page 2 Suite/bldg./apt.no.: I 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 II:_) Page 2 Water service(no linear ft.:_) Page 2 Subdivision: River Terrace Town Center ( Lot no.:86 Fixture or item: Tax map/parcel no.: 2s 1060003300 Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12.51 New Home Construction Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1:4 PROPERTY OWNER r I! 0 TENANT. % Expansion tank 12.51 Nance: TNHC OREGON LLC Fixture/sewer cap 2502 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 APPLI " T ( CON "A.CT PERSON ' Interceptor/grease trap 25.02 Business name: THNC OREGON LLC Medical gas(value:$`) Page 2 Contact name: Frank Sandoval Primer 12.51 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 CONI RACTOTt Water closet 25.02 Water heater Business name:Wolcott Plumbing 37.52 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 Lie.: Plan review (25%of permit fee) 112220 Plumbing Lic.no.:26824 PB ' ` * y� State surcharge(12%of permit fee) Authorized signature:•-o A \1\ ````-�' »>lll titi1 "" TOTAL 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:ABuiidinglPermiisAPLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COMRYEB) 1440101 PIM We MIli Building Division r & Two-Famil Dwelling TIGARID & �, 1 ' r :i- { Y k p,y 6 --a°,,,:-ALIP,ED Fees Checklist PERMIT IN IVi" tIbN. , . Application Date - FEE VERSION (.:SJl4 Za23 Permit#: S fjDZ3— Db 5 Li Plan #: 265,0 D Floors: Valuation: Covered Porch: l Basement w 5E� 3�5. i << Bedrooms: j Deck: _ 1 S`Floor t I —i WC (toilets) 3 Deck Cover: 2nd Floor Lavatories Patio Cover ----- 3rd Floor Tub/shower 3 Accessory Struct. ------ R-3 Total 2-4 V t Q„ Laundry Tray ,___._ Water Heater ` / Gas 400 Garage 5a2` Exhaust Vents 5 Gas Flue Vents Total for Elec. n r Backflow Prey. Heat Pump / AC # for ElectricalLi [� BBQ _____--- Gas Fireplace y--ZiL #Fuel Lines 3 FEES: Description: Fee Appli s: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) 249 Info Proc/Arch: Sm $.50 (up to 11x17) 6? Metro CET: Residential se / School CET: District: 1 C tn.t<� ✓ ' Tigard CET: Admin +7/ Tigard CET: ODHCS f Tigard CET: AH Electrical Permit: Permit Fee: V Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: i ' 12% State Surcharge i7' Plumbing Permit: Permit Fee: t , 12% State Surcharge 1,<,, Erosion Control: w/Permit-Ping I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1 City of Tigard 114 " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: W"«al-00543 Site Address: 16575 SW Jean Louise Rd 0 Verified in Accela Project Name: RT Town Center Lot/Unit #: 86 Proposal: New detached SFR Zone: RES-C Housing Type: 0 SFR(0 Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑Other Required Site Plan Elements: 0 3 copies of site plan on max 11x17" O Drawn to standard scale ❑ Rclaii �J h�� di iv / lI cc pi election O North arrow 0 Street and site trees shown / labeled O Site address, project name, lot # turity O Street names (N/A for SFR) 0 Applicant name and phone # ❑ Courtyard rcctanglc dimcnzioncd (if applicable) O Lot and setback dimensions >;-;2�310 ❑ CAIJIII ly JAI ul.11ll GJ & lwwyG Utility locations &easements O Footprint of new structure and FFE 0 Property corner elevations O Sidewalk/driveway dimensioned 0 LIDA (_ 1,000 O Lot area and lot coverage percentage 0 Erosion control Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Summary table with calculations for: O Drawn to standard scale 0 Total facade area 0 Building height dimensioned 0 Total window and door area O Façade dimensioned O Windows and doors dimensioned Alley load Requii• loor Plan Elements: (Not required for ❑ Summary table that includes O Each story dimensioned ❑ Total floor area ❑ Each story floor area calculated ❑ o r story Planning Review The following standards have been met: Setbacks 0 Front: 8/12 Rear: 3 alley Side: 3 Min/Max Street Side: 7 / Garage: 3 alley Height 0 Max. Height: 35 Proposed Height: 29' O Yes 0 N/A Landscape O Yes 0 N/A Screening (Quad only) O Yes ❑ N/A % Window Coverage 21% ❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res) O Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes 0 N/A Other building design standards (Rowhouse only) ❑ Yes 0 N/A Accessory Structure Standards ❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only) ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Ye N/A Unit Count: ❑ Yes ❑ N/, of Width and Size ❑ Yes ❑ N/A Pat- Additional standards for -• rtyard Units and Cottage Clusters only: ❑ Yes 0 N/A Unit Area: ❑ Yes ❑ N/A Floor Area (per story) ❑ Yes ❑ N/A Courtyard ❑ Yes ❑ N/A Fence ❑ Yes 0 No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) 0 Yes 0 No ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes 0 No Applied For: 0 Yes 0 No, stop intake ® Sensitive Lands: m Yes 0 No o Main Land Use Case #s: PDR2021-00004 tz 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 0 Not Approved Date: Revision 2: 0 A roved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: fro)ci )75 Site Plans #: 3 Building Plans #: 3 Building Permit #: ,I1 Building permit # entered on page 1 Workflow Routing: te Planning engineering i 'ermit Coordinator 1 uilding Workflow Sign-off: O'Sign-off for Planning (include notes from planning review) Route Documents: )' Engineering: (1) copy of permit application, (1) site plan, (1) building plan apd 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/ j )3 Notes: Engineering Review ❑ Fs Permit: Slope at building pad: 7�4'1 cvo S '4JV(Conditions met prior to issuance of permit rP'Easements (encroachments) per engineering conditions of approval and plat Yd Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yeso Assess Water Quantity Fee in-lieu: 0 Yes leSlo LIDA Facility on lot: ❑ Yes 4%t-N o Add Fee: 0 Yes 0 No t>final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: / /..3e: 2. Revision 1: 0 Approved 0 of Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Permit Coordinator Review '76Conditions met prior to permit issuance O Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: \•A SDC Exemption: 0 Applied for ❑ Received 676oes not apply DC Fees Entered: Wash Co Trans Dev Tax: d Yes 0 N/A Tigard Trans SDC: IQ Yes El N/A \1 Deferred Parks SDC: Yes ❑ N/A Deferred LIDA ❑ Yes 'N/A ❑ ffIt,�o Issue/Approved by Permit Coordinator: Date: l A - o - 2 Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: