HomeMy WebLinkAboutPermit (2) CITY OF TIGARD MASTER PERMIT
INa ' COMMUNITY DEVELOPMENT Permit#: MST2023-00544
Date Issued: 11/30/2023
T I C;A R I:7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DD08400
Jurisdiction: Tigard
Site address: 16551 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot: 84
Project: River Terrace Town Center, Lot 84
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: 107 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2464 sf Value: $449,595.24 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2464
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 1-HR FIRE RATED EAVES
15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 Geo Tech Required
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $25,762.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENT regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: / Permittee Signature: �1te, ((yp\1 tAlLoh
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
Residential 7 q FOR OFFICE USE ONLY
0 C T 1 L023 Received
' City of Tigard Date/By: ip/t'Z/23 Permit No.: #S126L13, O09411
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review �j 1 n/�
_ Phone: 503.718.2439 Fax: 503.598.196 Date/By: t i ` l?/7 Aft t Other Permit:EA4m j^ c3
TIGARD
Inspection Line: 503.639.4175 3UILDING DIVISIONS Date Ready/By: I Juris: ® See Page 4 for
Internet www tigard or gov
m, INotified/Method: 11�20' 23AF c3 Supplemental Information
n_ - 12+). Tp‘fi�n•x t c : . If . 3 f „ xr w ; "g oVi zw 1
OMMMVn � x u ::.gy m ,,,a . ,., .Q New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
` ' "��:.!W , ` t9yE h � work indicated on this application. fw/y/�1, -Id�
.....arv>'r ..:. m.> �....v:Y .. : i.':�".. A,-„,$., �,.., ,: ,z,c : oti .... 4'in,....:,,L r .,r• L`'' ,.,ia x�t , + ,
❑■ 1-and 2-family dwelling ❑Commercial/industrial
Valuation: $ 20 ii I
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: ;,f 3 q r,,ram
a v rr : tr k 21 6(4
a�ame s4 .:. , rl g t t't ;s s¢,, t , ws. ` Total number of floors: 3
Job site address:16551 SW Jean Louise rd New dwelling area: 2464 square feet r(Fgi..'
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 6602 square feet I1 1`,
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 1 155 square feet t D7
Cross street/directions to job site: Deck area: square feet
River Terrar.e blvd Other structure ardea: square feet '
Subdivision.River Terrace Lot no.:84 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:parcel no: 2S1060003300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
4 ,. ) m Ir work indicated on this application.
. . .. ,.: ......t .,.s''�i..�..., .,.`tee':?.,; . �,.:a: `"-.o:,r,�,-'�,: ."'�`„y:'k '' ,��r' .. ;>&• ` pP
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
�;ti:.,�,.a . E • f ti ` � Number of stories:
..,:.f<v;�.:..: ...> `e.+�::..� ,.f.,::,..is''�::'� ...1s�%s�� s*,<6 s..:.,1u:,L:.:,::r�z�t� �'.,,a.
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:
o S 4S :Jr:t''*, r � �, sYm s e s�ue. ''.' Y x ra a ^y f : x
�Rll nrn
am�# ' •� .ar >. rJ :�� a� : :; I`:� z .4„ Y ! f* ,s i`,0 r / r �� >� y'r `
2 ilgq,
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 Fax: :( ) Amount received:
E-mail: fsandoval@nwhm.com r
oRs h>,� �.. a : W`''.q ft� M'f ``'�' 5 �� Pr`r� `�� �f :,, t Commercial and residential prescriptive installation of
annst <.FA �:: u:.. ....,., _ . ..;r a :. i L r.. `:,.,., ._ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
Address:15231 LagunaCanyon RD STE 250 and fire department access,along with the 2010 Oregon
g y 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.
Print name:Frank Sandoval Date:10/12/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
•
RECEIVE .
Mechanical Permit Application Foi oFFI(l: ESE ONE).
r�gG 7 7
City of Tigard "`"I I / 2023 Received
Date/By: Permit No.: ms I ZD 23_ 00 5q r t
1111
13125 SW Hall Blvd.,Tigard,OR 97223 T
' al' Phone: 503.7]8.2439 Fax: 503.598.1960 CITY OF TIGARD Plan Review
Date/By: Other Permit
TIGAKD Inspection Line: 503.639.4175 BUILDING DIVISIO Date Read/B Juris:
Internet: www.tigard-or.gov y y' See Page 2 for
Notified/Method: Supplemental Information
V#tOF W,04k COMMERCIAL *'iSC LE-
-
Mechanical permit fees*are based on the value of the work
®New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
A l Y OF`1 ONSTR IOPI
Value:
® 1-and 2-family dwelling ❑Commercial/industrial � 'fsY � F
❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder
❑Other: Description Qty. Ea. Total
OB`SI 'F R ATIIOi Al t ;Al'ION
0 � Heating/cooling:
Air conditioning 1 46.75
Job site address:16551 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
Suite/bldg./apt.no.: Project name:River Terrace Town Center Heat pump 61.06
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:River Terrace Town Center Lot no.:84 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
.t1E CRIPTIO+1 OF `O Gas fireplace/insert 1 33.39
Fluevent 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
>l+' �'$'Y �Y�i #� Oth r. 23.32
' •
:
ikaiatg 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 1 10-7571 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT : NTA ` Ai 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
Email 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)
(971 Y105 4989 ( ) Plan review(25%of permit fee)
Phone: 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
1:\Building\Permits\MEC_PermaApp_040113.doe 440-4617T(I I/02/COM/WEB)
RECEIVED
Electrical Permit Application OCT 1 7 2023 FOR OFTICF.I sl:ONLY
City of Tigard CITY OF TIGARD Permit11 .. #:M ST-202-3—D 0 5 Lt,
13125 SW Hall Blvd.,Tigard,OR 9 aLDING DIVISION PtanReview
Phone: 503.718.2439 Fax: 503.59 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: I Fa See Page 2 for
TiGA .f7 Jens:
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 QeL; 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building toss to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family ❑Master builder amps for all other installations. buildings.
Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address:16551 SW Jean Louise rd ❑Addition of new motor load of system.
100HP or more. ❑"A","E","1-2","l-3",
City/State/ZIP: Sherwood/OR/97140 o Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: RTTC 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: River Terrace Blvd PEE SCREDL E
Description I Qty. I Each I Total 1 *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:84 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 168.54 4
Ea add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OP WORK Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
134 PROPERTY OWNER Cl TENANT Renewrgy ❑ See Page 2
Servicesable or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 133.56 2
City/State/ZIP: Irvine CA 92618 401 amps to 600 amps 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
APPLICAN .` 0 CO Arc'!'PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name: Frank Sandoval B.Fee for branch circuits without
Address: 15455 NW Greenbrier Parkwa #2anirfuederfee,first
y40 br branchh c circuit 56.18 2
City/State/ZIP: Beaverton OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)310 7571 Fax::
( ) Each manufactured or modular 67.84 2
Email: Fsandoval@newhomeco.com dwelling,service and/or feeder
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 Signalel, lern or limited-energyxens 0 See Page 2 2
panel,alteration,or extension.
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(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.:112220 Electrical Lic.:C 1272 Suprv.Lic.:5782E specifically listed(%hr min) 90.00/hr
Suprv.Electrician signature,required:' -
ELECTRICAL PERMIT T FEES
a,. sox. ,3 r.b�„ Subtotal:
Print name:David Campbell Date: 0 Plan Review Required(25%of permit fee):
4
State surcharge(12%of permit fee):
Authorized signature: -a Pie 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.
I:\Budding\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I I/05/COM/WEB
*
PlumbingRECEIVED
Permit Application
Building Fixtures OCT 1 7 202
City of Tigard CITY OF TIGARDoa«t;a
i. a 13125 SW Hall Blvd.,Tigard,OR 97223(� Permtt No.: re.)$T2D2 3 —005�/4
0 Phone: 503.718.2439 Fax: 503.598.19SilUll_DING DIVISIU 1°Review
Inspection Line: 503.639.4175 ate 6y: Other Permit Na.:
T I U\KI) p Date Ready/By: orris: I ® See Page 2 for
Internet. www tigard-or.gov
Notified/Method. Supplemental information
.TYPE OF WORK FEE* $COEDULE
®New construction 0 Demolition For special information use checklist.
❑Addition/alteration/replacement El Other: Description I Qty. I Ea I Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CAtEGo 1' OF'CONSTRUCTION ' SFR(I)bath 312.70
® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler(sq.ft.) Page 2
JQII SITE INFORMATION,AND LOCATION Site utilities:
Job site address: 16551 SW Jean Louise Rd Catch basin or area drain 18.76
Drywell,teach line,or trench drain )g.76
City/State/ZIP: Sherwood/OR/97140
Footing drain(no.linear ft.: ) Page 2
Suite/ldg./apt.no.: I Project name: RTTC
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
SW River Terrace Blvd Rain drain connector 18.76
Sanitary sewer(no.linear fl: ) Page 2
Storm sewer(no linear ft.:_) Page 2
Water service(no linear ft.: ) Page 2
Subdivision: River Terrace Town Center Lot no.:
I 84 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backtlow preventer 31.27
fl SCR1PTIQN'OF WORD Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
($."PROPERTY o ti ,;J'. . . I,J.1.1.; . jlj' ,; Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewer cap 25.02
Address: 15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
City/State/ZIP: Irvine CA 92618 Garbage disposal 2502
Hose bib 25 02
Phone:(503)31 O 7571 Fax:( ) Ice maker
1
h a A�PPLICAN'f. . ,. t 5.0
"CONTACT PER;�ON Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
Contact name: Frank Sandoval Primer 12.51
Address: Roof drain(commercial) 12.51
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 I Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CQNTRe1C1 OR Water closet 25 02
Business name:Wolcott Plumbing Water heater 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.:112220 Plumbing Lie.no.:26824 PB Plan review (25%of permit fee)
Authorized signature: j State surcharge(12%of permit fee)
\\\ TOTAL PERMIT FEE
Print name:Mark Baleme Date:1 0/12/2023 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.
I:1Building/Permits lPLMu.eermitApp.doe 10/01/09 440-4616T(10/02/COMWEB)
d'd . .i
P' g
k i r'
6 Building Division
m
- One & Two-Family Dwelling
TIGARD
'L; i Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION J 1 y 2623
Permit#: s f�2� _bO 4 Plan #: r� 6 !2 50, Floors:
Valuation: Covered Porch: L �
4�-Iq, 5�5,2y Deck: 15
Basement �� l
Bedrooms: 1 St
1 Floor I, l 17 J
2
WC (toilets) Deck Cover: 2°d Floor
l G 3(-/
Lavatories S Patio Cover 3rd Floor
Tub/shower 3 Accessory Struct. R-3 Total Zl t
(Laundry Tray — Water Heater / Gas( ec Garage 5`l 2
Exhaust Vents Gas Flue Vents ------- Total for Elec. ZpJ
� `f
Backflow Prey. furnace eat Pump AC # 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) (O
Info Proc/Arch: Sm $.50 (up to 11x17) 74')
Metro CET: Residential Use e
School CET: District: � cs-e ✓ '
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 1/
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
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: nA.SI7,411)- 0094R
Site Address: 16551 SW Jean Louise Rd m Verified in Accela
Project Name: RT Town Center Lot/Unit #: 84
Proposal: New detached SFR Zone: RES-C
Housing Type: m SFR(m Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other
Required Site Plan Elements:
m 3 copies of site plan on max 11x17"
m Drawn to standard scale ❑ R�la; ed-trz�,, J,;N I;,,�/ ti c JII section
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 dimcnzioncd (if applicable)
m Lot and setback dimensions m Vision clearance triangle
❑ C.JLLI„y .l, e. m Utility locations &easements
m Footprint of new structure and FFE m Property corner elevations
m Sidewalk/driveway dimensioned ❑ LIDA (. 1,000 .,I
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 quir loor Plan Elements:
(Not required for ❑ Summary table that includes
❑ Each story dimensioned ❑ Total floor area
0 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'
m Yes ❑ N/A Landscape
❑ Yes m N/A Screening (Quad only)
m Yes 0 N/A % Window Coverage 26% 13 !. $►04¢
O 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)
O 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 N/A Unit Count:
O Yes 0 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 0 N/A Courtyard
❑ Yes ❑ 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: W 10 1-213
Site Plans #:
Building Plans #:
Building Permit #: p' uilding permit # entered on page 1
Workflow Routing: lanning gineering-ermit Coordinator .i1dfig
Workflow Sign-off: ign-off or Planning (include notes from planning review)
Route Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan
grid original plan review routing form.
9uilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.Permit Technician: Date: `IO '2i0 173
Notes:
Engineering Review
❑ PJI Permit:
'Slope at building pad: j6 %
g,¢ It/Conditions met prior to issuance of permit
L,/P�VV
'E�a�sements (encroachments) per engineering conditions of approval and plat
6-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes la'No
Assess Water Quantity Fee in-lieu: 0 Yes Id'No
LIDA Facility on lot: 0 Yes t'No Add Fee: 0 Yes ❑ No
oinal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: ` ...'.. Date: /d/ /p 3
Revision 1: ❑ Approved 0 of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released:ye
Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
1- v DC Exemption: ❑ Applied for ❑ Received fEqoes not apply
4SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes C /A
.rrOK to Issue/Approved by Permit Coordinator: Date: \\ .
`- Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date: