Permit (7) q CITY OF TIGARD MASTER PERMIT
III1• COMMUNITY DEVELOPMENT Permit#: MST2023-00551
Date Issued: 11/30/2023
T j G AR 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC14700
Jurisdiction: Tigard
Site address: 15573 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot: 11
Project: River Terrace Crossing, Lot 11
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1204 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1323 sf Garage: 580 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2527 sf Value: $475,130.79 Rear: 10
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: 1
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: 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: 5 201-400 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 2527
Owner: Contractor:
WEEKLEY HOMES LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
1111 N POST OAK RD 11815 NE 99TH ST#1200 1 Geo Tech Required
HOUSTON,TX 77055 VANCOUVER,WA 98682 2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $51,493.59
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set •a in OAR
QF9-nn1_nn1n thrni inh(lAP CA9_11111_11Qn 'Vni i may in aT�nv of the.,rnIce nr rlirart ni lactinnc kn(ll INC.by Tallinn cn'919 1QR7nr 1 gMO9 9
Issued By: /% l Permittee Signature: 1440"-----T � "
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.
P , ,
Building Permit Application
Residential FoR or!,i is I si:o'►.l
CI of TigardRECEIVED Received , Permit No.:
DateB : (� /1: Ail
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
11111 "Ib `
Phone: 503.718.2439 Fax: 503.598.196t0fl T 2 6 DateB : l • !1� Other Permit: _ y1
T 1 G l R D Inspection Line: 503.639.4175 i J ! 2023 Date Ready/By: Juris: H See Page 2 117
Internet: www.tigard-or.gov Notified/Method: 1 2.9 2 Supplemental Information
CITY OF TIGARD. 'Ralik,
TYPE OF mINILDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ I I�/c r'0,
❑Accessory building 0 Multi-family Number of bedrooms: 3 "( 1
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 0 7
Job site address:15573 SW VANDERWOOD AVE New dwelling area: 2527 square feet 1 32,3
City/State/ZIP:Tigard,OR Garage/carport area: 580 square feet )2 6(1
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 74 square feet l
Cross street/directions to job site: Deck area: Covered-140 square feet
Uncovered-56
Covered Patio: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing Lot no.: 11 Permit fees*are based on the value of the work performed.
Tax map/parcel no:2S108DC14700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SFR Valuation: $
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address: 11815 NE 99th Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax: New:
® APPLICANT ►1 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Lifestyle Homes
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address: 11815 NE 99th Street,Suite 1200
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98682
Phone:(360)213-0809 Fax::( )
Amount received:
E-mail:permits@buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same Solar Installation Specialty Code checklist.
City/State/ZIP:Same Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) F ( ) State surcharge(12%of permit fee): $21.60
CCB lic.:173524
Total fee due upon application: $201.60
Authorized signature: KQ ,Li piadtiel./Ti This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:10/12/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
fMechanical Permit Application FoR ou T icy I S►.ONE)
• City of Tigard Received
/ Date/By. Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97R `V/ y' i ST202 -00551
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ru s: Fa See Page 2 for
Internet: www.tigard-or.gov ex(
26 2023 Notified/Method: Supplemental Information
TYPE OF t?HI{t OF TIGARD COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
lL��(�(r jytiCO*i®N Mechanical permit fees*are based on the value of the work
El New construction ❑Addition/altera to re t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address:15573 SW VANDERWOOD AVE Fumace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Crossing 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:River Terrace Crossing Lot no.:11 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2S108DC14700 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New SFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
O. PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
equipment 33.39
Address:11815 NE 99th St.,Suite 1200 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Permit Coordinator-Kellie Franklin Fumace,etc.
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)213-0809 Fax: ( ) Fireplace
Range
E-mail:permits@buildplh.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other
Business name:Wolcott Plumbing MECHANICAL PERMIT FEES*
Address:1075 West Historic Columbia River HWY Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Troutdale,OR 97060 Plan review(25%of permit fee)
Phone:(503)667-1781 Fax:( ) 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:AV42, piafraLt, * Fee methodology set by Tri-County Building Industry Service Board
Print name:Kellie Franklin Date:10/12/2023
1\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
4 6.4 0
Electrical Permit Application Fo►z oii i is I si oyI.v
r ' City of Tigard R� � V DateBea Permit#:msr202 3-0055 1
1111 13125 SW Hall Blvd.,Tigard,OR 9 2 ffll.��..CC ��II Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
.
Inspection Line: 503.639.4175 O C T 2 6 2023 Ready Date/By: Juns: lid See Page 2 for
T I GA RR
Internet: www.tigard-or.gov A Notified/Method: Supplemental Information
TYPE OF WOI,'('Y OF TIGARD PLAN REVIEW
®New construction ❑Addition/altera> eg 4 VISION Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more ElBuilding over three stories.
El Demolition El Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ID Accessory building
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family ❑Master builderOther: ampsrefor all other installations. butdings.
El ElFire pump. Installation❑ of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 15573 SW VANDERWOOD AVE 100HP or more. ❑"A","E",°`t-z","t-3",
City/State/ZIP:Tigard, OR CISix or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River Terrace Crossing ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#: 11 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#: 2S108DC14700 Ea.add'1 500 sq.ft.or portion 5 33.92 1
DESCRIPTION OF WORK Limited energy,residential
New SFR (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNERRenewable Energy ID See Page 2
0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 100.70 2
Address:11815 NE 99th St., Suite 1200 201 amps to 400 amps 1 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permits@buildpih.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
El APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Pacific Lifestyle Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name:Kellie Franklin B.Fee for branch circuits without
serAddress:11815 NE 99th St., Suite 1200 branch
e order
fee,first
bran 56.18 2
bch circcuit t
City/State/ZIP:Vancouver, WA 98682 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@buildplh.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave. Signal circuit(s)or limited-energy CI See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permits@garnerelectric.com _
Inspections for which no fee is 90.00/hr
CCB Lic.: 121159 Electrical Lic.: 34-305C Suprv.Lic.: 3707-S specifically listed(Vs hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
lk..._
Print name: Charles Garner Date: 10/12/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 3,,,,,„,;„ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Brittany Burian Date 10/12/2023 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC_Permi1App_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Application; VD
. fl 1P'
Building Fixtures FOR OFFICE USE ONLY
Cl2023 TigardReceived
' 77 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Pertx �G�j
1111 i °' �^� Plan Review 1
Phone: 503.718.2439 Fax: 503.598.19�0���>! 's'� l iLl Other Permit No.:
Inspection Line: 503.639.4175 3 : l 0 1 I'-, ( Date/By:
TIGARD p '` ��� � �� Date Read B
y Juris I See Page 2 for
Internet: www.tigard-or.gov
Notified/Method: l Supplemental Information
w TYPE 91F, WORh-, 'FEE* SCHEDULE
®New construction
❑Demolition � � For special information use checklist
o V) da.,V Descristion et . Ea. Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CAT1GO*.OE cONSTItijebON y;', SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-familySFR(3)bath 1 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
. r 1 Fire sprinkler sq.ft.) Page 2
JOB,;SITE IIVFT2I Sl�TA A
TION ND I,O A "IO1 T r Site utilities:
Job site address: 15573 SW Vanderwood Ave Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: I Project name:River Terrace Crossing Footing drain(no.linear ft.: ) Page 2
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
Subdivision:River Terrace Crossing I Lot no.: Water service(no.linear ft.:_) Page 2
11 Fixture or item:
Tax map/parcel no.: 2S 108DC 14700 Backflow preventer 1 31.27
D)+S I IP..TIGIIT OF WORK .ti' Backwater valve 12.51
New SFR Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
( PROPERTY OWNER , .1 ❑ TENT., Expansion tank 12.51
Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02
Address:11815 NE 99th Street,Suite 1200 Floor drain/floor sink/hub 25.02
City/State/ZIP:Vancouver,WA 98682 Garbage disposal 25.02
Hose bib 25.02
Phone:(360)213-0809 Fax ( )
Ice maker 12.51
1p"t*ANT� .'.,. ..1„ ( COisriA T,PERSON Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2
Contact name:Permit Coordinator-Kellie Franklin Primer 12.51
Address: 11815 NE 996 Street,Suite 1200 Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98682
Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 12.51
E-mail:permits@buildplh.com Urinal 25.02
- CONTRACTOR , !, , Water closet 25.02
Business name:Malmedal Enterprises Inc Water heater 37.52
Water piping/DWV 56.29 Address:PO Box 207
Other: 25.02
City/State/ZIP:Banks,OR 97105
Subtotal
Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: 102535 Plumbing Lic.no.: 34-1-21(041Q Plan review (25%of permit fee)
Authorized signature: �� p4e�'t�� 7/(/2b State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Kellie Franklin I Date: 10/30/2023 I 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.
1:\Bui]ding\Permits\PLMU-PermitApp.dce 10/01/09 440-4616T(10/02/COM/wEB)
III q
° wilding Division
t": ' ' One'& Two-Family Dwelling
TIGARD
Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION i J'Y Zo23
Permit#: Plan #: " Floors: I
M�'r7A23-�551 a � 2-
Valuation: Covered Porch: -°, Basement
44-75,10.-79
Bedrooms: Deck: 1 p co 1"Floor , -oU
WC (toilets) 3 Deck Cover: NI D 2nd Floor k'52�
Lavatories 5 Patio Cover — 3rd Floor
Tub/shower 3 Accessory Struct. ----- R-3 Total 25' *-7
Laundry Tray Water Heater 1 / Gas Garage
Exhaust Vents 5 Gas Flue Vents 1 Total for Elec. 3 I 6--7
Backflow Prev. N „ Q CPA /(
/ Heat Pump C) # for Electrical S
BBQ -. Gas Fireplace Nil,1.--1 #Fuel Lines
FEES: Description: Fee App : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 2 I
Info Proc/Arch: Sm$.50 (up to 11x17) 49
Metro CET: Residential Use Le--
School CET: District: lcs-S-r0-
Tigard CET: Admin
IV
Tigard CET: ODHCS f'
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
1.
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
111 " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /1.0- 42-9 `dcS3
Site Address: S ? 3 S W v&W./ .4)(5t7k Av-e_—
Verified in Accela
Project Name: A �'''� TUVZaCe CJ-etvSSAh Lo Unit #: t
Proposal: / ��W D<1'e� $ F Zone: R.P. S.L
Housing Type: ®SFR(i�J Single Detached ❑ Duplex❑Triplex 0 ADU) 0 Rowhouse ❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
f(/3 copies of site plan on max 11x17"
Ur/prawn to standard scale •
North arrow Street and site trees shown / labeled
El/Site address, project name, lot # •
C 'Street names (NIA fur SFR) -
C "Applicant name and phone #
17/Lot and setback dimensions
l±/ tility locations & easements
IP/ ootprint of new structure and FFE l 'Clearly visible topo lines and property corner elevations
Pr Sidewalk/driveway dimensioned
lVLot area and lot coverage percentage C 'Erosion control - Cr ' "ii togJ►ol pta, Pro 4DA jets ak(l
• - ,uired Elevation Plan Elements:
(For S • . -- cs needed only on street-facing) Summary table with calcula '••- •r:
❑ Drawn to s -••-rd scale ❑ Total façade a --
❑ Building height dim- -'oned 0 Total sow and door area
❑ Façade dimensioned
❑ Windows and doors dimensioned
❑ Garage doors dimensioned
Required Floor Plan - "ents:
(Not required fo -- •) 0 Summary =*le that includes
❑ Ea • ory dimensioned ❑ Total floor area
ach story floor area calculated ❑ Floor area per story
Planning Review
The followin,standarrds have been,met:tA
Setbacks f0 Front: g' hrc Rear: WI Side: ` Min/Max Street Side: / Garage: a-d
Height Height: g Proposed Height: Via' 7 ��F�
iMax.
Yes II N/A Landscape � 'y e w�4 S `^ (�s p 3-3 t
❑ Yes �i N/A Screening (Quad only) '' ,Jng1 i4v*i °` „ok• r.
❑ Yes • N/A % Window Coverage of PDR-r ,,b. p0016 -
❑ Yes ■ N/A Garage (SFR Only) Parking (Other Res)
❑ Yes ■. N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes • N/A Other building design standards (Rowhouse only)
❑ Yes ■ N/A Accessory Structure Standards
❑ Yes ■ No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additi•nal standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ■i N/A Unit Count:
❑ Yes I N/A Lot Width and Size
❑ Yes ii N/A Pathway
Additi•nal standards for Courtyard Units and Cottage Clusters only:
❑ Yes I N/A Unit Area:
❑ Yes i+ N/A Floor Area (per story)
❑ Yes ii N/A Courtyard
❑ Yes I N/A Fence
❑ Yes 0 No l6N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No SN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes 0 No, stop intake
IQ Sensitive Lands: 0 Yes akNo
.Main Land Use Case #s: PIA.2011) -000L` , rPF0-04- 0O66S li "Conditions met
yl Applicant notified of land u e e 'rat' date: rtTw+ti 3 T/-3-'2/ z4 , Fa l 3()"1/1.-6
Approved By Planning: Date: it)/ab/. --
Notes
to tAws Revision 1: %pproved 0 Not Approved Date: 1l r 2(23
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: lira
Site Plans #:
Building Plans #:
Building Permit #: s 'Iding perVt # entered onpage 1
Workflow Routing: c •lanning B'Engineering z'Permit Coordinator 12'Building
Workflow Sign-off: n-off for Planning (include notes from planning review)
Route Documents: 1:1$.ergineering: (1) copy of permit application, (1) site plan, (1) building plan
and on inal plan review routing form.
ding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: ireV?4
•
Notes
Engineering Review
❑ PF� Permit:
lope at building pad: 2d4 oh
1Conditions met prior to issuance of permit
L*Easements (encroachments) per engineering conditions of approval and plat
C'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Di-IQo
Assess Water Quantity Fee in-lieu: 0 Yes ttkNo
LIDA Facility on lot: 0 Yes Ig'No Add Fee: 0 Yes 0 No
VFinal Plat Recorded _
I81;1OT Approved:
`. Date: /&/4��2..3
Notes: '' _
Approved By Engineering: Date: /V/23
Revision 1: 0 Approved 0 of Approved Date: G
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
,onditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
7ENG Revisions Required: se Date notified applicant: 11 • I ' Z3
V,N SDC Exemption: 0 Applied for 0 Received Oboes not apply
DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A 4 Deferred
Parks SDC: 0 Yes 0 N/A Deferred
LIDA n Yes EIoN/A
/ �
p6K to Issue/Approved by Permit Coordinator: 01° Date: ` _ .. .-3
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved _ Date:
FOR OFFICE USE ONLY—SITE ADDRESS: tW13 SW \I apilawCrod -,/.e'
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Iii 1 Transmittal Letter
1 16 i1 a i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Boris Piatski DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Shanon Chervany NOV 2 2023
COMPANY: Pacific Lifestyle Homes CITY OF TIGARD
PHONE:
• 360-213-0809 BUILDING DIVIS ON lap
EMAIL: permits@buildplh.com
RE: Multiple Lots See under projects-Lots 186, , 11
• (Site Address) (Permit Number)
MST2023-00550, ST 2023-00551 M512023-00476
(Project name or sub of number)
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s) of plans. 3 Revisions: Darker TOPO Lines
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): Clkts is ite.tillt o iE ...Fs
REMARKS: Darker topo lines have been added to the site plans. The orginial email mentioned permits
MST2023-00550, MST 2023-00551, MST2023-00532... however MST2023-00532 is not our permit. The only other
permit we have wit yoiu i MST2023-00476 Lot 137 . So I had the topo lines darked on that one too.
'` S e` srC is s ., xsrr a ,mz'i -.-a t """ urom
Routed to Permit Technics : Date: ( R3 Z� Initials: ^'r
Fees Due: • Yes [ No Fee Description: Amount Due:
x
'a c�"�4 4.� "sue �3� �^' i3'� P0 ) ---) e-
'",';!, $
Special
Instructions:
Reprint Permit(per P ): ElYes If No ❑ Done
Applicant Notified: Date: 1l`M\IA1A Initials: qF