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Permit (3)
CITY OF TIGARD MASTER PERMIT " : COMMUNITY DEVELOPMENT Permit#: MST2023-00339 Date Issued: 09/06/2023 IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05400 Jurisdiction: Tigard Site address: 14646 SW 165TH AVE Subdivision: SOUTH RIVER TERRACE Lot: J Project: South River Terrace, Tract J, Building 20, Unit 2 Project Description: New attached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 64 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 947 sf Garage: 481 sf Front: 12 Smoke Dwelling Units: 1 Third: 1007 sf Right: 0 Detectors: Yes Total: 2018 sf Value: $371,557.74 Rear: 15 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: 100 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: 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: 3 201-400 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 SFA VB R-3 2018 Owner: Contractor: TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,366.40 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 forth in OAR QS9-nn1-fVNf thrn,inh(lAR QS9-nn1-nnQn Y, ,may nhfain a rnntl of tha nJac nr riirart ni iactinne to(lu IM(:by rauinn Sn3 919 1QR7 nnrr Rein 119 914.4 • Issued By: '' y' "'�'�— Permittee Signature: G c.. —,ti,e•�., ieU103.639.4175 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 Residential �., s �,i . FOR OFFICE I SE()NIA City of Tigard Received pcN r,� � 061 ,� g ►9 s± 2 t�3 Date/By: ',/ Permit No.: 1't tl , 13125 SW Hall Blvd,Tigard,OR 97223 p L � Plan Review �p, �gz _l 1p � 1 Phone' 503.718.2439 Fax: 503.598.1960 , Date/By: V l v �' Other Permit:��� '{ �1� T I G n R D Inspection Line: 503.639.4175 r c'' i Date Ready/By: Tuns: H See Page 2 F6r�IAA Internet: www.tigard-or.gov r'?', Notified/Method:te i;f/� ,_ 1 1 I Supplemental Information LL5 L 1111 1 ,;✓ff J"f ✓J' 'frF ff l;, l h3',f✓f`J ltv rw °7✓"f Y(It'r� y ,j'• `Y.r;"i f✓�•:``,�`r ✓,✓�:f„r jf rr f ,:� '"o �` ',�'`:,,„•,:�,,��i. „40,, ;� ti11l' a<,o r, „ ' ,cs.,.f„� ,f.�.✓r,.y .,,?�:.,,��✓„/.�t,' ,,r,f'...✓„„ .,f ��`,..' ✓✓ F... F sw,,✓!r, s '�`✓��;�.�F, �,`r':<r✓,f� �r� ��9�1 a, •;�'` � -�i.-` 1S 1 a ,..,, f>,Esz�`�,'� *� Itx ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the rf`f,r - ;.. ' ♦� ✓t� ,. !' 4', `rx %r ! "--0 work indicated on this application. i �, ✓ �� 1 . ,�.,,lss A� �.Aw� �,, . ✓.f Valuation: $ '31 (, 557 ® 1-and 2-family dwelling ❑Commercial/industrial , ❑Accessory building El Multi-family Number of bedrooms: 4 0 Master builder ❑Other: Number of bathrooms: ,,,,,,,, ✓✓✓ ; ' # ,, ,° v.-I I t w W a�; o r :;� ,"P /✓Z z. . Total number of floors:2 Afea Job site address: 14646 SW 165th Ave New dwelling area: 2,018 square feet /oo 7 City/State/ZIP: Tigard,Oregon 97120 Garage/carport area: 477 square feet 1 it 7 Suite/bldg./apt.no.: BLDG 20 I Project name:South River Terrace Covered porch area: square feet f,4 Cross street/directions to job site: Deck area: 55 square feet Other structure area: square feet r£'Y 4, r ,,..; fi .,. Subdivision: South River Terrace I Lot no.: TRACT J Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the F j giR s f, V N,;:f; 4% #7s W " '; io a % ✓F✓ i V"V ' work indicated on this application. New Construction/Type: Triplex Tuckunder-481505AR (UNIT 2) valuation: $ Deferrals:Park SDC&TSDC until occupancy. Existing building area: square feet New building area: square feet �%✓, .;.,;f a;,?tr ✓ ✓ .✓0 l'. •„�`✓`,' .. ✓,,. ✓ r,, 1,� ✓ fr {JA,� Number of stories: Name:Taylor Morrison Northwest LLC Type of construction: Address:703 Broadway St., Ste 710 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:(360) 695-7700 Fax:( 360)693-4442 New: o .,i �� ✓,:✓ . ,oe ices � .✓ ;tl1�b7I. R ✓ '.a u✓ ,! ✓ii„,. ✓ f, . ,,,., ✓,,x- ., , . r% .,,, t ,,„. ,f„,, .,,,„, , ✓,f,,,,a e Business name:Taylor Morrison Northwest LLC Structural plan review fee(or deposit): Contact name:Christine Erickson FLS plan review fee(if applicable): Address:703 Broadway St., Ste 710 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:(360)695-7700 I Fax: (360)693-4442 r✓ r,,$✓ F ✓;irf, r✓✓✓ :. ✓ $ $$, s ,,•no*> I`.> tom,,s 1 #.1 ✓ 0 E-mail: PermitSubmittals@taylormorrison.com ,,,,� ,�,: ,,,;�,,a ,s✓r,,; ,✓ ,, u y F f f � ;ti rf✓ Commercial and residential prescriptive installation of ✓✓ ✓`' �, r✓„ u, { %d i„✓'fir roof-top mounted Photovoltaic Solar Panel System. Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., STE 710 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360 )695-7700 Fax:( 360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 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: 2/24/2023 *Fee methodology set by Tri-County Building Industry Print name:Christine Erickson Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/201 1 440-4613T(I 1/02/COM/WEB) Electrical Permit Application ''1"---'-,-; ' ______________________________________________'i -'' • City of Tigard 's'l 2 1' „ A�3 ete/BeBy: Permit#:MS j \/ • (Di :14 4 13125 SW Hall Blvd.,Tigard,OR 97223 B ��� Plan Review Phone:503.718.2439 Fax:503.598.1960r - 7) Date/By: Related Permit#: Inspection Line:503.639.4175 1 1 t;_\It.L� B+ 1 a v,, Notitified/Method:y Date/By. hms 7 See Page 2 for Internet:www.tigard-or.govi Supplemental Information frr'n,' �,,"ire'$4104 .A.A fr` K:I:.' ' • ti 'M ;%F/rr r/<;I ✓'r.a.�i.�;' ,'r ,. = '. i A *f�v r";,,`,y//' ' � ,.,. r .� f,,, !nrr«r.,�'.s` 4 rr;r,.r;,!r./�':�,.,x+r`s�<z'. �� b�,,,,�,'1r rr'rf �,;ll�/�'�f,, jf � .f„ r:;:,;r,�,rrF�``.` %fr f;f ?fr`,,r rr/k� �'�f!: r%' ,r > i%` `ff✓�"f t r .F,.r yr a '-f,' ,44.,/ XNew construction o Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): Service or feeder 400 amps or more ❑ Building over three stories. o Demolition o Other: where the available fault current ❑ Marinas and boatyards. 'r r..rx. r.r ;�� � , :." :, : , f o- ' 7 r ' �f zz` /'�f %ice f ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ,. ,.F,;.rs� ,•. v„ /., ,,�,,, ,r.r,,,r:.��r.�„'�`�;r,��.,•. ,�i"€�; P g g ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑ Accessory building ❑ less to ground,or exceeds 14,000 ❑ Commercial-use agricultural X Multi-family 0amps for all other installations. buildings. yMaster builder Other: ❑ Fire pump. ❑ Installation of 150 KVA or fr r e ✓rr'`¢ r>F frfr'1" �1 I� r�.,: ,,�." ",/f �.f r�r. ,.� ., . f 1- : 'E I ,: .e-"`- #a z Z noi":a larger separately derived ix f �� ❑ Emergency system. ❑ Addition of new motor load of system. Job#: 1 Job site address: 14646 SW 165th Ave l00HPormore. ❑ "A","E","l-2",``t-3", City/State/ZIP:Tigard,Oregon 97140 ❑ Six or more residential units. occupancy. ❑ Health-care facilities. ❑ Recreational vehicle parks. Suite/bldg./apt.#: Project name:South River Terrace E Hazardous locations. ❑ Supply voltage for more than ❑ Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: r fi ,' �. , 71 f '': � w :,., r.�r`r l� .rJr».1 ems:` Description I I Qty. Each Total 1 New residential single-or multi-family dwelling unit. Subdivision:South River Terrace Lot#:20-2 - Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 rr ❑,, r Ea.add'l 500 sq.ft.or portion 33.92 1 r` f"'S 'O%rr'N!!`I `,' %'' .. 'r r ',`r%"f,fr''.-,'?r�'r,!r1fa,�`?�'rffr`FFf i,�,,,r,.��F'.;,.� ����r�����❑r`ru��,F»r r ., .F�>�'�, r�,.,. ,;,�< �,�f� ..f# r�,���"`ir`��,rfs�„��,, Limited energy,residential (with above 75.00 2 New home construct' UNIT 1 sq.ft.) Limited energy,multi-family �,, residential(with above sq.ft.) 75.00 2 I) i�r,ff r rf .:: 11 4 ti iI AfrLfr /V ei gd / f`i f, .4, o i Renewable Energy I�I I See Paget a Services or feeders installation,alteration,and/or relocation Name:Taylor Morrison Northwest LLC 200 amps or less 1 100.70 2 Address:910 Broadway St,STE 710 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695 7790 Fax ( ) Over 1,000 amps or volts 552.26 2 — Temporary services or feeders installation,alteration,and/or Email:PermitSubmittals@taylormorrison.corn 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 rrr. "f ? ,t I r,U W S f r r r • r'f � „< r' r,'y, l 1) r r Branch circuits—new,alteration,or extension,per panel „" "'�" �'`` '" " '" ,,.,`'""r�. A A.Fee for branch circuits with Business name:Taylor Morrison Northwest LLC above service or feeder fee, 7 42 2 each branch circuit Contact name:Omar Alami Abouhafs B.Fee for branch circuits Address:710 Broadway St,STE 710 without service or feeder fee, 56.18 2 first branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7,472 Phone:(360 6)9 5 7700 Fax:: Miscellaneous(service or feeder not included) I Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:PermitSubmittalsntaylormornson.com Reconnect only 67.84 2 i '."y Pump or irrigation circle 67.84 2 Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy o See Pa e 22 Address:2804 NE 65th Ave, Sutie D panel,alteration,or extension. g City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(971 )222-5758 Fax ( ) Investigation(I hr min) 90.00/hr Email:Peter(p7SunlightElectriclnc.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.:172549 Electrical Lie:C230 Suprv.Lie.:6652S specifically listed(1/2 hr min) 90.00/hr A -4 ' V ` . VA t `r' r t y fr'@F 'r. raMr ! t ' x f r " ,Suprv.Electrician signature,require Subtotal:Print name:Ye or Shevchenko 7../ g Date: 7/17/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: t a.�/ TOTAL PERMIT FEE: 111'''��///�,�``"'' p This permit application expires if a permit is not obtained within 180 Print name:Peter Kozarez Date: 7/17/23 days after it has been accepted as complete. *Number of inspections allowed per permit. I:\Building\Permits1ELC_PermitApp_ELRERE.doe Rev 06/17/2015 4404615T(Il/05/COM/WEB MechanicalPermit Applicar» <; 1.OR. # 90 City of Tigard tw. m g Date/By B� Permit No.:r(Ip/(/l t %.O e rs(A q 13125 SW Hall Blvd.,Tigard,OR 9722 �?1 Plan Review 11VV bb\\11�/ww UU uu rl i = . Phone:503.718.2439 Fax:503.598.1964 v' -14 2 �°�2 Date/By: Other Permit: i try 1,I7 Inspection Line:503.639.4175 DateReady/By: kris: 0 See Page 2 for Internet:www.tigard-or.gov r,, `, ) Notified/Method- Supplemental Information E_ . . .,.w>. ,� TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST Mechanical permit fees*are based on the value of the work ° New construction ° Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all o Demolition o Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ° 1-and 2-family dwelling ° Commercial/industrial ° Accessory building For special information use checklist. x Multi-family o Master builder o Other: I Description I I Qy, I I Fa I I Total JOB SITE INFORMATION AND LOCATION I Heating/cooling: I Air conditioning 1 46.75 46.75 Job site address: 14646 SW 165th Ave Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 I City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU Project name: South River Terrace Heat pump 1 61.06 61•d6 Dud work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:South River Terrace I Other. 23.32 Lot no.:20-2 Other fuel appliances: Tax map/parcel no.: Water heater DESCRIPTION OF WORK Gas fireplace/insert — Flue vent for water heater or gas New construction-UNIT 1 fireplace 23.32 g lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert Chimney/liner/flue/vent 121 PROPERTY OWNER TENANT Other. 23.32 Environmental exhaust and ventilation: Name: Taylor Morrison Northwest LLC. Range hood/other kitchen 33.39 equipment 1 3339 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 1 3339 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 23.32 toilet compartments,utility rooms) 1 2332 Phone:(360)695-7700 Fax: ( ) Attic/crawlspace fans 1 23.32 23.32 Z APPLICANT ❑ CONTACT PERSON Other: l 23.32 Fuel iin : Business name:Taylor Morrison Northwest LLC. 514.15 for first four:54.03 for each additional Contact name Omar Alami Abouhafs Furnace,etc. 1 Address:703 Broadway St.,Ste 510 Gas heat pump 1 ❑ Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater 1 Pilo e:(360)695-7700 Fax::(360)693-4442 Fireplace 1 Range 1 E-mail: taylormorrison.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other: MECHANICAL PERMIT FEFS* Address:NW Aiociek Dr,Ste. 1104 Subtotal $267.98 City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 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 Zliet days after it has been accepted as complete. Authorized signature: *Fee methodology set by Tri-County Building Industry Service Board Print name:Ella Duran Date: 7/17/202 Plumbing Permit Applicatio0 Building Fixtures I ��� FOR OFFICE USE ONLY City of Tigard t '� Received nA� .�Osisr' Date/ByPerini(No.: t�1 ll� 13125 SW Hall Blvd.,Tigard,OR 972 , - r; tr Phone:503.718.2439 Fax:503.591 96b ' Plan Review Other Permit No: Date/B Inspection Line:503.639.4175 `' ,. . .. ;A y Internet:www.tigard-or.gov N yBY his; ES See Page 2 for Notified/Method Supplemental Information TYPE OF WORK FEE*SCHEDULE Z New construction Demolition For special information use checklist. - Description I ( y. I Fa I Total Addition/alteration/replacement o Other. New 1-2-family tivvelt gs(includes 100 ft.for each utility connection) 0 CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 U1- and 2-family dwelling °° Commercial/industrial SFR(2)bath 437.78 X Accessory building 1E-Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ° Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14646 SW 165th Ave Catch basin or area drain l&76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 rooting cram(no.meal a.. - ) I 4t Suite/bldg./apt.no.: Project name:South River Terrace _ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_ tE storm sewer(no.linear IT.: 1 Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: South River Terrace Lot no:20-2 Fixture or item: Tax map/parcel no.: Backtlow preventer 3127 DESCRIPTION OF WORK Backwater valve 12.51 New construction-UNIT 1 Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El PROPERTY OWNER TENANT Expansion tank 12.51 Name:Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 2 25.02 50.04 Phone:(360)695-7700 Fax: ( ) ice maker 12.51 El APPLICANT ° CONTACT PERSON Interceptor/grease trap 25.02 Business name:Taylor Morrison Northwest LLC. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Omar Alami Abouhafs Roof drain(commercial) 1251 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR ❑ Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal 600.40 Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee:S72.50 CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review(25%of permit fee) �, State surcharge(12%of permit fee) Authorized signature: ZIA,Pi`fr^".."` TOTAL PERMIT FEE Print name:Steve Fowler D This permit application expires it a permit Is not obtained within I80 days 7/17/23 alter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board :ra,a.r..-11:6 .:,1.0 n AT I n,...4A....4..,111mIa MMIATI:111NMNA4 X61 , _ Building Division V ✓k One & Two-Family Dwelling TICARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION y . = L Permit#: yyv5 17i(.)2, r'DC7 -5.79 Plan #: Li,g t soy A, Floors: 3 Valuation: '311 q Covered Porch: ! �_�-- Basement —Bedrooms: 9 Deck: SS 1St Floor (IG(1 WC (toilets) 3 Deck Cover: ,._ dnd Floor 6 ) Lavatories 5 Patio Cover 3`d Floor 1 00 7 Tub/shower 3 Accessory Struct. --- R-3 Total 20/ Laundry Tray _ Water Heater ( / Gas dew Garage Li 0 ( Exhaust Vents 5— Gas Flue Vents -- Total for Elec. 2 Li 4 `q ca, l } Backflow Prev. dISIO Heat Pump AC # for Electrical 3 _ BBQ Gas Fireplace _.------- #Fuel Lines 2. FEES: Description: Fee Applies: Fee Entered: DC Prov Revw: Planning ✓ Info Proc/Arch: Lg$2.00 (over 11x17) Info Proc/Arch: Sm$.50 (up to 11x17) Metro CET: Residential Use School CET: District: ` � Tigard CET: Admin Tigard CET: ODHCS 1. Tigard CET: AH Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge / t Mech. Permit: Permit Fee: 12% State Surcharge ✓/ Plumbing Permit: Permit Fee: l / 12% State Surcharge Erosion Control: w/Permit-Ping I:\Building\Forms\ResPlanCheckpees_Dec2022_AA.doc 12/21/22 Page 1 City of Tigard 5111 " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: MS4/1.<•6 033q Site Address: 14646 SW 165th Ave [X Verified in Accela Project Name: South River Terrace - Innovate Building Lot/Unit #: Unit 2, Tract J Proposal: New SFR Triplex, Unit 2 , Bldg 20 Zone: RES-C Housing Type: 6a SFR(❑Single Detached ❑ Duplex IX Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad 0 Other Required Site Plan Elements: gl 3 copies of site plan on max 11x17" ® Drawn to standard scale -Re aiwsd traoc� drip o,:.t�oo p_.*pion ® North arrow Street and site trees shown / labeled • Site address, project name, lot # co canopy at matbwity 6d Street names (N/A for SFR) X Applicant name and phone # plicable) l Lot and setback dimensions ,I. ..e.,,c E Utility locations &easements X Footprint of new structure and FFE ® Property corner elevations I& Sidewalk/driveway dimensioned 0 LIDA (>1,000 cF clicturba^^a) IX Lot area and lot coverage percentage IX Erosion control Require 'on Plan Elements: (For SFR: calcs nee on street-facing) Summary table with calculations for: ® Drawn to standard scale RI Total façade area IX Building height dimensioned X Total window and door area MI Façade dimensioned X Windows and doors dimensioned X Garage doors dimensioned Require Elements: (Not required for SFR) ❑ Summary table that includes ❑ Each story dimensioned I floor area O Each story floor area calculated 0 Floor area Planning Review The following standards have been met: Setbacks jZr Front$'porch Rear: 15 Side: o'interior Min/Max Street Side: 8' / Garage: 3'-5'(Alley loaded) 12 building 9 Height ,gf Max. Height: 35 Proposed Height: 26' ❑ Yes x❑ N/A Landscape ❑ Yes E N/A Screening (Quad only) ® Yes 0 N/A % Window Coverage ❑ Yes M N/A Garage (SFR Only) Parking (Other Res) ® Yes 0 N/A Entrance (SFR, Rowhouse, Quad only) M Yes 0 N/A Other building design standards (Rowhouse only) ❑ Yes M N/A Accessory Structure Standards ❑ Yes ® No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: E1 Yes ❑ N/A Unit Count: 3 © Yes 0 N/A Lot Width and Size 1 Yes 0 N/A Pathway Additional standards for Courtyard Units and Cottage Clusters only: ❑ Yes ❑O N/A Unit Area: ❑ Yes ® N/A Floor Area (per story) ❑ Yes M N/A Courtyard O Yes ® N/A Fence ❑ Yes ❑ No 1N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No MN/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes 0 No Applied For: ❑ Yes ❑ No, stop intake ® Sensitive Lands: ❑ Yes ® No ❑ Main Land Use Case #s: PDR2018-00003/PDR2021-00 03 0 Conditions met ®Applicant notified of land use expiration d • Permits by 11 2/ 0 4,Final occupancy by 11/2/26 Approved By Planning: ate: 7/20/23 '7/ay(')-'3 Notes Alley loaded garages. Flexibility req sted for entrances o not face front in PDR2021-00003.Unit is not Revision 1: ❑ Approved ❑ Not Approved Date: street facing Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: �I1 Bill' Site Plans #: 3 rBuilding Plans #: 3 Building Permit #: `ZrBuilding permit # entered on page 1 Workflow Routing: l 'Planning B'Engineering hermit Coordinator •J� Building Workflow Sign-off: 'Sign-off for Planning (include notes from planning review) W Route Documents: 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. irl Permit Technician: Building: original permit application, site plans, building plans, engineer and nn ,beam calculations and trust details, if applicable, etc. J�✓ � ,' , p\ f\.(3/ Date: 1�l'zi- . Notes: 4 Engineering Review 1' PFI Permit: Slope at building pad: .2 Conditions met prior to issuance of permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: 0/0 Assess Water Quality Fee in-lieu: El f 'No : Assess Water Quantity Fee in lieu: 0 Yes gl'No LIDA Facility on lot: 0 Yes kYNo Add Fee: ❑ Yes ❑ No 4 Final Plat Recorded ❑ NOT Approved: Date: Notes: \ �� Approved By Engineering: , 'J Date: ��f` ,...1 Revision 1: 0 Approved 0 No Approved Date: Revision 2: 0 Approved 0 Not Approved Date: ..) Permit Coordinator Review 6 Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: vvv 0 ENG Revisions Required: Date notified applicant: 1 `1 DC Exemption: 0 Applied for 0 Received oes not apply !tSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/A L Tigard Trans SDC: E0 Yes 0 N/A Deferred p Parks SDC: 0 Yes ❑ N/A Deferred A LIDA 0 Yes J/A , ' --\_110K to Issue/Approved by Permit Coordinator: "�j\ ( a Date: - i Revision 1: ❑ Approved 0 Not Approved pp Date: Revision 2: ❑ Approved ❑ Not Approved Date: