Permit CITY OF TIGARD MASTER PERMIT
'N . . , COMMUNITY DEVELOPMENT Permit#: MST2023-00578
T"I t A I<I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2023
Parcel: 2S106DD04100
Jurisdiction: Tigard
Site address: 16578 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot: 41
Project: River Terrace Town Center, Lot 41
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 774 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1184 sf Garage: 448 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1958 sf Value: $361,316.10 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
Fum>=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 add9 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
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 1958
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
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $23,167.36
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. ATTEN regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nn1_nn1n fhrro i (1G 9-nnl-nn0n vro,maw nhtain a rnnv of tho rnloc nr rliro-t nnoctinnc Tr,CuI INf:hw Tallinn FM 939 143R7 nr 1Ann TV,9Rd1
•
Issued By: Permittee Signature: SQD rivo tN11kkk,01A
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.
a
t
Building Permit Applicatio ,,
Residential .*.'LI` V E 1
Foil oFF1t y I SE()Nil
City of Tigard IAOV 2 2023 Received n�j
Date/By:II 111
ill PermitNo.: M1�//J'�51g
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review w1/ IA
Phone: 503.718.2439 Fax: 503.598.196(1, _I Date/By: " l le/ 3 i Other Permit:S1A'QlAQ,'`./S/,, Q
Inspection Line: 503.639.4175 �-`I �`, TIGARD 1 .See W vs Ul JO
I I( 1 t l) Date Ready/By Juris: I (d Page 4 for
Internet www.tigard-or.gov BUIL Dli a DIVISION Notified/Method 1112a 23 F t i^ Supplemental Information
msmmgsomemgnassDoqc
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
re
Y � �,' '�° ..! . i work indicated on this application.irrirrarier
❑■ 1-and 2-family dwellingin
Valuation: $ 3(„' +St(f
0 Commercial/industrial U!
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: '3
'a;�.,t ' ^re t ,+ IT r§ a .. k- l 8 3` � 5 v r' :� :' ' '`T..`a `µ:.
{ Total number of floors: 2 d
Job site address:16578 SW JEAN LOUISE RD New dwelling area: 1 958 square feet l i $(./
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: a square feet "7 7 i.
Suite/bldg./apt.no.: I Project name:River Terrace Town Center Covered porch area: 115 square feet
Cross street/directions to job site: Deck area: square feet
SW RIVFR TERRACF BLVD Other structure area: square feet
.lifi1 ll li . V { <., t w i
+...Subdivision:River Terrace I Lot no.:41 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.:parC@I no: 2S1060003300
equipment,materials,labor,overhead,and the profit for the
. � ; .. �3 IC 4 i r '. . ri work indicated on this application.
Requesting Deferred SDC fees valuation: $
Existing building area: square feet
e� , New building area: square feet
... z.. ... . .„. ...... rf.': .. : A, 4. Number of stones:
NgrName: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:Nre
"*N r fi, t ' < ;- e . . i `{ ft �� w `z
m � �p. ✓ ,z, ,. '�
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
Address:15455 NW Greenbrier Parkway Suite 240 FLS plan review fee(if applicable):
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax::( ) Amount received:
E-mail: fand ova l@nwhm•com
, �+ F r. Commercial and residential prescriptive installation of f
:K:;.:. �... ...r s :. s.,.l::., t. .., i� .::�..,.,.;?.>< ....,..:.. ,..3 u,r .; rF ' f .:
,,.�� „`�.�:,.:��,,�,,�,. 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
and administrative fees): $180.00
Phone:(503 )310-7571 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:241108
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval eiZ Date: J ( I2. l 2ULI *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPernitApp.doc 01/25/2023 440-4613T(1 1/02/COM/WEB)
Mechanical PermitL Applicatiou FOr2()FlitF: ESE Oyl.N
Cityof Tigard I"'t V Received ttt
Date/By: Permit No.: tk{ (1, ., C'1`
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J 1 V J 1
Phone: 503.718.2439 Fax: 503.598.1960 NOV 2023 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 3uds:
Internet www.tigard-or.gov
y y See Page 2 for
CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
YPE OP Rt % CO ERCIAi �*SCI EI* -�ITS :tC`H +C`K LST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF Ct31*1S"TRI314 ION Value:$
. EN'TL4L QVIPMENT/S% rE14 FEE
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
,1OD SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address:16578 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:River Terrace Town Center Lot no.:41 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
DESCRIPTION OP. ¢ Gas fireplace/insert 1 33.39
I
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
er: 23.32
.0 t PRO ER OWNER :... .:.'4 CI T' IAI II : ., Oth 1
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)310-7571 Fax:( ) Attic/crawlspace fans 23.32
4.0.APP1,461*+r1' ' . 0.C PI At*,:. .. 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:fandoval@nwhm.com Barbecue
. A '
u Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other
Address:4200 NW Leisy rd is
Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
(971 YL05 4989 ( ) Plan review(25%of permit fee)
Phone: Fax: State surcharge(12%of permit fee)
CCB lic.: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 13_doc 440-461 U(I)/02/COM/WEB)
RECEIVED EIVE
Electrical Perm
it Application FOR OFFICE,I SE ONLY
City of Tigard NOV 2 2023 Received MA �� �����
1,1 Date/By. Permit#:
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2Phone. 503.718.2439 Fax: 503.598o711ifY OF TIGARD Date/By: Related Permit#:
TiGAR.p Inspection Line. 503.639.4175 BUILDING DiVISION Ready Date/By: Inds: faSee Page 2 for
Internet: vvww.tigard-Or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
►/ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings
❑Multi-family 0 Master builder
Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 16578 SW Jean Louise Rd ❑Addition of new motor load of system.
100HP or more. ❑"`A",`E","1-2","l-3",
City/State/ZIP: Sherwood/ O R/ 97140 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE
Description 1 Total
SW River Terrace Blvd i Qty. i dwelling unit.
Subdivision: River Terrace Town Center Lot#:41 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq,ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'I 500 sq,ft,or portion 33.92 1
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
0-4 PROPERTYOWNER 0`TENANT Services
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 2ol amps to400amps 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
al APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
THNC OREGON LLC A.abo esbri c orfeeie fie,
Business name: 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 Parkway#240 service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Beaverton OR 97006 Each add'!branch circuit 742 2
Phone:(5O3)31 Q 7571 Fax:t( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: Fsandoval@newhomeco.com dwelling,tonlyeandtorfeeder
67,84 2
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 circuit(s)or limited-energy
panel,alteration,or extension. 0 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(1 lir min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr 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) 90.00/hr
Su rv.Electrician si ELECTRICAL.PERMIT FEES
P gnature,required: ��-,,",`z,,'°„°"°" Subtotal:
Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 44 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Malachi J. Wolcott Date:1 0/1 2/2023 days after it has been accepted as complete.
s Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB
,
Plumbing Permit ApplicatiECEIVE
Building Fixtures
City of Tigard Received
Permit rmit No.: to [7f�
4 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 2�23 Plan ReviewMS1'1�ts V Q\ bb�1
a Phone: 503.718.2439 Fax 503.598.1960
Date/By: Other Permit No.
1 1 G A RI) Inspection Line: 503.639 4175 CITY OF TIGARD Date Ready/By: tuns ® See Page 2 for
Internet. wwwtigard-orgov BUILDING DIVISION Notified/Method:
Supplemental Information
TYPE-OIt WORK . FEE*SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. J Ea. ( Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 II for each utility connection)
'CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78
CIAccessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.if) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16578 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 ft.' ) Page 2
Water service(no.linear ft:_) Page 2
Subdivision: River Terrace Town Center I Lot no.: 41 Fixture or item:
Tax map/parcel no.: 2s1060003300 Backflow preventer 31.27
DESCRR 'TION OF o Backwater valve 12.51
New Home Construction Ctotheswasher 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
ki PROP TY OWNER.. I 0 TENANT 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
Garbage disposal 25.02
City/State/ZiP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
al APPIJCA.NT' 'CONTACT.PERSON interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/State/ZIP: Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503)310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
cONTRAcFOR
Water closet 25.02
Water heater 37.52
Business name:Wolcott Plumbing Water piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale OR. 97060 Subtotal
Phone:( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing 26824 PB Plan review (25%of permit fee)
112220 I lumbin Lie.no.:
�0 State surcharge of permit fee)
Authorized signature: \\\ ��.._. TOTALTAL PERMIT FEE
Print name:Mark Baleme Date:10/12/2023 This permit application expires if 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.\Building'Permits1PLMU-PermitApp.doc 10/01/09 440-4616T(I0/021COM/WEB)
Building Division
g Rio . v
One & Two-Family Dwelling
TIcARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 'Si 1 7 7023
Permit#: 5-fruli3 r > 7cf3 Plan #: 2 G, p(zFloors: 2
Valuation: Covered Porch: i 1 S ,Basement
,3 S34,116.10 l
Bedrooms: LI Deck: 1st Floor _-7
Lf
WC (toilets) 3 Deck Cover: _ , 2nd Floor l l `(
Lavatories 5 Patio Cover .._--_.. 311d Floor
Tub/shower .2. Accessory Struct. .� R-3 Total S—t8
Laundry Tray - Water Heater \ / Gas lec Garage t 1 U
Exhaust Vents SS Gas Flue Vents Total for Elec. Z�IU Ib�
Backflow Prey. - Furnace Heat Pump ,�AC) # for Electrical -1
3
BBQ ----- Gas Fireplace NI,C. #Fuel Lines
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) a LP
Info Proc/Arch: Sm $.50 (up to 11x17) L 1,
Metro CET: Residential Use
T
School CET: District: ',`z ✓
Tigard CET: Admin �l
Tigard CET: ODHCS
Tigard CET: AH /
Electrical Permit: Permit Fee: ✓
Limited Energy: +/
12% State Surcharge
Mech. Permit: Permit Fee:
47
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 „
B.
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MS11io1,3'0051g
Site Address: 16578 SW Jean Louise Road gi'Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 41
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: iZi SFR( 'Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑CYU OQuad❑Other
Required Site Plan Elements:
V 3 copies of site plan on max 11x17"
V Drawn to standard scale 0 Retail red bees, di iN hne/ti ee pi uteclion
VI North arrow V Street and site trees shown / labeled
V Site address, project name, lot # 0-T —eek-ulat g trcc-eenopy
'Street names (N/A for SFR) at maturity
Applicant name and phone # plicable)
'Lot and setback dimensions gyisi__ -e triinl'e
❑ Exisliny Aiuc VUtility locations &easements
ix Footprint of new structure and FFE V Property corner elevations
'(Sidewalk/driveway dimensioned VLIDA (>1,000 sf disturbance)
'Lot area and lot coverage percentage V Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
V Drawn to standard scale V'Total façade area
VI Building height dimensioned VTotal window and door area
V Façade dimensioned
'Windows and doors dimensioned
VI Garage doors dimensioned
Requir an Elements:
(Not required for SFR El Summary table that includes
0 Each story dimensioned otal floor area
❑ Each story floor area calculated ❑ Floor ar
Planning Review
The following standards have been met:
8'porch
Setbacks ❑ Front:12'building Rear: 3'alley Side: 3' Min/Max Street Side: 7' / Garage: 20'
Height Max. Height: 35' Proposed Height: 25'-11 1/2"
El Yes X N/A Landscape
❑ Yes it N/A Screening (Quad only)
VI Yes El N/A % Window Coverage
6 'Yes 0 N/A Garage (SFR Only) Parking (Other Res)
V Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
El Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
O Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
O Yes N/A Fence
❑ Yes ❑ No 'N/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 0 No
Applied For: ❑ Yes 0 No, stop intake
❑ Sensitive Lands: fZ1 Yes ❑ No
Main Land Use Case #s: PDR2021-00004 0 Conditions met
❑Applicant notified of land use expiratio e: Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: Date: 10/30/2023
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: To ti 110.3
Site Plans #:
Building Plans #:
Building Permit #: ®'Building permit # entered on page 1
Workflow Routing: P'Planning 2'Engineering C'Permit Coordinator QBuilding
Workflow Sign-off: 'Sign-off for Planning (include notes from planning review)
Route Documents: 2/Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
'Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: .MVn1l/ P 1/ Date: %141/f1,462,3
Notes:
Engineering Review
❑ PFI Permit:
Slope at building pad:
y/fj. -Conditions met prior to issuance of permit
f9'Easements (encroachments) per engineering conditions of approval and plat
6-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes -No
Assess Water Quantity Fee in-lieu: ❑ Yes ®-No
LIDA Facility on lot: ❑ Yes f(No Add Fee: ❑ Yes 0 No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: / �/Z.3
Revision 1: 0 Approved ❑ of Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
emit Coordinator Review
onditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
ENG Revisions Required: Date notified applicant:
SDC Exemption: 0 Applied for 0 Received el3oes not apply
$DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
// Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA ❑ Yes '- ❑,PtyA '
-cittSK to Issue/Approved by Permit Coordinator: Date: \
Revision 1: ❑ Approved ❑ Not Approved Date: -�
Revision 2: 0 Approved 0 Not Approved Date: