HomeMy WebLinkAboutPermit (9) CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2023-00579
TIC;A IZ 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2023
Parcel: 2S106DD04200
Jurisdiction: Tigard
Site address: 16562 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot: 42
Project: River Terrace Town Center, Lot 42
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: 26.25 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1958 sf Value: $368,230.02 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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 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: $23,323.05
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. ATTENTIO Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9..nni n 11 n thrni inh • 9-nnl-nnon Vn,i m v nhtain a rnnw of tha n iloc nr rtirort ni i<etinne to fll intr.h,Tallinn ROZ 919 10R7 nr 1 Anil 117 93dd
Issued By: Permittee Signature: voicGI;riL(W1 .
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.
1
i ,
Building Permit Applicatimi3 EC E IVE
Residential rot(OFFIt u: l si:0\1.1
City of Tigard NOV 2 2023 Received '/i^ O
. g Date/By: 11' t 1/2 Permit No.: M S 1 o l� . 0051 51 9 13125 SW Hall Blvd.,Tigard,OR 97223 J
Plan Review
Phone: 503.718.2439 Fax 503.598.19 Date/By: Other Permit:e1�`{�n,,^ •NySt Q
Inspection Line: 503.639.4175 �°ITY OF TIGARD ' ' 7i� WI See ag 4 r
i I G:1 R I) p BUILDING DIVISION Date Ready/By: luris: See Page 4 r
Internet: www.tigard-or.gov Notified/Method:I1/Qp 23 AF -�- I Supplemental Information
z 1 fn..•v= 0.. l s �w; n, ", : :_z z ..„r k.. „ ` £ .' E ...n 7 :" u ki.
Q New construction ❑Demolition Permit fees are based on the value of the work performed.
Indicatethe
t e value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
work indicated on this application. 'O
,...,'.�.':: ... .``ismv�'.o.**k 14-.;... ? � '� ttv -�':,.,` y yam* `; , : pp I
■ et
❑ 1-and 2-famil dwellin Valuation: $ 0
y g ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms: 4
El builder 0 Other: Number of bathrooms: 3
'' E..: tmrmm * ,x w r dl� �`� `` Total number of floors: 2
Z�(OD
Job site address:16562 SW JEAN LOUISE RD New dwelling area: 1958 square feet I((8
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet -7-74-
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 215 square feet
Cross street/directions to job site: Deck area: square feet
SW RIVER TFRRACF RD Other structure area: square feet
'710
Subdivision:River Terrace Lot no.:42 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 theprofit for the
: t^a c '' I` •�'I �. "g. t .. t ,rii'JfJ' if { ' :f �i'i:i"` p
,y.', .: f �;u 1 ;�n*ei ,I, :.,;r � r.... ,: ,1, , s W work indicated on this a.�licarion.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
` #t .t, a ` :t t Number of stories:
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP:Irvine/CA/92618 Existing:
Phone:(503)310 7571 Fax ( )
� A . '
. 3 a f d paPF ; , ; "• .,,.t4?,; ! _ � �
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
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax::( ) Amount received:
E-mail: fandoval@nwhm.com iZ <, 1 . .;. "'x N
i mox ? 4. e a ,�" zr f: F '" o s , y Commercial and residential prescriptive installation of
oOSZfatinkai ..-... •...�._.v. .:, max, A, a roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval Date: ( 1 • 2 , 2.0 . *Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Perm its\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
Mechanical Permit Applic CEIvED I(FOR OFF 'E I Si.ONLv
Cityof Tigard L� Received
g Date/By: Permit No.:
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V k i
Phone: 503.718.2439 Fax: 503.598.19+1Ov 2 2023 Other Permit:
Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris. lEf See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE. OF WOW R. .PEE' U I - PWCHECK4ST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
GA ll CORM'sOF OI+Z U+ Ittll'tt lzSwEI'+fl4LIr ttWMZNT'!SY EMS *
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Jf}EtsatitonRI ;'E' lY join I<.tIIW�'T`l#}t
Heating/cooling:
` Air conditioning 1 46.75
Job site address:16562 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.:42
Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
DE RiPT1 E of WORI{ Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
121'1?RQP 'R OVER ..T lAtl l ;' Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
equipment 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
F AlcN 0;c4 1 1` r l' M1AI Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax::( ) Fireplace
Range
E-mail:fsandoval@nwhm.com Barbecue
IW R OR Clothes dryer(gas)
.
Business name: Pro Heating and Cooling, INC Other
Address:4200 NW Leisy rd Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)205 4989 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �GU1 C/1i * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
1:\Building\Permits\MEC_PermitApp_040113.doe 440-4617r(11/02/COM/WEB)
RECEIVE .
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard NOV ' 2 2023 Received Permit
13125 SW Hall Blvd.,Tigard,OR 97223
: SI Phone: 503.718.2439 Fax: 503.598.19
IIIIPlan Review
Review
CITY OF TIGARD Date/By Related Period#: '
, Inspection Line. 503 639.4175 BUILDING DIVISION Ready Date/By: Jars: 6:1 See Page 2 for
'.16 ARE..), Internet. www.tigard-or.gov Not fied/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
E]New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
Ej 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.
1-and 2-family dwelling less to ground,or exceeds 14,000 0 Commercial-use agricultural
0 0Commercial/industrial 0Accessory building
amps for all other installations, buildings
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: 16562 SW Jean Louise Rd 100HP or more.
El Six or more residential units. occupancy.
City/State/ZIP: Sherwood/ OR/97140
0 Health-care facilities. 0 Recreational vehicle parks
Suite/bldg./apt.#: Project name: RTTC 0 Hazardous locations. 0 Supply voltage for more than
Ei Service or feeder 600 amps or more 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE
SW River Terrace Blvd Description j Qty. .1 Each 1 Total 1 *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:42 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel/I: 2s1060003300
Ea.addl 500 sq.ft or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
75 00 2
NEW HOME CONSTRUCTION (with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
151 PROPERTY OWNER 0 TENANT
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 250 201 amps to 400 amps , 133.56 2
401 amps to 600 amps 200.34 2 City/State/ZIP: Irvine CA 92618 .
,
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 I
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
(gi APPLICANT 0 CONTACT PERSON ABrFa n:hforcibrc uieths---zelivts,alteration or extension per panel
Business name: THNC OREGON LLC above service or feeder fee,
7.42 2
each branch circuit
Contact name: Frank Sandoval
B.Fee for branch circuits without
service or feeder fee,first
Address: 15455 NW Greenbrier Parkway#240
branch circuit 56.18 2
City/State/ZIP: Beaverton OR 97006 Each add'I branch circuit 7 42 2
Miscellaneous(service or feeder not included)
Phone:(503)310-7571 Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: Fsandoval@newhomeco.com
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy Address:1075'iv Historic Columbia River Hwy panel,alteration,or extension. a See Page 2 2
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(I hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.:112220 Electrical Lie.:01272 Suprv.Lie.:5782S specifically listed(%hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:7--- ---0,,,..„,,„:„.,
Subtotal:
Print name:David Campbell Date:10/12/2023 13 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 44,A;4 tko TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Malachi J. Wolcott Date:10/12/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit I:\Building1PermitskELC_PerranApp_ELR_EREdoc Rev 06/17/2015 440-4615T(11/05/CONI/WEB
,. r
Plumbing Permit ApplieaU v E I v E
Building Fixtures NOV ' 2 2023 FOR OF'FICF. I SF. (IN I.1'
City of Tigard Received Permit No.: M tI( n V , OItUC 14
IIII a 13125 SW Hall Blvd.,Tigard,OR l OF TIGARD Date/By:
e�
Plan Review
C Phone: 503.718.2439 Fait: S(g.u�l LI DIVISION Date/By: Other Permit No.:
T 1 C,A R l� Inspection Line: 503.639.4175 Date Ready/By: hots. ®See Page 2 for
Internet. www tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. f Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 11.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
pi I-and 2-family dwelling [3 Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFR(3)bath 50032
Each additional bath/kitchen 25.02
0 Master builder El Other:
Fire sprinkler( sq.ft) Page 2
JOB ME INFORMATION AND LOCATION Site utilities:
Job site address: 16562 SW Jean Louise Rd Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Sherwood/OR/97140
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: RTTC Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW River Terrace Blvd Rain drain connector 18.76
Sanitary sewer(no linear ft.: ) Page 2
Storm sewer(no.linear II:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: River Terrace Town Center 1 Lot no.: 42 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
►1 PROPERTY OWNER 1 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 15231 Laguna Canyon Rd STE 250
Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
00'APPLICANT, - l 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
CON I RACTOR 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 Lie.: 03Plumbing 26824 PB Plan review (25%of pennit fee)
112220 Lie,no.:
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Mark Baleme Date:10/12/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I18uiiding\Permits\PLMII•PermitApp.doe I0/01/09 440-4616T(10/02/COMAVEB)
1111 Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION .1ti ((1z3
l2
Permit#: tyl S zb23, 00571 Plan #: J0 5o CC loors: 2-
Valuation: Covered Porch: S Basement
$ 3G$1 230.02
Bedrooms: 9 Deck: 1"Floor -7.7
Li
WC (toilets) 3 Deck Cover: 2"d Floor , i 8q
Lavatories 5 Patio Cover 3'Floor
Tub/shower Accessory Struct. R-3 Total �j
LaundryTray — Water Heater D 1 / Gas / ec Garage 5-0 Z
Exhaust Vents S Gas Flue Vents _ Total for Elec.
Backflow Prey. � � Fur-- nace Heat Pump AC # for Electrical Di
3
BBQ Gas Fireplace \*.te #Fuel Lines 3
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning ✓
Info Proc/Arch: Lg$2.00 (over 11x17) ap
Info Proc/Arch: Sm$.50 (up to 11x17) q'�
Metro CET: Residential�se
School CET: District: 1 ` 4
Tigard CET: Admin
Tigard CET: ODHCS ✓
Tigard CET: AH i7
Electrical Permit: Permit Fee: ✓
Limited Energy: l�
12% State Surcharge ✓
Mech. Permit: Permit Fee:
12% State Surcharge ✓
Plumbing Permit: Permit Fee: ✓
12% State Surcharge ✓
Erosion Control: w/Permit-Ping ✓
I:\Building\Fors\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
Iiig .
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: KI/1,01/�-O3 1q
Site Address: 16562 SW Jean Louise Road c'Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 42
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: 'SFR(E7'Single Detached 0 Duplex❑Triplex 0 ADU)❑ Rowhouse❑Cottage Cluster 0 CYU OQuad❑Other
Required Site Plan Elements:
szi3 copies of site plan on max 11x17"
(Drawn to standard scale ❑ Relaii ied Li ee , di ip line/ ti eC Ni olck.lion
0 North arrow V Street and site trees shown / labeled
V Site address, project name, lot # 0 T calcul_tifig tFccEanopy at maturity
6 'Street names (N/A for SFR)
'Applicant name and phone # cnsioncd (if applicable)
VLot and setback dimensions V Hiaiow ek\.►ra+wet iaagle—
VUtility locations &easements
V Footprint of new structure and FFE 0 Property corner elevations
0 Sidewalk/driveway dimensioned VLIDA (>1,000 sf disturbance)
'Lot area and lot coverage percentage IV Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary table with calculations for:
VDrawn to standard scale V'Total facade area
Q(Building height dimensioned f2rTotal window and door area
V Facade dimensioned
V Windows and doors dimensioned
0 Garage doors dimensioned
Requir an Elements:
(Not required for SFR 0 Summary table that includes
0 Each story dimensioned otal floor area
0 Each story floor area calculated 0 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: 26'-3 3/4"
❑ Yes Xl N/A Landscape
❑ Yes $ N/A Screening (Quad only)
0 Yes ❑ N/A % Window Coverage
IiYes 0 N/A Garage (SFR Only) Parking (Other Res)
V Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
O 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)
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:
O Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
O Yes N/A Fence
❑ Yes ❑ No VN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No'RIN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: V 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: 0 Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 1\Oil fro 1,S
Site Plans #: 3
Building Plans #: 3
Building Permit #: 1 Building permit # entered o5 page 1
Workflow Routing: 'Planning i 'Engineering VPermit Coordinator L 'Building
Workflow Sign-off: V Sign-off for Planning (include notes from planning review)
Route Documents: f .Engineering: (1) copy of permit application, (1) site plan, (1) building plan
a9d 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: • ` /YV , 1' WL0.. Date: 1001/,t1',,3
Notes:
Engineering Review
❑ PFI Permit:
"Slope at building pad: 4'1 oh
i//,� PrConditions met prior to issuance of permit
Pd'Easements (encroachments) per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes -IQo
Assess Water Quantity Fee in-lieu: ❑ Yes 141/No
LIDA Facility on lot: ❑ Yes Rt.-No Add Fee: ❑ Yes ❑ No
'Final Plat Recorded
❑ NOT Approved: Date:
Notes: ,r
Approved By Engineering: Date: / (, 7/�5
Revision 1: ❑ Approved ❑ t Approved _ Date:
Revision 2: ❑ Approved ❑ Not Approved _ Date:
❑ rmit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
■ ENG Revisions Required: Date notified applicant:
\P'Ir DC Exemption: 0 Applied for 0 Received 'Does not apply
SDC 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 '-X'N/A
OK to Issue/Approved by Permit Coordinator: \4 Date: \\ ` 73
Revision 1: ❑ Approved ❑ Not Approved _ Date:
Revision 2: ❑ Approved 0 Not Approved _ Date: