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Permit (10) CITY OF TIGARD MASTER PERMIT Pri • . ' COMMUNITY DEVELOPMENT Permit#: MST2023-00580 T I C,A It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2023 Parcel: 2S106DD04300 Jurisdiction: Tigard Site address: 16554 SW JEAN LOUISE RD Subdivision: RIVER TERRACE TOWN CENTER Lot: 43 Project: River Terrace Town Center, Lot 43 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 667 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 949 sf Garage: 390 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1616 sf Value: $297,959.40 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 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 add!500 sf: 2 201-400 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 1616 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 15231 LAGUNA CANYON RD STE IRVINE,CA 92618 250 PHONE: PHONE: 503-312-6213 FAX: Total Fees: $21,352.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTIO : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9_nn1_M1n thrnr in A oc9_nni_nnon Vn,, tarn a runs/of the nrloc nr rlirnrt nr ractinnc to(N INC h,rallinnn RCA 939 10R7 nr 11.Ann R49 9'tdd Issued By: � Permittee Signature: See G�pQl1(',Clt,u)►A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. f I Building Permit Application RECEIVE" Residential FOR OFFI( 1. ISE O\I.1 City of Tigard NOV • 2 2023 Received v ` Date/B I,t 3 Permit No.: IA) IIII ii 13125 SW Hall Blvd.,Tigard,OR 97223 y MS1 ©�5$a S Plan Review W k •O Phone: 503.71 8.2439 Fax 503.598.1960 Date/By: I� � � � Other Permit: � �0� • US Inspection Line: 503.639.4175 CITY OF TIGARD Date Read/B Juds I lti\RD BUILDING DIVISION y o Seepage 4 lfor Internet: www.tigard-or.gov Notified Method: I I/2p(2g3tJ{AF Ti,(� Supplemental Information t u F 'L ' .:r ,. r ,.:r ..tie=�„ f $ „�.. w �rt::�._..::' �,^ ::?,. ..wr rs'. n �,: A...f.'::.:;f..:.u...k;. a:...rr?:,:r..l'.,.. <.�:kt x:n•,�.. .A w.;;;..'L- ! :ixt .;a,?'.;. ..'1: £...,... gt,' 'r,. .rE.,.::.,.. ....,:... ,. �f :'°..�' .::.:s:� .:,3... : ...;',. is �. F'" E 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 notet; ` r : e. 1 a tit 4 �" work indicated on this application. e...s;v;,,a : .t ,.:' t .t",` :, . t !�.v: `�r�;�a x`^2$MV y ' . o Pp ate/ (�(�410 ■ 1-and 2-familydwellingValuation: $ ❑ El ❑Accessory building El Multi-familyNumber of bedrooms: 3 ID builder ❑Other: Number of bathrooms: 3 gg ' , ra r t rp " y `r,Za it Total number of floors: 2 � 0�� p Z*� J tt.,. e,.x�.. .,..:•.re,u. ,. :t�.,�m�.'s:-�`a�s'�a"a.....'�!,v, Job site address:16554 SW JEAN LOUISE RD New dwelling area: j 58}Q(61( square feet .9 L,1 City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 390 square feet to / Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 47 square feet Cross street/directions to job site: Deck area: square feet SW RIVER TERRACE BLVD Other structure area: square feet Subdivision:River Terrace Lot no.:43 Permit fees*are based on the value of the work performed. Tax map/parcel no.:parC@I no: 2S1060003300 Indicate the value(rounded to the nearest dollar)of all ;�- , � �:� � ��, � , �,�,.,�„. �, �, _�� a� equipment,materials,labor,overhead,and the profit for the 4 ..., , . .:.: ... :.,::.... .i% ` `r work indicated on this application. Requesting Deferred SDC fees Valuation: $ Existing building area: square feet t : " :4 New building area: square feet s uaz till�,� ��F� �.aaw;F , �. t� £.:ramta,�•.:, ` ¢>.: 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 ( ) „i3:.v �� n _•fir r', -t, z ,,,-a,ag1A' `VA .. ., r New. Business name:TNHC OREGON LLC of ..�.__. a � 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: fandoval@nwhm.com T Y tip. : f: -; , ., kieg: r osw, . ,,,,,v,..0".0.1wormsometwessoi Commercial and residential prescriptive installation of mgattralliggensaitstatal �w. a,:;. . .,, ,,...:..,..,e. 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: $201.60 Authorized signature: ----"---- This permit application expires if a permit is not obtained Z------ within 180 days after it has been accepted as complete. Print name:Frank Sandoval Date: I . L, 20 , *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPe t p.doc 01/25/2023 44 0-46 1 3 T(1 1/02/C OM/WEB) r Mechanical Permit Applic4;1EC EIVED FOR OFFICE: EST.O\I:y" City of Tigard n J Received Permit No.: CA ph l/Y 2 2023 Date/By: M31 1� ���OV 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: Other Permit: "HI GA RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jam0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK CO . It+ FEE*.SCIWIMILE-U C11 'KUST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEOORX OF CONSTRUCTION ,. . R W 1 Q:VzokEN'F f STEMS Ems . ® 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 114014MATIOisi ANI)LOC'AT)ON Heating/cooling: Air conditioning 1 46.75 Job site address:16554 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 SW RIVER TERRACE BLVD 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 Town Center Lot no.:43 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 DES 'Itointa Of wolat. 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 } 1'RCIPEB "O\ ER AN F Other: 23.32 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 i 10-7571 Fax:( ) Attic/crawlspace fans 23.32 .. ` ta AI'II(. lT .: 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 :, .. OACn Clothes dryer(gas) Business name:Pro Heating and Cooling, INC other Address:4200 NW Leisy rd r� ITS ,i 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 ��������qqqq This permit application expires if a permit is not obtained within 180 t. DL �� days after it has been accepted as complete. Authorized signature: L" * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:3/17/2023 I:\Building\Permits\MEC_PermitApp_040113_doc 440-4617T(I1/02/COM/WEB) BECEIVED Electrical Permit Applicatiun FOR OFFICE USE ONLY i City of Tigard NOV 2 2023 Received Date/By- Permit fi: ItiNV11.4)'VI' Iiii,&(z() . II 1u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , ' Phone. 503.718.2439 Fax: 503.598. 4644•• Related Permit#: . Ull Y .jrTIGARD Date/By: Inspection Line: 503.639.4175 Ready Date/By: Jar,,- El See Page 2 for T/C A 11 P Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW IJ New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 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. El 1-and 2-family dwelling 0 CommerciaVindustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings 0 Multi-family 0 Master builder D Other: 0 Fire pump. ci 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 it: I Job site address: 16554 SW Jean Louise Rd 100HP or more. City/State/ZIP: Sherwood/OR/97140 r.:1 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks Suite/bldg./apt.#: I Project name: RTTC 0 Hazardous locations. ID Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE SW River Terrace Blvd tio Descripn I Qty. I Each I Total j . New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center 1 Lot#:43 Includes attached garage. 1,0 sq. Tax map/parcel#: 2s1060003300 00ft.or less Ea.addl 500 sq.ft.or portion , 168.54 433.92 1 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 Ri PROPERTY OWNER I 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 I 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 fa APPLICANT I 0 CONTACT PERSON }i3JFaenechforcibrrcanuicths—Cirnce:ts,alterawith tion,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'l branch circuit 7 42 2 Miscellaneous(service or feeder not included) Phone:(503)310-7571 I Fax::( ) Each manufactured or modular 67.84 /dwelling,service and/or feeder Email: Fsandoval©newhomeco.com Reconnect only 67.84 2 CONDUCTOR 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 W Historic Columbia River Hwy 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 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:MWOLCOTT©WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.:1 12220 I Electrical Lic.:C1272 I Suprv.Lie.:5782S specifically listed(Y.hr min) ri"CTRICAL PERMIT FEES Suprv.Electrician signature,required:174,,,..... Subtotal: Print name:David Campbell I Date:10/12/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 41..--.:(4ovzo TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Malachi J. Wolcott I Date:10/12/2023 I days after it has been accepted as complete. * Number of inspections allowed per permit. 1:tBuilding1PerreutskELC_PermItApp_ELR_ERE doe Rev 06/17/2015 440-4615T(11/05/C01WWEB Plumbing Permit Applicatio rRi ECEIVE Building Fixtures NOV City of Tigard 2 2023 Dateivea %J 'WI t. DpS�D DatelBy: Permit No.: a 13125 SW Hal Blvd.,Tigard,OR 972�� Plan Review illpi C, Phone: 503.718.2439 Fait: 503.Ss� ,TiY OF TIGARD Other Permit Na: �j1�J_�11L- Date By: 1'(t;A P i t Inspection Line: 503.639.4175 U DING DIVISION Dare Ready/By: Juris ®See Page 2 far 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. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) "CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling ElCommercial/industrial SFR(2)bath 1 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other. Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION' AND LOCATION Site utilities: Job site address: 16554 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.: 43 Fixture or item: Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New Home Construction Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 DO PROPERTY:OWNER . 1 , 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 APPLICANT 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 CONTRACTOR 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 PlumbingLie.no.: CCB Lie.: • 26824 PB Plan review (25%of permit fee) 112220 t JI State surcharge(12%of permit fee) Authorized signature: VVV��`A 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-Cotmty Building Industry Service Board. I:\Building'.Permits\PLMII-PermitApp.doc 10/01/09 440-4616T(10/02/COM.9EB) 111 Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION cS U) `/ 7.07/' Permit#: nk J(io 2s _ OQ,5,;0 Plan #: ,z_Li 1 b D Floors: Valuation: 2��/Qsq•�� Covered Porch: Basement Liii Bedrooms: J Deck: 1st Floor a -7 WC (toilets) -3 Deck Cover: 2nd Floor l q 1 Lavatories („i Patio Cover 3'Floor I Tub/shower c2 Accessory Struct. R-3 Total l /_ (/ Laundry Tray Water Heater 1 / GaElec Garage l� t,(i Exhaust Vents 5- Gas Flue Vents --- Total for Elec. D®(.P Backflow Prey. t - / Heat Pump CA____ # for Electrical 2 BBQ ---- Gas Fireplace \(-1-- #Fuel Lines 2 J FEES: Description: Fee Applies: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) ZAP Info Proc/Arch: Sm $.50 (up to 11x17) S'c,/ Metro CET: Residential Use T School CET: District: (t C�r�Tigard CET: Admin t Tigard CET: ODHCS Tigard CET: AH 1./ Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge C 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 !Pi " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: MS1'lsuti3'OO O Site Address: 16554 SW Jean Louise Rd 0 Verified in Accela Project Name: RT Town Center Lot/Unit #: 43 Proposal: New detached SFR Zone: RES-C Housing'Type: 0 SFR(0 Single Detached D Duplex❑Triplex❑ADU) ❑ Rowhouse Cottage Cluster❑CYU ❑Quad❑Other Required Site Plan Elements: 0 3 copies of site plan on max 11x17" O Drawn to standard scale ❑ Retain J h�� J.ip lit tc/ L.e pi ul.ection • North arrow 0 Street and site trees shown / labeled O Site address, project name, lot # ill.Tokolemeelowiletirpg4weemeermopirmlometurity O Street names (N/A for SFR) O Applicant name and phone # ward rectangle dimensioned (if applicable) O Lot and setback dimensions 0 Vision clearance triangle ❑ r,Lih yJ1.1 ULLUI & etJULUy., 0 Utility locations &easements O Footprint of new structure and FFE 0 Property corner elevations O Sidewalk/driveway dimensioned ❑ LIDA (_ 1,000 O Lot area and lot coverage percentage 0 Erosion control Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Summary table with calculations for: O Drawn to standard scale 0 Total façade area O Building height dimensioned 0 Total window and door area O Façade dimensioned O Windows and doors dimensioned Alley load Regvie oor Plan Elements: (Not required for ❑ Summary table that includes ❑ Each story dimensioned ❑ Total floor area ❑ Each story floor area calculated ❑ r story Planning Review The following standards have been met: Setbacks 0 Front: 8/12 Rear: 3 alley Side: 3 Min/Max Street Side: 7 / Garage: 3 alley Height 0 Max. Height: 35 Proposed Height: 29.5' O Yes ❑ N/A Landscape ❑ Yes 0 N/A Screening (Quad only) O Yes ❑ N/A % Window Coverage 25% front, 14% side ❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res) O Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes 0 N/A Other building design standards (Rowhouse only) ❑ Yes 0 N/A Accessory Structure Standards ❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only) •ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Ye El N/A Unit Count: ❑ Yes 0 N of Width and Size ❑ Yes ❑ N/A Pat' _ Additional standards for -• rtyard Units and Cottage Clusters only: ❑ Yes ❑ N/A Unit Area: ❑ Yes ❑ N/A Floor Area (per story) ❑ Yes 0 N/A Courtyard O Yes ❑ N/A Fence ❑ Yes ❑ No IZIN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) O Yes 0 No ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ No, stop intake O Sensitive Lands: 0 Yes ❑ No ❑ Main Land Use Case #s: PDR2021-00004 o Conditions met fl Applicant notified of land use expiration date: Permits by 1/31/25. Final by 1/31/27 Approved By Planning: Date: 11/1/23 Notes Revision 1: 0 Ap red 0 Not Approved Date: Revision 2: 0 A roved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: 1\,'l,(UM Site Plans #: Building Plans #: Building Permit #: VBuilding permit # entered on page 1 Workflow Routing: C'Planning VEngineering I3,Permit Coordinator 1514luilding Workflow Sign-off: I "Sign-off for Planning (include notes from planning review) Route Documents: 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: kMM0.-, vwft-, Date: \\\(!I do ti3 Notes: Engineering Review ❑ PFI Permit: 'Slope at building pad: ,i lvMA 'Conditions met prior to issuance of permit casements (encroachments) per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes E 4lo Assess Water Quantity Fee in-lieu: ❑ Yes ['No LIDA Facility on lot: ❑ Yes i 1No Add Fee: ❑ Yes ❑ No final Plat Recorded ❑ NOT Approved: Date: Notes: —_---� Approved By Engineering: Date: ///77� Revision 1: ❑ Approved ❑ of Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: DC Exemption: S : ❑ Applied for ❑ Received �'boes not apply DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Deferred Parks SDC: Yes 0 N/A i Deferred LIDA ❑ Yes WA OK to Issue/Approved by Permit Coordinator: Date: f Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved _ Date: