Permit (15) CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2023-00587
T i C,A IL D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2023
Parcel: 2S 106DD06600
Jurisdiction: Tigard
Site address: 13602 SW 165TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot: 67
Project: River Terrace Town Center, Lot 67
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 29 Bathrooms: 4 Second: 1798 sf Garage: 576
g sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 3150 sf Value: $567,901.26 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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: 6 201-400 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 3150
Owner: Contractor:
TNHC OREGON 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: $29,272.85
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
Qc9_nn1_nnln fhrni,nh r, nn1_nnQn Vn,,may nhfain a rnnw of tha n,I nr rlirart nnactinnc to(1I INC!by Tallinn RW1 919 10R7 nr.1F Ann T19 94dd
Issued By: Permittee Signature: Ste appl-a L{J)n.
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.
Building Permit Application �nv�-� v
Residential FOR OFFICE USE ONLY
City of Tigard � -- IReceived
i it
b � _ Date/B : � IIr Permit No.: 445 ZQ /�
13125 SW Hall Blvd.,Tigard,OR 9722 '
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Si �di Other Permit: 1j N/� � ._ a
T I G A R D Inspection Line: 503.639.4175jtpf Ti',),,,,..:,,,.) Date Ready/By: gl See Page 4 for
Internet: www.tigard-or.gov BUILDING'G L"ittil ia..+i Notified/Method: i 1 2 C 23Inia Supplemental Information
bJ i
( wa*
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 0 Other equipment,materials,labor,overhea
d,and the profit for the „J/(„
a , � f work indicated on this application. j 0
1 .
s��1 �
■ 1-and 2-familydwellingValuation: $ 00
❑ ❑Commercial/industrial
IIIAccessory building El Multi-familyNumber of bedrooms: 5
❑Master builder El Other: Number of bathrooms: ,
)l *. Total number of floors: 2 312(1
Job site address:13602 SW 165th Avenue New dwelling area: 3 150 square feet l 71
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 576 square feet 3
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 72 square feet`
Cross street/directions to job site: Deck area: square feet
SW Jean I oise Road Other structure area: square feet
�' `;
Subdivision:River Terrace Town Center Lot no.:67 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 the profit for the
NMB:AsmovtfSa * O**' F work indicated on this application.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
i .. z: *~tf# 1 0a;;:;11 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 ( ) New
Business name:
TNHC OREGON LLC
40SON :2
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240
Total fees due upon application:
City/State/Z►P:Beaverton/OR/97006
Phone:(503) 310-7571 Fax: :( ) Amount received:
E-mail: fsandoval@nwhm.com/oregonpermits@newhomeco.com � �
$. Commercial and residential prescriptive installation of
Alt P
°_ .m....., 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%ofpermit fee): $21.60
CCB lic.:241108 t(-\ Total fee due upon application: $201.60
Authorized signature: \ �/1 This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
iv
Print name:Jennifer cD rmott (6)
Date:11/9/2023 *Fee methodology set by Tri-County Building Industry
1 Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(1 I/02/COM/WEB)
Mechanical Permit Applicat 's FOR O l'l( F: 1'sl o�l.l
City of Tigard Date/By yvV
Received Permit No.: u5 247Z3-opt,/) 4,
11 13125 SW Hall Blvd.,Tigard,OR 97223
Oil 9 2023 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 EC1J YY Date/By: Other Permit:
TI C ARD Inspection Line: 503.639.4175 Date Read a
y y: Juds la See Page 2 for
Internet: www.tigard-or.gov pDCITY OF TIGARD RD Notified/Method: Supplemental Information
B}JJl DWG ilm r\,s,+f-eC2vi
{. � 1 fi l tr', c�.7 -'
TY "OF WORK Ct1t11:i4IERC`,I:c Or*SC�Di3,E�-I,1SE CMECT .,IST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
C AT R3 UI TItUf"TIUN. ESlDENUAI,. 4Ct tt`AIE:I�T/SYSSTEM FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITEINIADIMATION AND LOCATION . Heating/cooling:
Air conditioning 1 46.75
Job site address:13602 SW 165th ave 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 Jean Louise rd 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
Other: 23.32
Subdivision:River Terrace Town Center Lot no.:67
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
DEC TIi)s or WURK" 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
PRUI' B 7l' f~l ER I . NA.i T Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
eq
Address:15231 Laguna Canyon Rd STE 250 Clothesoth 33.39
d dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503 810-7571 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT °. : ❑ CONTACTpji t l , 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
cO1A ' 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: �Q �� • Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
t.\Building\Permits\MEC_PermitApp_040113_doc 440-461 Tr(11/02/COM/WEB)
, a
RECEIVE
F.r.,},
Electrical Permit Ap plication NOV 9 2023 FOR OFFICE I SE ONLY
City of Tigard Received
Da[eB Permit#: ta, 54�
14 a 13125 SW Hall Blvd.,Tigard,OR 9722 I p f D plan R view MA
Z 0 i7 i
0 Phone: 503.718.2439 Fax: 503.598A OFr1, tr Date/By. RelatedPennit#:
tjj I x! t 4 w P ''F
T t G A R n Inspection Line' 503.639.4175 I I'i..n 1,.,b t Ready Date/By: Furls. ® See Page 2 for
. Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ❑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.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.
II 1-1-and 2-family dwelling El Commercial/industrial ❑Accessory'building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 13602 SW 165th Ave ❑Addition of new motor load of system.
I OOHP or more. ❑"A","E","i-2","l-3",
City/State/ZIP: Sherwood/ OR/ 97140 OSix 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
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise Rd. Description I Qty. I Each I Total I *''
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:67 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft_I
RI PROPERTY OWNER. 0 TENAN.I Renewable Energy ❑ 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 to40oamps 133.56 2
401 amps to 600 amps 200,34 2
City/State/ZIP: Irvine CA 92618 601 amps to 1,000 amps 30104 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
Ca APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee,
each branch circuit 7.42 2
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 Fax:;
( ) Each manufactured or modular 61.84 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
Address:1075 W Historic Columbia River Hwy Signal alteration,i(s)or lextensionergy ❑ See Page 2 2
panel, or extension.
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
CCB Lic.:112220 Electrical Lic.: Inspections for which no fee is C 1272 Suprv.Lic.:5782S specifically listed(/2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:?-" Subtotal:
Print name:David Campbell Date:10/12/2023 ❑Plan Review Required(25%of permit fee):
/n►I State surcharge(12%of permit fee):
Authorized signature: �.e,0 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:\Building\Permus\ELC_Perniltppp_ELR RRE.doe Rev 06/17/2015 440-4615T(I I/05/COM/WEB
Plumbing Permit Application
Building Fixtures ii a ..). FOR OFFI(F (SSE O1N1,Y
Cityof Tigard Received
v 13125 SW Hall Blvd.,Tigard,OR ZZ}'
g 4 21111 Date/By: Penult No.; 44VT 2- v3-Ifia S87-
PlanIII I
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Review Other Permit No.
,_ DatelBy:
Inspection Line: 503.639.4175 ^�-a'"'ab?"'
TIGARI) p �'� }� f la DatoReadylBy: luny See Page 2 for
Internet: www.tigard-or gov ro Notified/Method
la3 Lrr Supplemental Information
TYPE OF,RORIC FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty ] Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF coNSTRUCnoN SFR(1)bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78
IDAccessory building ❑Multi-family SFR(3)bath 500.32
' Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.fl) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13602 SW 1 65th Ave Catch basin or area dram 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Sherwood/OR/97140
Footing drain(no.linear ft.:_) Page 2
Suitelbtdg./apt.no.: ( Project name: RTTC Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW Jean Louise Rd. Rain drain connector 18.76
Sanitary sewer(no.linear It.'_) Page 2
Storm sewer(no linear ft.:_) Page 2
Water service(no.linear ft',) Page 2
subdivision: River Terrace Town Center I Lot no.: 67 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
DESCRIPTION OF WO Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
!t PROPERTY OWNER I 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
►m1,APPLICANT' 04 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
Water closet 25.02
' CONTRACTOR - -
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
(1CCBLic.: g 26824 PB Plan review (25%of pennit fee)
112220 Pltmibht Lie.no.:
tA * State surcharge(12%of permit fee)
Authorized signature:�_it�A�\j� TOTAL PERMIT FEE
Print name:Mark Balemell ``�� 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.
I:\Building'Permits\PLMU•PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEa)
IN
m ' Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION Jd(y 2.02a
Permit #: VY L 1 �3- Q 0 58-7 Plan #: Cb't �^1 Floors:
Valuation: 1 "�J Covered Porch: ✓ b.J Basement
5c.1,ciol.2� ��
Bedrooms: 5." Deck: — 1" Floor 1 35
WC (toilets) 4 Deck Cover: ,_.___— __ 2nd Floor / .7*
Lavatories CP Patio Cover 3'd Floor
Tub/shower l ' Accessory Struct. R-3 Total 157)
Laundry Tray Water Heater Gas Elec Garage 57
/
Exhaust Vents 1.., Gas Flue Vents _ _ Total for Elec. ��P/
Backflow Prey. Heat Pump CAC ) # for Electrical �P
BBQ - Gas Fireplace #Fuel Lines 3
1"
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg $2.00 (over 11x17) c22
Info Proc/Arch: Sm $.50 (up to 11x17) (Jo
Metro CET: Residential Use
School CET: District: /
Tigard CET: Admin
Tigard CET: ODHCS /
Tigard CET: AH ✓t -
Electrical Permit: Permit Fee:
Limited Energy: /
12% State Surcharge V/
Mech. Permit: Permit Fee: ✓✓
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit - Ping
1:A Budding\Forms\Res PlanChe ckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
114 " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
a;
Building Permit #: f 4)T v - — 00513-
Site Address: 13602 SW 165th Avenue 7 Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 67
Proposal: New Single Detached Zone: RES-B
Housing Type: 'Q1 SFR(El Single Detached E Duplex 0 Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad 0 Other
Required Site Plan Elements:
t 13 copies of site plan on max 11x17"
El Drawn to standard scale 0 Retained LI CCs, di ip line/ Li CC Ni ulcLtion
'1 North arrow V Street and site trees shown / labeled
Site address, project name, lot # 0 Tablc calculating trcc canopy at maturity
'Street names (N/A for SFR)
'Applicant name and phone # ❑ Courtyard rcctanglc dimensioned (if applicable)
ISYLot and setback dimensions
❑ Existing sti actures &square f.,otage 1 Utility locations &easements
V Footprint of new structure and FFE V Property corner elevations
Vi Sidewalk/driveway dimensioned petti3A (>1,000 sf disturbance)
gf 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:
E'Drawn to standard scale 'Total façade area
Cd Building height dimensioned VTotal window and door area
V Façade dimensioned
'Windows and doors dimensioned
'Garage doors dimensioned
Requir an Elements:
(Not required for SFR ❑ Summary table that includes
❑ Each story dimensioned otal floor area
O Each story floor area calculated ❑ Floor ar
Planning Review
The following standards have been met:
8'porch 15'building Setbacks V Front:12'building Rear: 10'patio Side: 3 Min/Max Street Side: 7, / Garage: 20,
Height V Max. Height: 35' Proposed Height: 28' 5 1/4"
V Yes 0 N/A Landscape
❑ Yes E N/A Screening (Quad only)
'Yes ❑ N/A % Window Coverage III -I-
'Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
'Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
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
❑ Yes N/A Fence
❑ Yes ❑ No 1'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ti/N/A Public Facilities Improvement (PFI) Permit:
Required: vf Yes ❑ No
Applied For: VYes ❑ No, stop intake
V Sensitive Lands: ❑ Yes 'No
'Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
VApplicant notified of Ian use Xpl te; Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: �--- Date: 11/1/2023
Notes
Revision 1: ❑ A roved ❑ Not Approved Date:
Revision 2: ❑ A proved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: U/O't 114"
Site Plans #: 3
Building Plans #: 3
Building Permit #: Building permit # entered 9n page 1 /
Workflow Routing: anning Engineering pf Permit Coordinator pf Building
Workflow Sign-off: ign off for Planning (include notes from planning review)
Route Documents: 12 Engineering: (1) copy of permit application, (1) site plan, (1) building plan
apd original plan review routing form.
14 Building: original permit application, site plans, building plans, engineer and
eam calculations a trust details, if applicable, etc.
Permit Technician: Date: IA/PI/V02-3
Notes:
Engineering Review
❑ PFI Permit:
DII/glope at building pad: 2i2
/44P'Conditions met prior to issuance of permit
p-Easements (encroachments) per engineering conditions of approval and plat
12•Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 11410
Assess Water Quantity Fee in-lieu: ❑ Yes C'No
LIDA Facility on lot: ❑ Yes OKNo Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: _ Date: /'//7,S7
Revision 1: ❑ Approved ❑ N t Approved _ Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
'Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑/NG Revisions Required: Date notified applicant:
_�'17`DC Exemption: ❑ Applied for ❑ Received Does not apply
F.,4DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes
/A
I'OK to Issue/Approved by Permit Coordinator: k'T'{ Date: I 1 -l 13
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date: