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Permit (3)
CITY OF TIGARD MASTER PERMIT al ' COMMUNITY DEVELOPMENT Permit#: MST2023-00606 Date Issued: 01/29/2024 T t[3/AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DD04000 Jurisdiction: Tigard Site address: 16586 SW JEAN LOUISE RD Subdivision: RIVER TERRACE TOWN CENTER Lot: 40 Project: River Terrace Town Center, Lot 40 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: 27 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: $364,839.54 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW 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 15231 LAGUNA CANYON RD STE IRVINE,CA 92618 250 PHONE PHONE: 503-312-6213 FAX: Total Fees: $23,250.79 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 otification Cente. Those rules are set forth in OAR OF9_n(N_niNn thrn,inh n ow,__,nnn11/n�non V,,, ,nhfo n n rn t+ho n,loe nr riirort,,,, tinnc in ni iMi'M,roll' n FM 919 1OA7 1 Ann �'2/z9 9Zdd -LizAAAAA Issued By: /71 / ".• Permittee Signature: I`� ��� Call 503.639 175 by 7:00 a.m.for the next available inspection ate. / 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. i. Building Permit Application Residential FOR OFFICE l SE O\I.) Cl of Tigard Received / _�� City b Date/By: ///; tb/ . Permit No. 1 r�DA3 / 13125 SW Hall Blvd.,Tigard,OR 9722 ,_- ! 1 A rJ U Y+a.. Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (Z I k Z'� 1 Other Permit:ate, . --f�,�ilAs , Inspection Line: 503.639.4175 t t Date Ready/By: Juns: ® Seer Page 4 for t l c,1 R 1> p .` .�r ltil tiA 1� 'El 1 pp Internet: Www.tigard-or. ? Notified/Meth11odnn: Supplemental pa I1 W ► L 'r ` II r Z ;';f ,T ;q a€'t,,,, d§.A, ii i f i i 1 10,i ,:VA aq�.'`:' .il .i..,i I t 5,i' �. .. ..,,:..!�:... .:.. <::.E` ,,:..,'` ...... ...,.....::.. ....::. m,)tx.i- a :r,5. i A.r S, ,s,, '�`w a...':-..: O 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/repiacement ❑Other: equipment,materials,labor,overhead,and the profit for the r. o i is work indicated on this application. Valuation: R,, ID 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 4 ❑Accessory building ❑Multi-family ❑Master builder ❑Other Number of bathrooms: 3 o 4 � :, I Total number of floors: 2 (73 Job site address:16586 SW JEAN LOUISE RD New dwelling area: 1958 square feet 1 t$4 City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 'IN Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 113 square feet Cross street/directions to job site: Deck area: square feet SW RIVFR TERRACF @I VD Other structure area: square feet Subdivision:River Terrace Lot no.:40 of the workperformed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:parcel no: 2S1060003300equipment, labor, ....:r... t..>::. ,&.::„w: ,*,' .w',+',;.: .:s... ...: ..,r..,mot .. ..... Valuation: $ Requesting Deferred SDC fees Existing building area: square feet New building area: square feet € 'S y l'.. a , .. eq ,� ,jlxr..'�"£' .s � rl ;. :.�`z v q' �. Nurnber of stories: Name:TNHC OREGON LLC Type of construction: Address:15231 Laguna Canyon RD STE 250 Occupancy groups: City/State/ZIP:Irvine/CA/92618Existing: Phone:(503)310-7571 Fax:( ) f / ;:.. ,�" € a t". �, :_.: r ✓ :+# ewe r x ' .4 x.;' `g y. 'c, xG„ '4i ! '"# 4. '�` i-'at,;u.,,, 'ax.:. t ` 4 -.. 'S"'" A �' 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 Total fees due upon application: City/State/ZIP:Beaverton/OR/97006 Amount received: Phone:(503) 310-7571 Fax::( ) E-mail fandoval nwhm com ���,�• 1�4!rik O "•c4*444,°4. :4u,x "'" q� O►/ , i.�Ir..l � "�OI'Yl(WILD, Commercial and residential prescriptive installation of A �" `n t a `t it f gi to 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. Cit /State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00 Y and administrative fees): Phone:(503 )310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60 :::::::e ' . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 10'2 *Fee methodology set by Tri-County Building Industry Print name:Frank San a �% ( ' ate: II. 2 ' vI p Service Board. I:\Building\Permits\BUP-RESPe itApp.doc 01/ /2023 440-4613T(I1/02/COM/WEB) Mechanical Permit Application roR OFFICE USE Oyl.1 Cityg of Tigard Received Date/By: Permit No.: i _a, a 13125 SW Hall Blvd.,Tigard,OR 9722 F Plan Review m Phone: 503.718.2439 Fax: 503.598.19 ,. ,,r„ -Date/By: Other Permit: 1 I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov NOVNotified/Method: Supplemental Information ,F 3 0 57 l l col i L sCR 'aLE- sSva claxsT 1lY t Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteratig/ i1 e44nf;.,, 1,y a a` performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 1 A'#'EI QRY OF Col'SI'Rtl "t tl�t SIDENT1AL I 1 '/$Y`S S a ES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB INFfi# <. .TION AND' LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address:16586 SW JEAN LOUISE RD Fumace 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 Other: 23.32 Subdivision:River Terrace Town Center Lot no.:40 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 Gas fireplace/insert 1 33.39 u 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 ` OPE'' TY O ER .. C1 '1 ENA< Environmental exhaust and ventilation: Name:TNHC OREGON LLC Range hood/other kitchen 1 equipment 33.39 Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 1 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name:TNHC OREGON LLC $14.15 for first four;$4.03 for each additional Contact name:Frank Sandoval Furnace,etc. 1 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 i Range E-mail:fsandoval@nwhm.com Barbecue TRACT 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 lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /�//�¢/�� `7�� days after it has been accepted as complete. Authorized signature: L `2 i1A- , * 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 440-4617r(l I/02/COM/WEB) r , r Electrical Permit Application FOR OFFICE L SI ONLY Received City of Tigard R t"'" Dateive Permit#: /1r1(1-j� +0J 61 . III 'a 13125 SW Hall Blvd.,Tigard,OR 9722 a c �v . ,„k,ilian Review / lt% I Phone. 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 , + Ready Date/By: Suns- Bf See Page 2 for TICARD w Internet: ww.tigard-or.gov 11 3 0 2 9: Notified/Method: Supplemental Information TYPE OF WORK„T,,r , PLAN REVIEW ®New construction 0 Additi0n/alteratiorl/llade t ' l fi , Please check all that apply(submit 2 sets of plans w/items checked): C2 t i h l',t t '-)3 M a C y rt1 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. Ei I-and 2-family dwelling ❑CommerciaVindustrial 0 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: 0 Fire pump. 0 Installation of 150 KVA or JOB Sf!E INFORMATION AND LOCATION 0 Emergency system. larger separately derived AddJob#: Job site address: 16586 SW Jean Louise Rd ❑100HPoofoewmntnrinadaf system. 00HP or more. ❑"A""E" "1-2" "i-3" City/State/ZIP: Sherwood/ OR/ 97140 0 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 SW River Terrace Blvd Description ) Qty. I Each I Total i . New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center Lot#:40 Includes attached garage. 1,000 sq.ft.or less 1 Tax map/parcel#: 2s1060003300 Ea.add'l 500 sq.ft,or portion . 4 33.92 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 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 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 l$I 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, 7.42 2 each branch circuit Contact name: Frank Sandoval B.Fee for branch circuits without servAddress: 15455 NW Greenbrier Parkway#240 branche circuit rfuederfee,first 56.18 2 branch City/State/ZIP: Beaverton OR 97006 Each add'l branch circuit 742 2 Phone: S03)310 7571 Fax:: Miscellaneous(service or feeder not included) ( ( ) Each manufactured or modular ' dwelling,service and/or feeder 67.84 2 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 0 See Page 2 2 Address:1075 W Historic Columbia River Hwy panel,alteration,or extension. 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 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 Lic.:112220 Electrical Lic.:C 1272 Suprv.Lie.:5782S specifically listed(Y2 hr min) k I,,,ECTRiCAL PEttiqrr FEES Suprv.Electrician signature,required:�'rt ,_5,her,, Subtotal: Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee): 4 State surcharge(12%of permit fee): Authorized signature: 4 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. * Number of inspections allowed per permit. IABuilding\Permits\ELC Perm¢App_ELR_ERE.doc Rev 06/17/2015 440-4615T(t I105(COMfWEB e Plumbing Permit Application Building Fixtures � ��` molt comic t. t SF: ari,iv y.t' '' s y ," Received City of Tigard Dateiey Permit No.: t�s 7,.. i3_4) , a 13125 SW Hall Blvd.,Tigard,OR 97223 v ,, Ptan Review I Phone: 503.718.2439 Fak: 503.598.196( yO q' 3 u 4)n,•'' Plan Ry:illi Other Permit No.: 'Ft G A R I7 inspection Line: 503.639.4175 Date Ready/By tuns. ® See Page 2 for Internet: www.tigard-or.gov .%Iv Notified/Method: Supplementalinformation �1°OF 1,Gx�.�C1 TYPE or wo�t 11!': INC; 1VISION FEE*,sctlEnlrLE ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total El Addition/alteratiott/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.II) Page 2 JOB SITE INFORMATION AND LOCATION' Site utilities: Job site address: 165586 SW Jean Louise Rd Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Sherwood/ORI97140 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 t1._) Page 2 Storm sewer(no linear ft:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: River Terrace Town Center I Lot no.: 40 Fixture or item: Tax map/parcel no.: 2s 1060003300 Back flow preventer 31.27 tECR1I'TION or WORK Backwater valve 12.51 New Home Construction Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 l iy my OWNER 0 TIINAisrr. Expansion tank 12.51 Name: TNHC OREGON LLC Fixture/sewercap 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 l Fax:( ) Ice maker 12.51 'rid 1'JLt'LICA;NT fl 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)31 0-7571 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CQNTRACTQR 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 112220 • g 26824 PB Plan review (25%of permit fee) CCB Lic.: Plumbin Lic.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. I:1Buitding/Permits\PLMU•PermitApp.doe 10/01/09 440-4616T(10/02/COMAYEB) g Building Division One & Two-Family Dwelling TICARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION JJ 1(-1 /./DiS Permit#: 'M 1Zb23 DD(.0 64 Plan #: jco - A. Floors: Valuation: %31011 Wi 51 Covered Porch: Basement Bedrooms: I Deck: I" Floor 7 -7L I WC (toilets) 3 Deck Cover: 2'd Floor t l(8(-� Lavatories 5 Patio Cover — _ 3' Floor tt Tub/shower Accessory Struct. R-3 "I"otal q 5C? Laundry Tray — Water Heater L / Gas / lec' Garage SoZ Exhaust Vents Gas Flue Vents Total for Elec. 2q Backflow Prey. 4111ffp Heat Pump AC- # for Electrical 3 BBQ -----— Gas FireplaceNi- -- #Fuel Lines 3 FEES: Description: Fee Appli : Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) Info Proc/Arch: Sm $.50 (up to 11x17) 5-7 Metro CET: Residential Use 1 School CET: District: Tigard CET: Admin Tigard CET: ODHCS Tigard CET: AH Electrical Permit: Permit Fee: 1-< Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge t . Plumbing Permit: Permit Fee: f 12% State Surcharge ✓7 Erosion Control: w/Permit - Ping I:A Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1 City of Tigard li " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: /I 5'7" 3 —OULc%ty Site Address: 16586 SW Jean Louise Road c'Verified in Accela Project Name: River Terrace Town Center Lot/Unit #: 40 Proposal: New Single Detached SFR Zone: RES-C Housing Type: ,171 SFR('Single Detached ❑ Duplex❑Triplex❑ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other Required Site Plan Elements: l '3 copies of site plan on max 11x17" Er Drawn to standard scale 0 Rclaii led Li Ce,, Chip line/ li cc Ni otcLlion iZi North arrow V Street and site trees shown / labeled 2r Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity i 'Street names (N/A for SFR) 'Applicant name and phone # 0 Courtyard rcctanglc dimensioned (if applicable) M'Lot and setback dimensions ' .,,_,__ clear_ co' `ri]n"'o Utility locations &easements Q1 Footprint of new structure and FFE ce Property corner elevations VI Sidewalk/driveway dimensioned i%LIDA (>1,000 sf disturbance) V Lot area and lot coverage percentage K'Erosion control Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Summary table with calculations for: 'Drawn to standard scale {a'Total facade area Z Building height dimensioned VTotal window and door area Et Facade dimensioned i 'Windows and doors dimensioned ' Garage doors dimensioned Requir an Elements: (Not required for SFR ❑ Summary table that includes 0 Each story dimensioned otal floor area ❑ Each story floor area calculated 0 Floor ar Planning Review The following standards have been met: 8'porch Setbacks IX Front:12'building Rear: 3'alley Side: 3' Min/Max Street Side: 7' / Garage: 3 alley loaded garage Height EX Max. Height: 35' Proposed Height: 26' 5" lNI Yes 0 N/A Landscape ❑ Yes i N/A Screening (Quad only) Q1 Yes 0 N/A % Window Coverage ❑ Yes IX N/A Garage (SFR Only) Parking (Other Res) Garage standards N/A, alley-loaded • Yes 0 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 0 Yes N/A Fence ❑ Yes ❑ No WIN/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: 0 Yes 0 No, stop intake 51 Sensitive Lands: 0 Yes I& No 'Main Land Use Case #s: PDR2021-00004 0 Conditions met 51 Applicant notified of land,use ex ation date: Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027 Approved By Planning: (A )11--1S'4 "'^" Date: 11/15/2023 t i / 30/.)-9-' , Notes Revision 1: 0 Apiiroved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: /I/31l.}3 Site Plans #: "3 Building Plans #: jj Building Permit #: k-d'Buil g permit # entered on p_gge 1 Workflow Routing: ir-V1anning ErErigiTleering rermit Coordinator C�'Building Workflow Sign-off: i .S --off for Planning (include notes from planning review) Route Documents: @Engineering: (1) copy of permit application, (1) site plan, (1) building plan andlerdinal plan review routing form. Building: original permit application, site plans, building plans, engineer and beam calculations and etails, if applicable, etc. Permit Technician: ,G %�--- Date: f 1�cjl�) Notes: Engineering Review ❑ PFI Permit: "Slope at building pad: 71 Conditions met prior to issuance of permit l'Easements (encroachments) per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0-.No Assess Water Quantity Fee in-lieu: ❑ Yes iti-No LIDA Facility on lot: ❑ Yes 12'No Add Fee: 0 Yes 0 LvKnal Plat Recorded ❑ NOT Approved: Date: Notes: _ ---, Approved By Engineering: �''--' _ Date: /iy,e/�� Revision 1: 0 Approve Not Approved _ Date: ! Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review onditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: O ENG Revisions Required: Date notified applicant: SDC Exemption: 0 Applied for 0 Received foes not apply \\\ DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A I Tigard Trans SDC: Yes 0 N/A Deferred Parks SDC: ti Yes 0 N/A J Deferred LIDA ❑ Yes 'N/A OK to Issue/Approved by Permit Coordinator: Date: 5 Revision 1: 0 Approved ID Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: