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HomeMy WebLinkAboutPermit (17) CITY OF TIGARD MASTER PERMIT ' I ' . COMMUNITY DEVELOPMENT Permit#: MST2023-00628 Date Issued: 02/14/2024 T f C;A It 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DD03600 Jurisdiction: Tigard Site address: 13922 SW 166TH AVE Subdivision: RIVER TERRACE TOWN CENTER Lot: 36 Project: River Terrace Town Center, Lot 36 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL ENGINEERING APPROVES&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: 26.5 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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: $23,250.79 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. ATTENT egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR Qc9_nni_M1n thrni in AR OR _M1_nnQn vn a nhtain a rnnu of tho',lac nr rlirort ni ioctinnc In f i inir.by Tallinn RAZ 919 1 QA7 nr 1 Ann 119 91dd Issued By: —4 Permittee Signature. ei2. 140.104,Urn• 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 RECEIVED Residential ��✓✓ roR oFFlc l: I SF.()NIA DECO23 Received Cityof Tigard (r [ y J� Pe —00rG g Date/By: � .Z'o t �-'D�'�' 14 ‘ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r s Phone: 503.718.2439 Fax: 503.598.196CITM°F TIG A nD Date/By: /a��' 7i3 Other Permit: 40,07 <��s� Inspection Line: 503.639.4175 �/lR Date Ready/By: ^ ,( n r s: ® See Page 4 for I I(�:�R I) p BUILDING DIVISION Notified/Method: 1 l I U �.�/2—I ''1 I Supplemental Information Internet www.tigard-or.gov Q rnt +`z �'`.h`2 'z wa 1:. ..n:. ***C4..: :'+. :J.....''.s i"vr...:�`.v".f'�'En�:...'.<.�� , .. .,.."/m. .. , n ...f..::k`.'T:..... 1. I]New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ,..1 i ., CONSTRUCTION a i k work indicated on this application. e Valuation: $ 0 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 4 ❑Accessory building ❑Multi-family El Master builder ❑Other: Number of bathrooms: .j a jti r 1 , I j ;c . Total number of floors: 2 '7i_U I(i 0 Job site address:13922 SW 166TH AVE New dwelling area: 1958 square feet C t Vy City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 1/4 Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 1 13 square feet Cross street/directions to job site: Deck area: square feet SW JFAN I OUISF RD Other structure area: square feet Subdivision:River Terrace Lot no.:36 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no parcel no: 2S1060003300 equipment,materials,labor,overhead,and the profit for the N` s i ur : :..:W'.W .e}...�P:, mow; ..,f va.. .... work indicated on this application. Valuation: $ Requesting Deferred SDC fees Existing building area: square feet New building area: square feet ': . r i i l l' ir t k 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: Jr S:.,.^i*.,.- ?..,,. ..+.,.,«.L' .c. ,E: ..4.. w. .m.,..v.';a,.:'n..<.-P'✓.. .:rlf..r : w ..:.,1.. r ...s.,....fr'%�•1., & S A.... Z.-h 4 Business name:TNHC OREGON LLC Structural plan review fee(or deposit): A r.,.< .r _- a 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 ( ) ; tart t E-mail: fandoval nwhm c0iV N p u fa, v:.:. ,.. 1 wi.)., . ....< w 4.:,,a "x. s w li .t7ri., �� ��,�` '�'I�Lh31u'C "!� Commercial and residential prescriptive installation of' . 2 r, „ y:: e , '.sa: :. ,t.tga 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. 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 CCB lic.:241108 n' Total fee due upon application: $201.60 Authorized signatur ' ir 04Ytte_01/,�/Y/t66 Y '"'JJJ r „ �`/ This permit application expires if a permit is not obtained Y within 180 days after it has been accepted as complete. Print name:Frank Sa al ix, V' n ,� *Fee methodology set by Tri-County Building Industry f" �� Y, �1 ��• (�J Service Board. I:\Building\Permits\BUP-RESPermitApp.d. 1 /25/2023 440-4613T(11/02/COM/WEB) t Mechanical Permit Applicati RECEIVE rolz oFrlcl: t SF:o\l.i Cityof Tigard Received 12 i n g Date/By: t 1 2-'7 Permit No.: yl -_f-..31J-, 2, ..fy.. • 13125 SW Hall Blvd.,Tigard,OR 97223 0EC 2 0 2623 y �� 1 ' g Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: T I G A R D Inspection Line: 503.639.4175 eJ�i OFTIGARD Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information TYPE OF WORK COMMERCMA..FEE* ScnEIRJI E—ESE mown Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. . ,.. Value:$ CATEGORY . CON TR CI IOIV Wit/EMI/EQUIPMENT/SYSTEMS'PEES* ® 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 INFORMATION ANO TOCATION Heating/cooling: Air conditioning 1 46.75 Job site address:13922 SW 166th 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 Subdivision:River Terrace Town Center Lot no.:36 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 iitsa OF`WORK 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 .PROPERTY OWNER ` ''� Environmental exhaust and ventilation: Name:TNHC OREGON LLC Range hood/other kitchen equipment 1 33.39 Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust I 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, 5 toilet compartments,utility rooms) 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 Fax: :( ) Fireplace 1 Phone:(503>310 7571Range 1 E-mail:fandoval@nwhm.com Barbecue CONTRACTOR: Clothes dryer(gas) Business name:Pro Heating and Cooling, INC Other: .. 1 Cli*!iIG 1.k 1 'tag", ,.. ' .. 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: ( Z7114-Cr4L * 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) t RECEIVED Electrical Permit Application JEC 2 0 2023 FOR OFFICE t SE oNLY City of Tigard Received /�p� ,3j Permit#: .'4., 1.-0A `� * 13125 SW Hall Blvd.,Tigard,OR 97223,'( � OF TIGARD Date ('c� �/J12 y1JI,. ^,a ,( 1 y II Phone: 503.718.2439 Fax: 503.598 II..t pate Review Related Permit 4: T[G - Inspection Line: 503.639.4175 -S' DING DIVISION ReadyDate/By: Arts Fd See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW idl New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: 0 Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. ..'CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ,..J I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 13922 SW 166th Ave 0 Addition of new motor load of system IOOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Sherwood/O R/97140 0 Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: RTTC 0 Hazardous locations. ❑Supply voltage for more than ❑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 l Total I * New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center Lot#:36 Includes attached garage. 1,000 sq ft.or less 1 168.54 4 Tax map/parcel#: 2s1060003300 Ea.add'I 500 sq.ft.or portion 1 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.) 54 PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: THNC OREGON LLC 200 amps or less 100.70 2 Address: 15231 Laguna Canyon Rd STE 250 zol amps to400amps 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 Branch circuits—new,alteration,or extension,per panel ( l APPLICANT ❑ CONTACT PERSON 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 , Address: service or feeder fee,first 15455 NW Greenbrier Parkway#240 branch circuit 56.18 2 City/State/ZIP: Beaverton OR 97006 Each add'I branch circuit 742 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 Address:1075 W Historic Columbia River HwySignal circuit(s)or limited-energy 0 See Page 2 2 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 fir min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.:112220 Electrical Lic.:C 1272 Suprv.Lie.:5782S specifically listed(4 hr min) F.LFCTRICAL PERMIT FEES Suprv.Electrician signature,required:'A -� Subtotal: Gmpbwf{oiS tJ >ld`K ez Print name:David Campbell Date:1 0/12/2023 0 Plan Review Required(25%of permit fee): ) State surcharge(12%of permit fee): Authorized signature: 4 4 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Malachi J. Wolcott Date:1 0/12/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:1Building\Permits\ELC_PerrneApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(1 l/OS/COSt/WEB ED Plumbing Permit Applicati 'V Building Fixtures DEC 2 0 2023 FOR OFFICE I.SF: (NIA Cityof Tigard �/ / p p Received a f O 1 I O��IVif1r7D l e, Permit No.: e-,..i 7�.��j -On.> 9 111 . 4 13125 SW Hall Blvd.,Tigard,OR 972 DatelBy; 1'�i r/,r 1Y I, DING DIVISION Plan Review Phone: 503.718.2439 Faz: 503.5 Other Permit No.: Date/By: .I.i C,A R 1) Inspection Lille: 503.639.4I75 Date Ready/By: huts: H Sec Page 2 for Internet: wow.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK :FEE* SCHEDULE ®New construction ❑Demolition For special infortnatiorr use checklist. Description I Qty. j 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 Ea 1-and 2-family dwelling Q Commercial/industrial SFR(2)bath 1 437.78 buildingSFR(3)bath 500.32 0 Accessory 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 3922 SW 166th Ave 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 Jean Louise Rd. Rain drain connector 18.76 Sanitary sewer(no linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear 11:_) Page 2 Subdivision: River Terrace Town Center I Lot no.: 36 Fixture or item: Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27 DE CR PTION Qr]YOIIK Backwater valve 12.51 New Home Construction Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 let PROPERTY O 'NER ( TENANT Expansion tank 12.51 Name: TNHC OREGON LLC Fixture/sewer cap 25.02 Floor drain/floor sinkthub 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 tZi APPLICANT ix CONTACT PERSON Interceptor/grease trap 25.02 Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 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 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.:112220 Plumbing Lie.no.:26824 PB Plan review (25%ofpennit fee) State surcharge(12%of permit fee) Authorized signature:4) TOTAL PERMIT FEE hilll��V KKK��!''' ""......,_ application expires if a permit is not obtained within 180 days This permit applic Print name:Mark Baleme Date:10/12/2023 after it has been accepted as complete. °Fee methodology set by Tri-County Building Industry Service Board. 1;\Building\Permits/PLMO-PermiiApp.dor 10/01/09 440-4616r(t0/02ICOMAVEB) lid--- -,1 , '.---,--2,,, A-D.,,,, 4 -tom _ ° Building Division 1 r M . F, One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION 2°2----2 Permit #: r5.—rzezz _ ( ,Z� Plan #: 2(S A_ Floors: 2 Valuation: �X Covered Porch: k k Basement ---_ Bedrooms: t Deck: _ 1" Floor 7-7 Li WC (toilets) 3 Deck Cover: 2nd Floor t [ '8' l Lavatories 5 Patio Cover 3`d Floor � Tub/shower Accessory Struct. R-3 Total t1 5 D Laundry Tray --�� Water Heater l / Gas r leD Garage a2- Exhaust Vents Gas Flue Vents - Total for Elec. it-f 6 b Backflow Prev. ,____ 410110 Heat Pump AC # for Electrical BBQ Gas Fireplace #Fuel Lines /....J2cS FEES: Description: Fee Applie . Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) 7j Info Proc/Arch: Sm $.50 (up to 11x17) 2 Metro CET: Residential Use School CET: District:\...s Tigard CET: Admin t. Tigard CET: ODHCS Tigard CET: AH 17 Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: c - 12% State Surcharge Plumbing Permit: Permit Fee: 12% State Surcharge Erosion Control: w/Permit - Ping t/ I:A Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1 City of Tigard m COMMUNITY DEVELOPMENT DEPARTMENT 111 • Building Permit Review - Residential TIGARD Building Permit #: 4/N4 ' 0'3 - 24 Site Address: 13922 SW 166th Avenue V Verified in Accela Project Name: River Terrace Town Center Lot/Unit #: 36 Proposal: New Single Detached SFR Zone: RES-C / C-C Housing Type: 'f SFR(E'Single Detached 0 Duplex❑Triplex 0 ADU) El Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other Required Site Plan Elements: V 3 copies of site plan on max 11x17" Rf Drawn to standard scale ❑ Relaii ied Li Cep, di ip hi is/ Li cc Ni ulcLlion IV North arrow t2f Street and site trees shown / labeled I f Site address, project name, lot # 0 Tablc calculating trcc canopy at maturity 'Street names (N/A for SFR) 'Applicant name and phone # 0 Courtyard rcctanglc dimcnsioncd (if applicable) Ei(Lot and setback dimensions i2r Vision clearance triangle V Utility locations &easements I/Footprint of new structure and FFE 'I Property corner elevations Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbancc) Wf Lot area and lot coverage percentage IV Erosion control Required Elevation Plan Elements: (For SFR: caics needed only on street-facing) Summary table with calculations for: 2r Drawn to standard scale 9(Total façade area ci Building height dimensioned 'Total window and door area 'Facade dimensioned V Windows and doors dimensioned ci Garage doors dimensioned Requu an Elements: (Not required for SFR El Summary table that includes El Each story dimensioned otal floor area ❑ Each story floor area calculated ❑ Floor ar Planning Review The following standards have been met: / 8'porch 3' alley I7Front:12'building Rear: 3'alley Side: 3 Min/Max Street Side: 7 / Garage: Height LV Max. Height: 35' Proposed Height: 26'-5" El Yes b N/A Landscape O Yes iL N/A Screening (Quad only) VI Yes ❑ N/A % Window Coverage 'Yes El N/A Garage (SFR Only) Parking (Other Res) V Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) O Yes N/A Other building design standards (Rowhouse only) ❑ Yes N/A Accessory Structure Standards O Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: 0 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: O Yes N/A Floor Area (per story) O Yes N/A Courtyard El Yes N/A Fence ❑ Yes ❑ No 'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes 0 No 1N/A Public Facilities Improvement (PFI) Permit: Required: 0 Yes ❑ No Applied For: 0 Yes 0 No, stop intake ❑ Sensitive Lands: Vc Yes 0 No 'Main Land Use Case #s: PDR2021-00004 0 Conditions met 0 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: -----7 /65 Date: 11/9/23 1 a/461ac,�3 Notes Revision 1: 0 Approved 0 Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: I/t4 i 2�?-7, Site Plans #: -, Building Plans #: ` h? Building Permit #: E /Building permit # entered op page 1 Workflow Routing: ■ lanning ® 1 Engineering Permit Coordinator E Building Workflow Sign-off: Sign-off for Planning (include notes from planning review) Route Documents: Gd Engineering: (1) copy of permit application, (1) site plan, (1) building plan a original plan review routing form. Building: original permit application, site plans, building plans, engineer and Jbeam calculations d trust details, if applicable, etc. Permit Techniciar6:r/ V/; U� Date: v 72--i (z', Notes: Engineering Review 0 P I Permit: or Slope at building pad: 34 Ieonditions met prior to issuance of permit CcEasements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 4lo Assess Water Quantity Fee in-lieu: 0 Yes l 'No LIDA Facility on lot: ❑ Yes i%I'No Add Fee: ❑ Yes ❑ No CYFinal Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: /2/ /2 S Revision 1: ❑ Approved 0 No pproved 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: de SDC Exemption: 0 Applied for 0 Received 4 Does not apply Or 6-endi - , 'SDC Fees Entered: Wash Co Trans Dev Tax: PJ Yes 0 N/A 414r Tigard Trans SDC: ,r'Yes 0 N/A ❑ eferred (� 0� Parks SDC: 7Yes 0 N/A [Deferred LIDA 0 Yes /6 N/A K to Issue/Approved by Permit Coordinator: Mf2 Date: t" (0' Zq Revision 1: El Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: