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Permit
CITY OF TIGARD MASTER PERMIT 1111 a COMMUNITY DEVELOPMENT Permit#: MST2023-00629 Date Issued: 02/14/2024 T I l:;A It r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 106DD04600 Jurisdiction: Tigard Site address: 13927 SW 165TH AVE Subdivision: RIVER TERRACE TOWN CENTER Lot: 46 Project: River Terrace Town Center, Lot 46 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL ENGINEERING APPROVES&DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 112 sf Basement: sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1173 sf Garage: 502 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 1184 sf Right: 3 Detectors: Total: 2469 sf Value: $450,365.61 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 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 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: 4 201-400 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 2469 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 3 Geo Tech Required 250 PHONE: PHONE: 503-312-6213 FAX: Total Fees: $25,795.14 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 ac _nni_M1n fhrni inh 69_nn1_nnon Vni i mow nht,in a rnm,of fho r,,l nr rlirorf n,,ocfinnc fn Of INC:by rollinn Ffl1 939 10R7 nr 1 AAnn 31 99 fAA Issued By: / Permittee Signature: SQI \�\\u�c/ (k Ut \• 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. t , Building Permit Application Residential RECEIVE eceived .. �/' City of Tigard Date/B : ` per 4-3 V, emvt �a^0�„� `D( .'-/C� III I 13125 SW Hall Blvd.,Tigard,OR 97223 clan Review �/ Phone: 503.718.2439 Fax: 503.598.1960 `' 2 O 2023 Date/By: ( j,l Other Permit:?N)I 1-6.' oZ Inspection Line: 503.639.4175 Date Ready/By: us EI See Page 4 for t '�IZ#� p Notified/M thod: 1 91(1)�• Supplemental Information Internet: www tigard or gov I I + CITY OF TIGARD G p� T1". Staallatir #1 f4...-....:1.,, ,�Vt 1. .. . :' (�. r,,d piorrwy vr^ s 5 #�1 :,atoty ....x ..: ,.., s�,,., ':..:.s..... '` ,i:.(.om :r,.:: :. �, . :::.X. '...'ev.> ..: .rl. ... 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 0 Addition/alteration/replacement E Other: equipment,materials,labor,overhead,and the profit for the anhnsnemfnm c � work indicated on this application. tatigwi Valuation: S 19-7,32A, � o 1)6534 El 1-and 2-family dwelling ❑Commercial/industrial ( ° ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: -; $ r ?m „ y"I '" u 'f > r u,� f i t 1 Total number of floors: 3 `� Ij `7 Job site address:13927 SW 165Th AVE New dwelling area: 2469 square feet 1( S-1 City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 1173 Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 113 square feet ! 1 g Cross street/directions to job site: Deck area: square feet SW J FAN LOU I SF R D Other structure area: square feet 2.t/+> Subdivision:River Terrace Lot no.:46 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: 2S 1060003300 equipment,materials,labor,overhead,and the profit for the Y ,r e t �.%, ¢a t # _ $ 1 ' .,;h , �,', 4r4 x� work indicated on this application. WaSuStAtUROValuation: $ Requesting Deferred SDC fees Existing building area: square feet New building area: square feet s ,.. 4 -,r `, x r.y ti L x .» slt f �;, �`l s � 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: x .:.....J��v',�.. �,`',.:,.:,...c,+:...:8,?7 ... .:'.'.tv?�.,'a,....�,x,'�. Mat':.'?'.. 1. ,i. ,,,,. ;:.n... �: &�'-•'�' r ... :' ,...u:.....n,'. x*t' " '�a.., ak 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 I Fax: :( ) E mail fandoval nwhm corn /� yt��t� �,,� r' y�,;' . ':. " ;:zo lojgl QM lwl��t? ,.� , Commercial and residential prescn tive installation of =I L f 0 i m, a tG.,,., 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.:24110 Total fee due upon application: $201.60 Authorized sign This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ie r v t7 .. •,'A-� *Fee methodology set by Tri-County Building Industry Print name:Frank San va ti L jDate: ` !.V Service Board. I:\Building\Permits\BUP- ESPermitApp.d 1/25/2023 440-4613T(I1/02/COM/WEB) Mechanical Permit Applicati(I. FOR oFF1cr USE()NIA 2 2023 Received City of Tigard DEC 0 Date/By: lI..(74. '7j)j Permit No.: iU 1'26i. i.--,9,^0.L°1 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' li Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: -r I G A R D Inspection Line: 503.639.4175 CITY OF rIW/1 (�1 p�; Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.govUiLDING DIVISION i Notified/Method: Supplemental Information TYI'E OF WORK COMMERCIAL iii* CHER.1LE-EST CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION 1II 51tI 1I1+T fIA1 FQi#P N FSY TI S 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 SITE INFORMATION A LATI Heating/cooling: Air conditioning 1 46.75 Job site address:13927 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 Subdivision:River Terrace Town Center Lot no.:46 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 DESC ION O WO. 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 I PROPERTY OWH1 ER ' Cl ' NAN Environmental exhaust and ventilation: Name:TNHC OREGON LLC Range hood/other kitchen equipment 33.39 Address:15231 Laguna Canyon Rd STE 250 Clothesdryerexhaust 1 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 23.32 Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT toNTACT Pti I I' : 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: :( ) FireplaceRange 1 E-mail:fsandoval@nwhm.com Barbecue ' CONTRACTOR:. 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 J��� days after it has been accepted as complete. Authorized signature: � y 77L14-�-14- * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:3/17/2023 1:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(1 i/02/COM/WEB) RECEIVED Electrical Permit Application DEC 2 0 2023FOR OFFICE USE ONLY City of Tigard CITY OF TIGARfD Received p -r a Date/By- t /'j.�j,,. .) Permit#:i 't", t Z, i-?, -7;,( 1c�Ij 1312s sw xatl Blva.,Tigard,oR s7 L®INCH DIVISION Q.: Plan Review Phone: 503.718.2439 Fax: 503.598. •' 1 Date/By: Related Permit#: Inspection Line: 503.639.4175 ReadyDate/By: inns-TtGARD Y � SeePage2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Service or feeder 400 amps or more 0 Building over three stories. Other: where the available fault current 0 Marinas and boatyards. ._..CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. a1-and 2-family dwelling 0 Commercial/industrial 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 ❑Other: ❑Fire ptunp. 0 Installation of 150 KVA or JOB SITE INFORMATION AND`LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 139Z7 SW 165th AVe ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","I-3", City/State/ZIP: Sherwood! OR/97140 sinus. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: RTTC 0 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 Jean Louise Rd Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center Lot#:46 Includes attached garage. Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 1 168.54 4 Ea add'l 500sq.tt.or portion .q 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.) til PROPERTY OWNER 0 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 250 201 amps to4o0amps 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 50 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits ne, Business name: THNC OREGON LLC aboveserviceorfeederfee, 742 2 each branch circuit Contact name: Frank Sandoval B.Fee for branch circuits without service or feeder fee,first Address: 15455 NW Greenbrier Parkway#240 branch circuit 56.18 2 City/State/ZIP: Beaverton OR 97006 Each add'i branch circuit 7.42 2 Phone:( 310 7571 Fax:: Miscellaneous(service or feeder not included) ( ) 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 !ter ti n)orlixiensionergy See Paget 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 hr min) 78.18/hr Inspections for which no fee is CCB Lic.:112220 Electrical Lic.:C 1272 Suprv.Lic.:5782S specifically listed('/x hr min) 90.00/hr ELECTRICAL.PERMIT PETS Suprv.Electrician signature,required:' -:. Subtotal: Print name:David Campbell Date:10/12/2023 13 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 44f...,4kca 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\Permits\ELC_PernutApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(lt/05/COM/WEB Plumbing Permit Application RECEIVED Building Fixtures DEC 2 0 2023 roll orf l('l. tISI: ()NIX City of Tigard CITY OF TIGARD Received permit No. a 13125 SW Hall Blvd.,Tigard,OR 97 �����ej' nr�A'A�± DIVISION l DatelBy: 1 �?�( ?� l�( 'rt '�� '�" 0 j It 2` Phone: 503.718.2439 Fak: 503,59 YA[/It llltll I)IVISION Flan Review Date/By: Other Permit No. l I G AR D Inspection Line: 503.639 4175 Date Ready/By: ions F1 See Page 2 for Internet: wwtw.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE*SCHEDULE ®New construction 0 Demolition For special irtjornration use checklist. Description I Qty. J Ea. j Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312 70 ® I-and 2-family dwelling CICommercial/industrial SFR(2)bath 1 437.78 ❑Accessory building SFR(3)bath 500.32 0Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft) Page 2 • JOB SITE INFORMATION^^AND LOCATION, Site utilities: Job site address: 1 3927 SW 165th 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 II:_) Page 2 Water service(no linear ft: ) Page 2 Subdivision: River Terrace Town Center l Lot no.: 46 Fixture or item: Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27 DESCRIPTION OR WORK` Backwater valve 12.51 New Home Construction Clothes washer 25.02 . Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 k°t PROPFRTY.°yvt ER © TENrANT 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:( ) lee maker 12.51 't . APPLICANT ICI-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)31 0-7571 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 N O 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 Lic.: a 26824 PB Plan review (25%of permit fee) 112220 PlumbingLie,no.: State surcharge(12%of permit fee) Authorized signaturej‘%, j� 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. t\Building/PermitslPLMU-PermitApp.dot I0/01/09 440-4616T(10/02/COM/WEB) .�eG�rz '.P - - c. ° Building Division A GEOTECHNICAL ne & Two-Family Dwelling TIGARD REPORT IS REQUIRED - Fees Checklist INSPECTION IS APPROVED PERMIT , . - `.'.'--.'-‘,..:.',1; Application Date - FEE VERSION 1-0( y Zo2�3 Permit #: ll(li 12bZ , O D CP I Plan #: 2 GGO b Floors: 3 Valuation: Covered Porch: ? 3 Basement Bedrooms: 9 Deck: 1' Floor / f WC (toilets) 3 Deck Cover: 2''d Floor / / 73 Lavatories S Patio Cover 3'd Floor // (t6 9 Tub/shower 3 Accessory Struct. ___--- R-3 Total 2�D/ _9 Laundry Tray Water Heater 1 / Gas ASV Garage 50-)'' Exhaust Vents Gas Flue Vents _- Total for Elec. P q-1 1 l Backflow Prev. urnac / Heat Pump CAC) # for ElectricalLi BBQ Gas Fireplace f! #Fuel Lines 3 FEES: Description: Fee Aprs: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg $2.00 (over 11x17) Z0 Info Proc/Arch: Sm $.50 (up to 11x17) 974, Metro CET: Residential Use (\ School CET: District: c,.Q)l V Tigard CET: Admin LZ Tigard CET: ODHCS Tigard CET: AH Electrical Permit: Permit Fee: Limited Energy: V- 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge Plumbing Permit: Permit Fee: 12% State Surcharge Erosion Control: w/Permit - Ping ✓ I:A Building\Forms\ResPLmCheckFees_Dec2U22=AA.doc 12/21/22 Page 1 City of Tigard 14 q COMMUNITY DEVELOPMENT DEPARTMENT - Building Permit Review - Residential TIGARD Building Permit#: iiitc)11/' -'' " fign(Q 21 Site Address: 13927 SW 165th Avenue cr Verified in Accela Project Name: River Terrace Town Center Lot/Unit #: 46 Proposal: New Single Detached SFR Zone: RES-C Housing Type: V SFR(E'Single Detached ❑ Duplex❑Triplex❑ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other Required Site Plan Elements: t 13 copies of site plan on max 11x17" V Drawn to standard scale 0 Reluii ied Li ces, di ip fine/ L.ee pi ulection V North arrow V Street and site trees shown / labeled V Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity 'Street names (N/A for SFR) 'Applicant name and phone # 0 Courtyard rcctanglc dimcnsioncd (if applicable) MLot and setback dimensions 'Vision clearance triangle ❑ Existing structures &squat a footage 'Utility locations &easements V'Footprint of new structure and FFE ill Property corner elevations 1 Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturboncc) t 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: V Drawn to standard scale V Total facade area V Building height dimensioned VTotal window and door area 6a'Facade dimensioned 'Windows and doors dimensioned '1 Garage doors dimensioned Requir an Elements: (Not required for SFR 0 Summary table that includes 0 Each story dimensioned otal floor area ❑ Each story floor area calculated ❑ Floor ar Planning Review The following standards have been met: s'porch 3' ll Setbacks 0 Front:17building Rear: 3'alley Side: 3' Min/Max Street Side: 7 ae / Garage: y Height CIMax. Height: 35' Proposed Height: 29'-3 1/8" ❑ Yes b N/A Landscape ❑ Yes i N/A Screening (Quad only) V Yes 0 N/A % Window Coverage 'Yes ❑ N/A Garage (SFR Only) Parking (Other Res) '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 ❑ Yes N/A Fence ❑ Yes ❑ No 'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No viN/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ No, stop intake ❑ Sensitive Lands: 'Yes ❑ No VMain Land Use Case #s: PDR2021-00004 ❑ Conditions met ❑Applicant notified of land use expiratio e: Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027 Approved By Planning: Notes - Date: 12/5/23 i a/ t)-c% Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: 17 il,'Z4'-3 Site Plans #: 77 Building Plans #: z, Building Permit #: 2 Building permit # entered 9n page 1 Workflow Routing: f7 lanning V Engineering Gd Permit Coordinator aiBuilding Workflow Sign-off: 2 Sign-off for Planning (include notes from planning review) Route Documents: VEngineering: (1) copy of permit application, (1) site plan, (1) building plan aryl original plan review routing form. 1 V Building: origina permit application, site plans, building plans, engineer and b am calculations d trust details, if applicable, etc. Permit Technician: � Qv, Date: i2-JZI (Z3 Notes: Engineering Review ❑ P I Permit: a; Slope at building pad: 20 Ary Conditions met prior to issuance of permit /00 "Easements (encroachments) per engineering conditions of approval and plat gr-water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes fl"No Assess Water Quantity Fee in-lieu: ❑ Yes 21'No LIDA Facility on lot: ❑ Yes no Add Fee: ❑ Yes ❑ No Final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: /2/ // 3 Revision 1: 0 Approved 0 of Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review onditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: c ' 0'. SDC Exemption: ❑ Applied for ❑ Received C 'Does not apply AA -0-5DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A ��Gr✓�'V�Tigard Trans SDC: eYes ❑ N/A Deferred Parks SDC: r(Yes ❑ N/A E Deferred Cf/W i 7 LIDA ❑ Yes ,e N/A pbOK to Issue/Approved by Permit Coordinator: 09 Date: t . CV Z y Revision 1: 0 Approved 0 Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: