Permit (7) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00353
T(GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2024
Parcel: 2S107DA04500
Jurisdiction: Tigard
Site address: 16566 SW PERTH RD
Subdivision: SOUTH RIVER TERRACE PHASE 2 Lot: 100
Project: South River Terrace, Lot 100
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1113
sf Basement: 91 sf Left: 3
Parking Spaces: 0
Height: 23 Bathrooms: 3
Second: 1111 sf Garage: 422 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2315 sf Value: $415,516.11 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: Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0
Water Lines: 100 Catch Basins: 0
Footing Drain: 100 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: 4 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
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
DEM SF VB
R-3 2315
Owner: Contractor:
TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $36,420.24
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
ac9_M1_nnln thr, nh nap oc9_nn1_nnon 11 maw,nhtain a nnnw,of tha rnlac nr Arrant ni iactinnc to(N INC.hu rollinn an'919 10R7 nr 1 FM 429 944.11
Issued By: Permittee Signature: G r d� / / C` - ``�
Call 503.639. 175 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.
Mechanical Permit Application FOR OFFICE USE ONLY .
City of Tigard RECEIV . ,'i�vd
't 13125 SW Hall Blvd.,T Hard,OR 97223 Plan Review t
t = Phone: 503.718.2439 Fax: 503.598 1960
JUL 1 1 2023 Other Permit:
DatclBy
TI{i.rtltl) Inspection Line: 503.639.4175 Date Ready/By Juris H See Page 2 for
Internet: www.ttgard-or.gov NotitedlMethod I Supplemental information
CITY OF TIGARD —
TYPE OF t�,ORK 1—BUILDtN VI COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alterationi'repiacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 10,214
CATEGORY OF CONSTRUCTION
{ RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
y j Multi-family ❑ Master builder ❑ Other: i Description Qty, Ea. Total
JOB SITE LNFORMATION AND LOCATION Heating/cooling:
f 6 56 60 ��^ Air ace conditioning r 46.75
Job site address: V `�� Furnace 100,000 BTU(ducrsivenu) 1 46.75 I
City/Sate/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/yews) I 54.91 _
Heat pump I 61.06 1
Suite/bldg./apt.no.: Project name: Sow .1"2•Veri_ q i,c-"2- Duct work 1 I 23.32
Cross street/directions to job site: Hydronic hot water system I 23.32
Residential boiler(radiator or
hydrant) 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: South River Terrace Other. 23.32
-2_ I Lot no.: O O Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
rNew construction-Type SFU fireplace { 23.32
Log tighter(gas) 1 23.32 ,
Wood/pellet stove I 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range hood/other kitchen
equipment 1 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 1 33.39
City/Sate<`ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.37
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON I Other. 1 I 23.32 1
1 Fuel piping:
Business name:Taylor Morrison Northwest LLC.
S14.15 for first four;$4.03 for each additional
Contact name: CHQA,S 2,v ^7S I Furnace,etc. 1 F 1
Gas heat pump I I
Address:703 Broadway St.,Ste 510 Wall/suspended/mid bgater j I
City/State/ZIP:Vancouver,WA 98660 Water heater f
Phone:(360)695-7700 Fax: : (360)693-4442 Fireplace . 1
Range 1
E-mail:permitsubmittals(taylormorrison.corrl Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other 1
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste. 1104 Subtotal
City/State/ZIP: Hillsboro,OR Minimum permit fee($90.00) -
Plan review(25%of permit fee)
Phone:(360)270-1590 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
SA- a bC days after it has been accepted as complete.
Authorized signature: (�GL ' Fee methodology set by Tri-County B,uMing industry Service Board
Print name:Elia Duran Date: (/2e/23
Electrical Permit Application FOR OFFICE USE ONLY
CityO f Tigard Daceied Permit )3,—�.y� j 5
J g Date/By: \ W5
13125 SW Hall Blvd.,Tigard,OR03 97223
19 R ECE IV I eview
_ Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 e/ y:
Inspection Line: 503.639.4175 y Date/By: Juns: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
JUL 1 .1 2023
- ,
® New construction ❑ Addition/alteration/replaceeii tOF TIGARD Please check all that apply(submit 2 sets of plans w/items checked):
TIGARD ❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: BUILDING DIVISION where the available fault current ❑Marinas and boatyards.
CAA y C ON exceeds 10.000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 1a,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. a Installation of 150 KVA or
{g) I I {1 "kEmergency system.
larger separately derived
' '� _ .� � '�' Add't� m for load of sy em
m
to SGG S�J (mot K W�/ ❑ H ion w o
Job#: Job site address: 100HP or more. ❑syst "E","1 2","I-3
City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy.
❑
❑Health-care facilities. Recreational vehicle parks.
Suite/bldg./apt.#: Project name: South River Terrace Z. ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 1 1 -1,: =tp8I F. ;1 1z ,
Description Qty. Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: South River Terrace'.. Lot#: too Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 1
Y.eV" l? ?�wt<^'.wv'i tint ! .x1 l.:-' wr\ . jai f ikiath' 4,1*ii ti i f Limited energy,residential
(with above sq.ft.) 75.00 2
New home construction. Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energya See Page 2
f :v,� ,� x �;� ; 7 i .. � x�v &y. ,, :`ey art. g
�, Et . i 4s D n '"""c°Z..v'U1,1` .> ?<a># .' ,: *,` k, art.
. .. <...�..., . . .. .�_. , ,. xr., �. ..., . ..fi � ...� s Services or feeders installation,alteration,and/or relocation
Name:Taylor Morrison Northwest LLC. 200 amps or less 100.70 2
Address: 703 Broadway St., Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Phone: (360 )695-7700 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylormorrison.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
iti
T s 53 4 £ y# . Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Taylor Morrison Northwest LLC. above service or feeder fee,
each branch circuit 7.42 2
Contact name: Chris Roberts B.Fee for branch circuits without
Address: 703 Broadway St., Ste 710 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 7.42 2
503 313 9449Miscellaneous(service or feeder not included)
Phone: ( ) Fax: : ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2
.. , tv <h #�' x
,, .,. .� , ,,.. ....>, .r..... . . ... ....<`.. .. z '`,.�., .. ..= Pump or irrigation circle 67.84 2
Business name: Portland Electric Sign or outline lighting 67.84 2
Address: 1915E 5th St., Ste D Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 Fax: ( ) Investigation(I hr min) 90.00/hr
Industrial plant(1 hr rein) 78.18/hr
Email:paul@portlandelectric.biz Inspections for which no fee is 90.00/hr
CCB Lie.: 194066 Electrical Lic.: C760 Suprv.Lie.: 49205 specificall listed(v hr min)
Suprv.Electrician signature,required: //�� t�� S
l/�,CQi'� ��LQ�,G�-Q. / Subtotal:
Print name: Alex Shalya i Date: /'/?y/ e7OZ'j_ 0 Plan Review Required(25%of permit fee):
� (,,,�( 1/ J State surcharge(12%of permit fee):
Authorized signature: 'IA � ��k.., TOTAL PERMIT FEE:
I This permit application expires if a permit is not obtained within 180
Print name: Sergey Mishchuk Date: / 11013
daysafterithasbeenaeptedascomplete.t * Number of inspections allowed per permit.
1:ABuildingVPermits\t..LC_PermitAppELRERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB
v
Plumbing Permit Application
• Building Fixtures FOR OFFICE USE ONLY'
City of Tigard RECEIVE tB Pen>
�',
q 13125 SW Hall Blvd.,Tigard,OR 97223
JUL 1 1 2023 an Review
Date/By:Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
TIGARI3 Inspection Line: 503.639.4175 Date Ready%By: turfs: El See Page 2 for
Internet: www.tigard-ar.gav CITY OF TIGARd40tifted/Method: Supplemental Information
TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE
:Zw New construction 1 0 Demolition I For special information use checklist
- i Description 1 Qty. Ea. ) Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 i
Xl-and 2-family dwelling 0 Commercialiindustrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building -Multi-family
Each additional bath/kitchen ! 25.02
❑Master builder 0 Other:
Fire sprinkler C_sq.ft.) 1 Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16 s6 4 5� � �K ‘2,0 Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:South River Terrace Z Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76 _
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:, ) Page 2
Water service(no,linear ft.: ) Page 2
Subdivision: South River Terrace Z. Lot no.:L 00 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New construction-Type SFU Clothes washer 1 25.02
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12,51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC.
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON lntemeptodgrease trap 25.02
Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2
Contact name: Primer 12.51
Co
C�ax5 )2005Q0 S
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 I
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV ip m DWV 56.29
Address:P.O.Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 1
' Plan review (25%of permit fee)
CCB Lie.: 184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 4./21V-23 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:iBuiidin¢\PermitslPLMU-PermiWpp.doc l 0/01/09 440-46 f 6T(to 02/COM/WEB) k1i
Fb ,t)V
1 Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION' ` Z3
Permit#: Plan
Plan #: 3�0�L 6� loors:
Valuation: Lit S- 5�/- (( Covered Porch: Basement
_________---
Bedrooms: Lt Deck: 1"Floor `, 1 13
WC (toilets) 3 Deck Cover: _ 2nd Floor 1 t t
Lavatories S Patio Cover - 3`d Floor .�
Tub/shower 3 Accessory Struct. - R-3 Total Z3 i 5
,
Laundry Tray Water Heater t / Gas 6,e-c---) Garage
L{7-,Z
Exhaust Vents L 1 Gas Flue Vents ,-__--, Total for Elec. V 73-1
Backflow Prey. 410P0 Heat Pump (A 0 # for Electrical L
BBQ Gas Fireplace --e---c #Fuel Lines 3
FEES: Description: Fee Appli Fee Entered
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 23
Info Proc/Arch: Sm $.50 (up to 11x17) 7?
Metro CET: Residential Jse (l ‘/
School CET: District: 1(.(-,S
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH 1.
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:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /kA5A42,0L — OO S
Site Address: 16566 SW Perth Road jxVerified in Accela
Project Name: South River Terrace Lot/Unit #: 100
Proposal: New Single Detached Small Form Residential Zone: RES-D
Housing Type: kl SFR(El Single Detached ❑ Duplex 0 Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other
Required Site Plan Elements:
RI 3 copies of site plan on max 11x17"
X Drawn to standard scale El Retained trccs, drip linc/ trcc protection
X North arrow ® Street and site trees shown / labeled
X Site address, project name, lot #
X Street names (N/A for SFR)
X Applicant name and phone # (if applicable)
EX Lot and setback dimensions ❑ Vi,iuii clearance tiiai gle
X Utility locations &easements
X Footprint of new structure and FFE 1XJ Property corner elevations
X Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbance)
® Lot area and lot coverage percentage X Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
X Drawn to standard scale Cid Total façade area
® Building height dimensioned ® Total window and door area
X Façade dimensioned
® Windows and doors dimensioned
alley-loaded garage, non street facing
Require Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned loor area
❑ Each story floor area calculated 0 Floor area per
Planning Review
The following standards have been met:
12'bId3'-5' alley Setbacks 0 Front: gh 0 alley ySi 3 8'de: Min/Max Street Side: / Garage:
35' loaded garage
Height ❑ Max. Height: Proposed Height: 23'
X Yes 0 N/A Landscape
❑ Yes X N/A Screening (Quad only)
IX Yes ❑ N/A % Window Coverage
❑ Yes X N/A Garage (SFR Only) Parking (Other Res)
X Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
O Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
O Yes 0 N/A Unit Count:
❑ Yes 0 N/A Lot Width and Size
O 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
O Yes N/A Fence
❑ Yes ❑ No INN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes El No ®N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
® Sensitive Lands: ❑ Yes X No
29 Main Land Use Case #s: PDR2018-00003/PD 2021-00003 ❑ Conditions met
❑Applicant notified of land use expiration permits by 11/3/2024, final occ by 11/3/2026
Approved By Planning: Date: 7/3/23
Notes garage is alley-loaded
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 1411 1la3
Site Plans #:
Building Plans #:
Building Permit #: V Building permit # entered ojo,page 1
Workflow Routing: V Planning engineering H Permit Coordinator Wguilding
Workflow Sign-off: Pf Sign-off for Planning (include notes from planning review)
Route Documents: L Engineering: (1) copy of permit application, (1) site plan, (1) building plan
tapd original plan review routing form.
Mil Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: l/YL4./ &1 Date: 3I7A rum
Notes: tiff'
Engineering Review •
❑ P I Permit:
Slope at building pad: / a %
41,1C'Conditions met prior to issuance of permit
a Easements (encroachments) per engineering conditions of approval and plat
4'1 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes IIYIVo
Assess Water Quantity Fee in-lieu: 0 Yes ilirNo
� LIDA Facility on lot: ❑ Yes i o Add Fee: CI Yes ❑ No
IIYFinal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: - _ Date: 7731/2,3
Revision 1: 0 Approved ❑ t" Approved _ Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
'Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
0 .-SDC Exemption: CI Applied for CI Received CN`oes not apply
VVVVr �""SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
( Tigard Trans SDC: III Yes El N/A D Deferred
Parks SDC: 0 Yes ❑ N/A Deferred
LIDA ❑ Yes f, N/A �o �7
17(
OK to Issue/Approved by Permit Coordinator: 'I pit - cZ\�Ok Date: G~
Revision 1: ❑ Approved ❑ Not Approved _ Date:
Revision 2: ❑ Approved 0 Not Approved _ Date:
City of Ti and ECE VE®
li . " Deferral Until Occupancy Request
,TY OF TIGARD
Transportation Development
on Tax Tran" tc '�� s System
TIGARD Washington County Trans p (TDT),
' Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24, as amended by Ordinance No. 21-09).
Date: 8/14/2023 Site Address: 16566 SW Perth Rd
Project South RT Phase 2 Land Use Case or
Name: Lot 100 Building Permit#: MST2023-00353
Tax Lot 2S107DA04500 Total Parks $9,430.00
$#: Amount*:
TDT Total TSDC $12,247.00
Amount: N/A Amount*:
*The total TSDC amount shown above is the sum of$ 7,917.00 for TSDC-Improvement,$457.00 for TSDC-
Reimbursement,and$3,873.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$ 7,384.00 for Parks-Improvement,$ 2,046.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ N/A for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: 79y•�7 '� Date: 8/15/23
Developer: /ems Nvu� Date: 8/15/23
Permit Coordinator: Date: 8/14/2023