HomeMy WebLinkAboutPermit (4) CITY OF TIGARD MASTER PERMIT
till a COMMUNITY DEVELOPMENT Permit#: MST2023-00369
Date Issued: 02/21/2024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107DA05200
Jurisdiction: Tigard
Site address: 16562 SW MELBOURNE LN
Subdivision: SOUTH RIVER TERRACE PHASE 2 Lot: 107
Project: South River Terrace, Lot 107
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 784 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 950 sf Garage: 423 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1734 sf Value: $318,340.62 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 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: 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
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 1734
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: $34,468.14
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 r 'res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ac9-nn1-nnin thrni, R Qc9..nn1-nnon ,brain rnnw of this.rnlcc nr rlirart nnactinnc rn ni inir`M,rauinn cn1 9'29 1 QA7 nr 1 Ann 119 91dd
a
Issued By: Permittee Signature: J e HZ
Call 503. 9.4175 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
Residential RECEIVE I FOR OFFICE USE ONLY
City of Tigard AUG
Date/By: g 1i 1 I 113 • Otp Permit No.:M 1 et0 ti3' loq
Bone S50 Hall Blvd.,Tigard,OR 97223 t4 U G 2023 Plan Review ( /( /2-3
C i'1�1jn •( 1i= Phone: 503.718.2439 Fax: 503.598.1960 DaBy: Zr`1y l otl�erPermit: J1�V U V
T i 6,�f;n Inspection Line: 503.639.4175 CITY OF TI GAR D D°`e R`�'B'' Auk: ® See Page 4 tr•
Internet www.tigard-or.gov BUILDING DIVISION Notified/Method. lfo 30�3� It' . 13applementallnformation
i]New construction ❑Demolition Permit fees*are based on the value of the work performed.
El Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
:'7. ; s.., , ,,664 - work indicated on this application. 2
®1-and 2-family dwelling ❑Commercial/industrial Valuation $ '' f 0
❑Access building Number of bedrooms:
Accessory ding ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:,j e . 4:;;• s v /u Total number of floors: 2 5--7
C
Job site address: 16562 SW Melbourne Ln New dwelling area: 1734 square feet '95
City/State/ZIP:Ti hard, OR 97224 Garage/carport area: 423 square feet
Suite/bldg./apt.nC.: Project name:South River Terrace Phase 2 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: 107 Permit fees*are based c n the value of the work performed.
Tax map/parcel n�t.: Indicate the value(roun led to the nearest dollar)of all
A r n,r r equipment,materials,labor,overhead,and the profit for the
i,i'. ,„r r, x : �,,, 0 `f 4 � f" work indicated on this a ppl cation.
new home construction Valuation: $
Existing building am!: square feet
New building area: square feet
J ,P,/„ .w?r 1„,Zr ', f ' 4." r� Number of stories:
Name:Taylor Morrison Northwest LLC Type of construction:
- Address:703 Broadway St,Ste 710 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Fxiatino•
`1/4.3\ Phone:(360 )946-8674 Fax ( )
New:
r Business name:Taylor Morrison
K- Structural plan review fee(or deposit):
t Contact name:Tonja Morris
FLS plan review fee(if applicable):
r Address:703 Broadway St,Ste 710 _ l¢ .
T City/State/ZIP:Vancouver,WA 9866
�jz 1. Total fees due upon application:
Phone: N/tax::Z ) Amount received:
E-mail:permitsubmittals@taylormorrison.com , a ,
F '°" ,a Commercial and residential prescriptive installation of
� :` .ram r'�` `� �' :�.�'` ,'r' � ,' s r r ,' r r .✓�, � P
�. - � �• .;�`�" 7 r � �{�,,;,� :�%,�. roof-top mounted Photovoltaic Solar Panel System.
Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St, Ste 710 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360 )695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature: %B.N�y�71/�.4 � This permit application expires if a permit Is not obtained
v%/ within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:7/31/23 *Fee methodology set by Tn-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicat' (� \, FOR OFFICE USE ONLY
City of Tigard �V�( Y �D Received Perm rr,t n.: /
� �
W/f U �� � �.
"14
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 AUG2023 Date/By:
/I
Date/By. Other Perron:
1;1 ci,,I:I i Tnspeetion Line: 503.639.4175 Date Ready/By: Jtvis: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notitied/Method: Supplemental Information
BI UI DING DIVISION -
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE 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:S
CATEGORY OF CONSTRUCTION •
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
r I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
I j Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/coolrng
Air conditioning I 46.75
Job site address: 16562 SW Melbourne Ln Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 ,
Suite/bidg./apt.no.: Project name: Creekview at South River Terrace Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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: Creekview at South River Terrace Lot no.: 107 Other: 23.32
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
New construction-Type SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pelet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 23.32
PROPERTY OWNER • 0 TENANT Environmental exhaust and ventilation:
Name:Taylor Morrison Northwest LLC. Range bood/other kitchen
equAddress:703 Broadway St.,Ste.510 Cloth dryer
33.39
Clothes d exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
►;r APPLICANT 0 CONTACT PERSON Other. 23.32
Business name:Taylor Morrison Northwest LLC Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Omar Alarni Aboul oafs Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pip
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail;permitsubmittalstataylormorrlSofl.corn Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
1 City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
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
days after it has been accepted as complete.
Authorized signature: �� � '�' ' Fee methodology set by Tr-County Building Industry Service Board
Print name:Elia Duran Date: %1 ( [Z�
r lRnil,3inolPrcmact5AIi P..mL•nn rum ii n,.. .+n•ci,r, n,rnc.m.c or
T>«ciricat rermit Application RECEIVE I FOR oFF1C1. L.SE OyI.V
IIICity of Tigard AUGReceived 511�1�3 `N V 04
.,- 4 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 2023 Dater`Rev Permit 4: \ll
�' Phone: 503.718.2439 Fax 503.598.1960 Dan Review
DateBy: Related Permit#:
r I( t 1; Inspection Line 503 639 4175 CITY OF TIGARD Ready l,Xle : Jude
H See Page 2 for
Internet, wuu hgazd or gov BuIL IIn Notified Method
`r( Supplemental Information
'✓Zi . ` ;.,,. i t v 9 . g'aa„t T c .S"* ,gyp. re
, �. � y ...3��,1'., ...�-.�. � .�.., �x.,.r ,.�,"` �� �'az t 5 # i,;�,.F E t, =` „� ,„'� ��i�.te A.4�•. �_
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)
0 Demolition Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
�� 4, , where the available fault current 0 Marinas and boatyards.
�V -': • +-� , t .., exceeds
xceeds 10.000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,ar exceeds 14,004 ❑Commercial-use agricultural
0 Multi-family CI Master builder Other amps for all other installations buildings.
❑Fire pump.
CI Installation of i50 KVA or���t e5� � �Ai; � ,v@ 'k t :' 4 ( i ONs
❑Emergency system. larger separately derived
Job#: Job site address: 16562 SW Melbourne Ln
❑Addition of new motor load of system
I00HP or more. ❑„A„ E •y i ;.
City/State/ZIP: Tigard,OR 97140 ❑Six or mare residential units. occupancy.
South River Terrace 2 ❑Health-care facilities ❑Recreational vehicle parks.
Suitelbldg.tapt.#: I Project name. ❑Hazardous locations 0 Supply voltage for more than
Cross street/directions to job site:
❑Service or feeder 600 amps or more. 600 volts nominal.
Description Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot# Includes attached garage,
South River Tcrracc 9 07
Tax map/parcel#: 1,000 sq.ft or less 168.54 4
E' x .� i11ty { ,, "`•. ,. , 110r0IT"1' ' I i:Z: t „, ' Limited add energy,500 sq.ft.deor tial portion 33.92 1
«� ». : �.�..� . residential
New construction.Type SFU (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq It) 75.00 2
` � 1 s a t l g '; Renewable Energy ❑ See Page 2
Name: iy' O I- t 1 f t ,.}i 3. lit .I C.�` Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 13356 2
City/State/ZIP: Vancouver,WA 98660 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301 04 2
Phone:( 360 )946 8674 I Fax:( ) Over 1,000 amps or volts 552.26 2
Email: OAlantiAbouhafstaylormorrison.cam-PermitSubmittalstri�ta'lormorrisan.com Temporary services or feeders installation,alteration,and/or
y relocation
Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 59,36
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 1
201 amps to 400 amps 125 08 2
Owner signature Date 401 amps to 599 amps2
.. ... x P P 168.54' Branch circuits—new,alteration,or extension, i•r panel
Business name: A.Fee for branch circuits wirlt
above service or feeder fee,
Contact name: Omar Alami Abouhafs
each branch circuit 7 42 2
B.Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Vancouver, WA 98660 Each add'l branch circuit 7.42 2
Phone:(360 }946 8674 Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email:OAIamiAbouhats adtaylormorrison.com-PermitSubmittalsru taylormorrison.com dwelling,service and/or feeder 67.84 2
tw c ., s Reconnect only.
67 84 2
'. .mats .,,', ; Pump or irrigation circle 67.84 2
Business name: A I,A(viT -)f. t !rj 4.....A. $44 . Sign or outline lighting 67.84 2
Address: n i� t��j / h_ Signal circuit(s)or limited-energy ❑ See Page 2 2
t�+ Li"f ° 1 panel,alteration,or extension. g
Cityr'StateJZIP: ��-L ,y�y t-y Each additional inspection over allowable in any of the above
v t'^w —1 Additional inspection(I hr min) 66.25>hr
Phone:( 5 L ZJ I 9 i t I Fax:( ) Investigation 1 hr min
I g 1 ) 90.00I hr
SQ t ID xilt-• M j Industrial plant(1 hr min) 78.18/hr
Email:CCB Lic.: is s Inspections for which no fee is
j {]�j a �} Electrical Lic,: i �, �} Suprv.Lic.: 4 s clficall listed l:hrmm
t l 1 t S, t 3"I ` p 1 (, 90 00t hr
Suprv.Electrician signature,required: �'•'" - • � a is�! .�� ;,.,
Subtotal:
Print name:12 r.- t s_1'-E tz... Date: (o—5-21 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
•Authorized signatur TOTAL PERMIT FEE:
�('`� This permit application expires if a permit is not obtained within 180
Print name: F"'"4,,E., "T t,net eS 8 Date: 10.5—2,1 days after it has been accepted as complete.
III » Number of inspections allowed per permit,I`SuildingiPermits\ELC_Permitgpp ELR_EKE.doe Rex06t17r'Z015 440-06157(lll05,CahtWEB
Plumbing Permit Application_
Building Fixtures RECEIVE 1 FOR OFFICE USE ONLY
City of Tigard Received
:II pAUG 1 2023 DatelBy: PermitNo.: 1 WZ •0530
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R 1� Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: tuna; Iii See Page 2 for
Internet: www.tigard-or.gov
BU1I DING DIVISION Notified/Method: _ Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction ❑Demolition For special information use checklist _
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
IDAccessory building III-Multi-familySFR(3)bath 50032
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16562 SW Melbourne Ln Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no,linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name:South River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear R: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no,linear ft.: ) Page 2
Subdivision: South River Terrace Lot no.: 107 Fixture or item;
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New construction-Type SFU
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Taylor Morrison Northwest LLC. Fixtutr/sewercap 25.02
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 Interceptor/grease trap 25.02
Business name: Taylor Morrison Northwest LLC Medical gas(value:S ) Page 2
Primer
Contact name: Ulna! ,AIamt Aeouttars 12.51
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
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@polygonbomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water n m WV
p p 56.29
Address:P.O.Box 92 Other: 25.02
City/State/Z1P:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50
CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: II ti3 Thu 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 1Building PermitslPLMU-PermitApp.doc 10/01,09 440-4616T(I OAJCOM,WEB)
!PI I
Building Division
One & Two-Family Dwelling
TIc x Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION JW ly2'
Permit #: MS i���—
bO'3l9 7 Plan#: l ta3t co Floors:
Valuation: ,3�� � 0 �/ Covered Porch: Basement
t
Bedrooms: 3 Deck: 1st Floor -76
WC (toilets) 3 Deck Cover: 2nd Floor 9 5D
Lavatories 9 Patio Cover ---------- 3'Floor
Tub/shower Accessory Struct. R-3 Total t 7 2 1
Laundry Tray �_ Water Heater t / Gas Elec Garage yZ3
Exhaust Vents 5" Gas Flue Vents �____— ' Total for Elec. Zl� 7
Backflow Prey. - C-Furnac / Heat Pump AC # for Electrical
BBQ ,_.___ Gas Fireplace \I J-- #Fuel Lines 3
FEES: Description: Fee App ' s:. Fee Entered.
•
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) ,2 t
Info Proc/Arch: Sm $.50 (up to 11x17) if(-`
Metro CET: Residential Use ✓
School CET: District: ��s ✓
Tigard CET: Admin ✓
Tigard CET: ODHCS
Tigard CET: AH L/
Electrical Permit: Permit Fee: ✓
Limited Energy: ✓
12% State Surcharge ✓
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee: ✓
12% State Surcharge
Erosion Control: w/Permit-Ping 7/
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MS'1'(AY V.OMA
Site Address: 16562 SW Melbourne Ln tic Verified in Accela
Project Name: South River Terrace Lot/Unit #: 107
Proposal: New Single Detached Small Form Residential Zone: RES-D
Housing Type: RI SFR(® Single Detached 0 Duplex 0 Triplex 0 ADU) ❑ Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
3 copies of site plan on max 11x17"
gi Drawn to standard scale 0 Retained trccs, drip linc/ tree protection
IE North arrow ® Street and site trees shown/ labeled
• Site address, project name, lot # -ee early at maturity
X Street names (N/A for SFR)
® Applicant name and phone # 0 Courtyard rectangle dimensioned (if applicable)
IX Lot and setback dimensions 0 Visivii deal ante b;angle
El Existing structures &square footage IXJ Utility locations &easements
X Footprint of new structure and FFE X Property corner elevations
al Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
IX Lot area and lot coverage percentage IX Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary table with calculations for:
X Drawn to standard scale IX Total facade area
® Building height dimensioned IX Total window and door area
IX Facade dimensioned
IX Windows and doors dimensioned
alley-loaded garage, non street facing
Require Elements:
(Not required for SFR) El Summary table that includes
O Each story dimensioned floor area
❑ Each story floor area calculated El Floor area per
Planning Review
The following standards have been met:
12'bldg 0'alley 3' 8' 3'-5' alleyRear:
35' g 2g' loaded garage
El Max. Height: Proposed Height:
I$1 Yes El N/A Landscape
❑ Yes X N/A Screening (Quad only)
L&Yes ❑ N/A % Window Coverage
El 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 El N/A Accessory Structure Standards
O Yes O No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes El N/A Unit Count:
❑ Yes El N/A Lot Width and Size
O Yes El 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)
❑ Yes ❑ N/A Courtyard
O Yes El N/A Fence
❑ Yes ❑ No MN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ®N/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: 0 Yes ❑ No, stop intake
IX Sensitive Lands: 0 Yes M No
I9 Main Land Use Case #s: ❑ Conditions met
❑Applicant notified of land use expiration permits by 11/3/2024. final occ by 11/3/2026
Approved By Planning: Date: 7/2R/23.
Notes garage is alley-loaded
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal A
Original Submittal Date: 1\\\ W I 7 l
Site Plans #:
Building Plans #:
Building Permit #: C'Building permit # entered on page 1
Workflow Routing: 5 lanning B'Engineering KYPernnit Coordinator I 'Building
Workflow Sign-off: g Sign-off for Planning (include notes from planning review)
Route Documents: ia'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
a5,d original plan review routing form.
P1 Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: 1k,t /4.J IcIJY(41 Date: 'I7i/LCI
Notes:
Engineering Review
❑ P I Permit:
Slope at building pad: Zf 0/0
pa'Conditions met prior to issuance of permit
Easements (encroachments) per engineering conditions of approval and plat
"Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes it-No
Assess Water Quantity Fee in-lieu: ❑ Yes to
LIDA Facility on lot: 0 Yes El No Add Fee: ❑ Yes ❑ No
final Plat Recorded
❑ NOT Approved: Date:
Notes: ----'---
Approved By Engineering: �� Date: e/7/.3
Revision 1: ❑ Approved[ of 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:
SDC Exemption: ❑ Applied for ❑ Received Does not apply
IrDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A 0-i (A 1
1
Tigard Trans SDC: Yes ❑ N/A Ci Deferred _
Parks SDC: Yes 0 N/A ❑ Deferred ( Y"" (C((,t(i
LIDA Yes /A l'
_ zi.\1_,tpi —tC.-1\'OK to Issue/Approved by Permit Coordinator: � .�Y� -ck Date: % r y� '
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: (i