Permit (18) CITY OF TIGARD MASTER PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: MST2023-00630
Date Issued: 02/20/2024
T EGAR.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DD04700
Jurisdiction: Tigard
Site address: 13941 SW 165TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot: 47
Project: River Terrace Town Center, Lot 47
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: 1173 sf Basement: 107 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2464 sf Value: $449,595.24 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 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 2464
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,CA92618 3 Geo Tech Required
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $25,760.38
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 o to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QF9_nn1-nnln thrni inh R Qc9-nM-nnan Vnu ma, nh a rnnv of tha'iliac nr riirart ni iactinne to ni If\Ir.by rallinn crrA 919 1QR7 nr 1 Ann 119 9 A jJ y; f7.ie".'/� °ice'!-�A
Issued By: %% Permittee Signature: C
Call 503.639. 5 7:00 a.m.for the next available inspection date.
This permit card shall be kept in conspicuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
RECEIVED
Building Permit Application
Residential DEC 2 0 2023
Received ? . - O,O A3o
City of Tigard CITY OF TIGARD Date/By: �� �D Pe �V
■ 41 13125 SW Hall Blvd.,Tigard,OR 913J.DING DIVISION Plan Review I Other Permit: yq.
Phone: 503.718.2439 Fax: 503.59 Date/By: I/ ytllz .�.- — - 44
i I c 1 RI) Inspection Line: 503.639.4175 Date Ready/By: '1 l° s: ® See Page 4 for
Internet: www.tigard-or.gov Notified/Method: I I V(� V'1 r1 r \i . Supplemental Information
t, ;Ana t .:.A z.+ �., "``W,.d: t s , X> ;:itir t
,y. ..1:?�:.: ....�,?,,.:,M, ,: .,�,�.: ,:',,, ,,r..:. ,.. ..o-�;.... ,.....c�,.i'`r.. ;... ^'"','�. ..�.�' ,�,�,.,,,,.,,,. .. r,,. .�..;•.. ... .`s. w. 5� ((a; F .k. ,ts.
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
;7 y,r ,1 rr;k; work indicated on this application.
j(Jam• U /
I] 1-and 2-family dwelling ElCommercial/industrial valuation
: $1
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: 5"-.3
aaxs " �.: SEIVIing Total number of floors: 3 i
,y...,,_. "r...i..': ,.�:ri-sa•H.,.'*`„ , ....... a, .. .,, :.:v ,;,iiroaii''�..'c.'"yy"".'r, ......'.:--,-.—.V'
Job site address:13941 SW 165TH AVE New dwelling area: 2464 square feet t t szy
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 6602 square feet(t1'J
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 115 square feet t b 7
Cross street/directions to job site: Deck area: square feet
SW JFAN LOU ISF RD Other structure area: square feet
Subdivision:River Terrace Lot no.:47 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, a
overhead,and the profit for the
�'' r4 ' ', ;' � work indicated on thisapplication.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
y,`{ -' J 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:
� t3 k #- �Az °" wl " .` :•,
' 5 z ':e *a L, rex .. w`
;
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Amount received:
Phone:(503) 310 7571 Fax::( )
we., ''twwwwso$s'4 l llF,t,3'.,, _ y. ."ASn
Email fsandoval@nwhm.com O , 'y4.44)h NA4..t f MA- " •
Oolosinomt f,, k -.4 Commercial and residential prescriptive installation of
'" j ..,...,sue fir'SgT .,... t .'.,., „N.,;.,4.. ..r,r , .,.... '':.', f,, ;; .., ... <er ... . . 'wab,, .,.., 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.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )310-7571 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:241 108 -\ Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
r '�,�,�. + ^'\J *Fee methodology set by Tri-County Building Industry
Print name:Frank SandOVal�nn 4Q,1/ rt' "E1 12- 0,!� �/� service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
RECEIVE II
Mechanical Permit Application FOR OFFICE I SI:()NIA
City of Tigard DEC 2 0 2023 Received
IN Date/By: VIIV0'Z3. PermitNo.:tlul.�-T1Aj.x ..-c7 t✓�C?
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 CITY O(F�TIGARD Date/By: Other Permit:
T I GA R U Inspection Line: 503.639.4175 3UILDING DI V ISIO Date Ready/By: ions 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF Wt1RIC ' COMMZRQ .no .Atouts-VSE C)I C UST'
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
C f E?Ri'OF Cot�IS1 RtJE rElli i $WE1�T11AL QVIPMENT/S' 11S ES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
4 STTE 1NFORMATION.Al ? Lt C'A 31+1 Heating/cooling:
Air conditioning 1 46.75
Job site address:13941 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.:47
Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
DESCRIPTION 01!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
PROPER, Y VkN K er d hl t 23 32
t
Environmental exhaust an ven'a ion:
Name:TNHC OREGON LLC Range hood/other kitchen
Address:15231 Laguna Canyon Rd STE 250 Cloth 1 33.39
Clotheess dry exhaust 1 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) S 23.32
Phone:(503 810-7571 Fax:( ) Attic/crawlspace fans 23.32
� Aliff ;Cori r.E
Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc. 1
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax: :( ) Fireplace 1
Range
E-mail:fsandoval@nwhm.com Barbecue
1 TRA Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
Address:4200 NW Leisy rd Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)205 4989 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: Z71- ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
I\Building\Permits\MEC_PermitApp_040113.doe 440-4617r(I I/02/COM/WEB)
RECEIVED
DEC 2 0 2023
Electrical Permit Application FOR OFFICE LisE ONLY
City of TigardCITY OF TIGARD Received
74 u 13125 SW Hall Blvd.,Tigard,OR 9722�U1LD1 LJI V ISION Date By: i l'i J/Z aj Permit#: ,5�2--?...2)ma ��L7( z,Cy
Q Phone. 503.718,2439 Fax: 503.598.1960 Plan Review
- Date/By: Related Permit#:
Inspection Line: 503.639.4175 Readyy: Ili See Page 2 for
T t G A R D Date/By. Juris:
Internet. www.tigard-or.gov Notified/Method:
Supplemental information
�t TYPE OF WORK PLAN REVIEW
id1 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more 0Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1/ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural
❑Multi-family amps for all other installations, buildings.
❑Master builder ❑Other: 0 Fire pump.
0 Insta4ation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 13941 SW 165th Ave 0 Addition of new motor load of system.
I00HP or more. ❑"A","E","l-2","i-3",
City/State/ZIP: Sherwood/ OR/ 97140 ❑Six or more residential units, occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE
DescriptionI Total I *
SW Jean Louise Rd I Qty. I Each
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:47 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.oriels t6$.s4 4
DESCRIPTION OF WORK Ea add'1 500 sq.ft.or portion A 33.92 1
Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.6) 75.00 2
TENANT' Renewable Energy 0See Page 2
51 PROPERTY OWNER 0
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 to400 amps 133.56 2 •
City/State/ZIP: Irvine CA 92618 401 amps to600amps 200.34 2
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
14 APPLICANT I 0 CONTACT PERSON
THNC OREGON LLC A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7.42 2
Contact name: Frank Sandoval B.Fee for branch circuits without
service or feeder fee,first
Address: 15455 NW Greenbrier Parkway#240 s6.1$ 2
branch circuit
City/State/ZIP: Beaverton OR 97006 Each add'l branch circuit 7.42 2
Phone:(503)310 7571 Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
Fsandoval@newhomeco.com
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DBA Wolcott Electrical Signor outline lighting 67.84 2
Address:1075 W Historic Columbia River Hw Signal circuit(s)or limited-energy
y panel,alteration,or extension. 0 See Page 2 2
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(Ihrmin) 78.18ihr
Inspections for which no fee is
CCB Lie.:112220 Electrical Lie.:C 1272 Suprv.Lie.:5782S specifically listed(/hr min) 90.00/hr
Suprv.Electrician signature,required:q ,.. ELECTRICAL PERMIT FEES
„�. ara ,,�,,� „ Subtotal:
Print name:David Campbell Date:10/12/2023 ❑Plan Review Required(25%of permit fee):
4
State surcharge(12%of permit fee):
Authorized signature: 41^vw TOTAL PERMIT FEE:
Print name: This permit application expires if a permit is not obtained within 180
Malachi J. Wolcott Date:10/12/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
t\Building\Permits\ELC_PermiiApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t V051COb17WEB
,
RECEIVED
Plumbing Permit Application DEC 2 0 2023
Building Fixtures CITY OF TIGARD FoR ()Filet, (Sh; ONLY
BUILDING DIVISION DReacteliBvy i v/5l ',If!,
Cit of Tigard Permit No.:1,144T?.,,,, ` 0 n.6 x )
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i' v to Phone: 503.718.2439 Fak: 503 598.1960 Date 6y: Other Permit No.
1'1 C it Ill) Inspection Line: 503.639.4175 Date Ready/By: Jura ®See Page 2 for
Internet: www tigard-or.gov Notified/Mlethod: Supplemental Information
TYPE OF WORK FEE*SCHEDULE
®New construction ❑Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑Addition/alteration/replacentent ❑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 ❑Commercial/industrial SFR(2)bath 1 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 394'1 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 II:_) Page 2
Subdivision: River Terrace Town Center I Lot no.: 47 Fixture or item:
Tax map/parcel no.: 2s1060003300 Backflow preventer 31.27
DESCRIPTION OP WORKBackwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
MI PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewercap 25.02
Address: 15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub zs.oz
Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib 2502
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
.APPLICANT 9.,,CONTACT PERSON. Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/State/ZIP: Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503)310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR RACTOR 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.: . Plumbing 26824 PB Plan review (25%of permit fee)
112220 Lie.no.:
Authorized signature: ()0�1A\T' State surcharge(12%of permit fee)
to
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.
l\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(t0/02/COMRVEB)
At- ems' 14t ,__,‘"
A GEOTECHN,, -g- R-[1 S Ws
REPORT IS REQ' -'
BEFORE THE FO ` ' r . :'uildin Division
'" s INSPECTION IS AI g
- - & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION i) 1 Z23
Permit #: P\-3 7 _Cap 3( . Plan #: IG D..6, _To Floors:
Valuation: Covered Porch: p t S Basement 67
Bedrooms: l Deck: ,Th 1" Floor 1 l-73
WC (toilets) Deck Cover: 2ir1 Floor 4i3L(
Lavatories 5" Patio Cover 3rd Floor
Tub/shower 3 Accessory Struct. R-3 Total Zc ((-/`
Laundry Tray -- Water Heater 1 / Gas /CI ec) Garage 5�L02
Exhaust Vents Gas Flue Vents --`"`a- Total for Elec. Z9. (
e Go
Backflow Prey. ---� illerb / Heat Pumpg ) # for Electrical
BBQ Gas Fireplace #Fuel Lines
FEES: Description: Fee A ss: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over l i x'17) Co
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential Use
School CET: District: t.
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: /
12% State Surcharge
1
Mech. Permit: Permit Fee:
IV
12% State Surcharge 17
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping
1:A Building\Forms\RessPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
IN
Building Permit Review - Residential
TIGARD
Building Permit #: vt45'Z" ° CrD C ,0
Site Address: 13941 SW 165th Avenue 9'Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 47
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: iZi SFR(E(Single Detached ❑ Duplex D Triplex 0 ADU) 0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad❑Other
Required Site Plan Elements:
V 3 copies of site plan on max 11x17"
l(Drawn to standard scale 0 Retail led Li eeb, di ip has/ Li ce pi utcLlion
North arrow El Street and site trees shown / labeled
f Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity
El Street names (N/A for SFR)
V(Applicant name and phone # 0 Courtyard rcctanglc dimcnsioncd (if applicable)
VLot and setback dimensions Vision clearance triangle
uai a luotage 'Utility locations &easements
Footprint of new structure and FFE V Property corner elevations
QI Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
'Lot area and lot coverage percentage 62'Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
g Drawn to standard scale V Total façade area
V Building height dimensioned VTotal window and door area
V Façade dimensioned
c1 Windows and doors dimensioned
'i Garage doors dimensioned
Requir an Elements:
(Not required for SFR 0 Summary table that includes
❑ 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
Setbacks ll/Front:1z'bu'Id, Rear: 3'alley Side: 3 Min/Max Street Side: 7 / Garage: y
Height EE Max. Height: 35' Proposed Height: ��r li ��
❑ Yes di N/A Landscape
❑ Yes $ N/A Screening (Quad only)
47f Yes 0 N/A % Window Coverage
'Yes 0 N/A Garage (SFR Only) Parking (Other Res)
i '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:
O 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
O Yes N/A Fence
❑ Yes ❑ No 1'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No VN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ' 'Yes ❑ No
®'Main Land Use Case #s: PDR2021-00004
t
❑Applicant notified of land use expiratio e: pay for all applicable dev permits by 1/31❑/2 25.Conditions
inal occ bye1/31/2027
PP Submit and ri6C'
Approved By Planning: ,, Date: 12/5/23 \ a/c.v/2J)-Ara
Notes
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 12/ r23
Site Plans #: .5
Building Plans #: ?,
Building Permit #: ■/building perr nit # entered op page 1
Workflow Routing: ■ Tanning VEngineering 2'Permit Coordinator 0/Building
Workflow Sign-off: @f sign-off for Planning (include notes from planning review)
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
an original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
ea calcullaa ions and t st details, if applicable, etc.
Permit Technici
Date: , Z Oat (z--S
Notes:
Engineering Review
❑/PFI Permit: q
V Slope at building pad: 2O i9
oh
0/Conditions met prior to issuance of permit
CA/Easements (encroachments) per engineering conditions of approval and plat
[Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes it/No
Assess Water Quantity Fee in-lieu: 0 Yes PNio
o
LIDA Facility on lot: IDYes Add Fee: 0 Yes 0 No
linal Plat Recorded
O NOT Approved:
Notes: -------- Date:
Approved By Engineering: ( /`� Date: /_2/ 2 d/Z
Revision 1: 0 Approved 0 N 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 0 Received ?Does not apply y� -
144e.
.Z SDC Fees Entered: Wash Co Trans Dev Tax: ,J Yes ❑ N/A 'I/�J
Tigard Trans SDC: Yes ❑ �%
N/A Deferred Og"
Parks SDC: Iy'Yes ❑ N/A Deferred
LIDA ❑ Yesl ,1 N/A
?OK to Issue/Approved by Permit Coordinator: 1'tY Date: f• �'Revision 1: ❑ Approved ❑ Not Approved �� Date:
Revision 2: ❑ Approved ❑ Not Approved Date: