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HomeMy WebLinkAboutPermit (16) CITY OF TIGARD MASTER PERMIT `: . . . COMMUNITY DEVELOPMENT Permit#: MST2023-00625 Date Issued: 02/06/2024 T I( A iz 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DD04400 Jurisdiction: Tigard Site address: 13903 SW 165TH AVE Subdivision: RIVER TERRACE TOWN CENTER Lot: 44 Project: River Terrace Town Center, Lot 44 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: 0 sf Left: 3 Parking Spaces: 0 Height: 26.5 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 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea 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 Geo Tech Required 15231 LAGUNA CANYON RD STE IRVINE,CA 92618 250 PHONE: PHONE: 503-312-6213 FAX: Total Fees: $25,791.64 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 . • approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENT e 1: O =gon law requiresi a..to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ac9_nn1_tn1n thrnnn AR • _nn1_nnon V . n,of the.rnle.c nr itire.rt nne.ctinne to(II INC.by rallinn cnZ 9Z9 10R7 nr 1 R(ln Z19 9144 — Issued By: Permittee Signature: D4 appl.eilm. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. his 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 a FOR OFFICE I SE OSI.l C1 of Hall fiECEIVED Received ��� A� �3T9 l'•�.K.si21 TigardDate/By: Y Permit No.: �(FT, W1N13125 SW Hall Blvd.,Tigard,OR 9 Plan Review, e Phone: 503.718.2439 Fax: 503.598.196 Date/By: I 9.7 i' Other Permit:r rr, i I SEC 19 2023 Pt� 12 See �-or t I l�n I:l> Inspection Line: 503.639.4175 Date Ready/By: tugs: ® Page 4 for Internet wwwtlgardofgov Notified/Method 1 �/1/Lt �P -4, Supplemental Information 61 {O ARD 1�nrn�0 ' 'f Y/�VyLLL�JJJ,��'!_-t y F .:! r' l s. n**:,g #fi`.. ;1 y f S!1 L it iii ',',' ;:f "IRE � A A G4i4 F p New construction - • • Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all LI Addition/alteration/replacement • equipment,materials,labor,overhead,and the profit for the m Jh'm t e: CA • t I t g work indicated on this application. r eigtOMValuation: $ ❑■ 1-and 2-family dwelling ❑Commercial/industrial ,' ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms:_./..e. )) %. ..yf';; l .� x f ; . .' Total number of floors: 3 Job site address:13903 SW 165TH AVE New dwelling area: 2469 square feet 11 u l City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet l 113 Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 1 13 square feet t t'_ Cross street/directions to job site: Deck area: square feet SW JEAN I O U I S F Jf) Other structure area: square feet I xfftA4#,- . s x,t:i 90: Pse8s 1..., Subdivision:River Terrace Lot no.:44 Permit fees*are based on the value of the work performed. Tax map/parcel no.:ParC@I no: 2S1060003300 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the !INIIB'r r � �, � � . "�f`.` work indicated on this application. .,..>r ;..,.`. .," ,,lit.-t.}. z*t;,h4,,. a u w.., , #:^ 7 �f t✓ Valuation: $ Requesting Deferred SDC fees Existing building area: square feet New building area: square feet ..,,x .w�v,x. , 4 .a.;.., , Y , .,ri taaw f ..: `4 ,, llIONTO 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: ' • 1 1 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 Phone:(503) 310-7571 Fax::( ) Amount received E mail 7 Ia 4 '< fandoval@nwhm corn 'DY • � I �l W .: W,::.�- ..:, ..: ..,: ;.:,,�f ,:: „ i`o f` 2 f 4 ' r f f f Commercial and residential prescriptive installation of >,..,...; e ,., .. t,ig r ..... :.u::' tt .: ;.,.ttati,.<... F.:..,.. „: Nit roof-top mounted Photo Voltaic 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 Specially 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.:2411 Total fee due upon application: $201.60 Authorized signs VZ, Livuttt/.This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Frank Sando j pA��� e: 12 .( 1- 202 *Fee methodology set by Tri-County Building Industry �! ' `-' Service Board. C\Building\Permits\BUP-RESPermitApp.doe 01/25/2023 440-4613T(I I/02/COM/WEB) Mechanical Permit Application FOR OFFICE: l SF O\I.I Cityof Tigard eived _ •���'� a /By. Permit No.:! "BSI UC!1.��.�cc � •'�� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a m' Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line. 503.639.4175 Q Date/By: "F I G A R D DEC ' 9 2oL Date Ready/By: Jam Ei See Page 2 for Internet. www.tigard-or.gov Notified/Method: Supplemental Information ME OF WORK. BUILDING DMS ctlMIVIE IAR ' *1 0VEE FS Cl F. I .IST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ .. CATE€AR 't}F f t Ri)( I 1 . . RESW N`;M EQUIPIONT.ISYS111116 Zs* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total l "` U 'OBSIl1FG11CIONAU L l . Heating/cooling:d N Air conditioning 1 46.75 Job site address:13903 SW 165th ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Sherwood OR 97140 Fumace 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 Other: 23.32 Subdivision:River Terrace Town Center Lot no.:44 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 O e+ ) 'l( OF w( Gas fireplace/insert t 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 I ROI'ER1i"Ii* O 1ETt Other: 23.32 Environmental exhaust and ventilation: Name:TNHC OREGON LLC Range hood/other kitchen equipment 1 33.39 Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 1 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32 . i1;1, '', ' '.. .. ... '. . "0 CONTACT Pr4RSON ., :i 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 1 E-mail:fandoval@nwhm.com Barbecue . `RA ` .. ,:„......z. Clothes dryer(gas) Business name:Pro Heating and Cooling, INC Other: rl< 1 . .RE1l 0 " 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 Authorized signature: �el-444t" days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:3/17/2023 i\Building\Permits\MEC_PermitApp_040113.doc 440-4617r(I 1/02/COM/WEB) c Electrical Permit Application_^("�C�VEL� FOR OFFICE t'SF ONLY City of Tigard Rv{.. L•� Received �^�'"/�r�,,, Pennit#: IN a 13125 SW Hall Blvd.,Tigard,OR 97223 Plane Review� / 4 �� �� ��5 ~��� t Phone: 503.718.2439 Fax: 503.598.M 1 9 2023 Date/By: Related Permit#: Inspection Line: 503.639.4175 Readyy: 0 See Page 2 for T I G A R D Date/By: Suns Internet www.tigard-or.gov �±�RD Notified/Method: .P-4- . Supplemental Information TYPE OFp1../ `rt I�IV slow PLAN vREVIEW ll New construction Addition/altbt. " .ViNtlement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or P 0 Floating buildings. El 1-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 ❑Multi-family 0 Master builder Other: ❑Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job 4: Job site address: 13903 SW 165th Ave ❑Addition of new motor load of system. I0OHP or more. ❑"A","E","l-2","I-3", City/State/ZIP: Sherwood/ OR/ 97140 ❑SIX or more residential units occupancy. ❑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 Description i Total I SW Jean Louise Rd i Q�: l each New residential single-or multi-family dwelling unit. Subdivision: River Terrace Town Center Lot#:44 includes attached garage. Tax map/parcel#: 2s 1060003300 1,000 sq.B.or less I 168.54 4 DESCRIPTION OF WORK Ea add energy, sq.ft.or portion A33.92 1 Limited energy,residential NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 [ PROPERTY OWNER `;TENANT Renewable Energy ❑ 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 to400amps 133.56 2 City/State/ZIP: Irvine CA 92618 401 amps to 600 amps 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 al APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,Per panel AB Fee for branch circuits with Business name: THNC OREGON LLC aboveserviceorfeederfee, each branch circuit 7.42 2 Contact name: Frank Sandoval B.Fee for branch circuits without Address: 15455 NW Greenbrier Parkway#240 b ranch cir feeder fee,first br ra anch crcuit 56.18 2 City/State/ZIP: Beaverton OR 97006 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)310 7571 Fax:: ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Fsandoval@newhomeco.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2 Address:1075 W Historic Columbia River Hwy Signal circuit(s)or limited-energy panel,alteration,or extension. ❑ 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(I hr min) 78.18/hr CCB Lie.:112220 Electrical Lie.:C 1272 Suprv.Lie.:5782S Inspections for which no fee isspecifically listed(Va hr min) 90.00/hr Suprv.Electrician signature,required: �'� ELECTRICAL PEST FEES a., ,....374 Subtotal: Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 4 1.16Q 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. C\Building/Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1 t105/COM(lEB Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE; 1 SE ()NI,1 City g of Tigard Received _ t p flr C 19 2023 Date/By Review: Permit No.: 11 p 13125 SW HaII Blvd.,Tigard,OR 9722 -S!(/vi,43 �ra?� Phone: 503.718.2439 Faz: 503.598.INa DalePlan Other Permit N : Date/By: T I G A It D Inspection Line: 503.639.4175 Date Ready/By: torts: ® See Page 2 for Internet: www.tigard-or.govy.4r TIGARD Notified/Method: Supplemental Information TYPE of woBUILDING DM SIO FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description ] Qty. I Ea. I Tmal ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 EaI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 [3Accessory building ID Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.lit Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13903 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 Stlite/bldg./apt.no.: ( Project name: RTTC Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW Jean Louise Rd. Rain drain connector 18.76 Sanitary sewer(no linear ft.:_) Page 2 Storm sewer(no linear ft.:_) Page 2 Water service(no.linear ft:_) Page 2 Subdivision: River Terrace Town Center I Lot no.: 44 Fixture or item: Tax map/parcel no.: 2s1060003300 Backflow preventer 31.27 DESCRIPTION OF WORK` Backwater valve 12.51 New Home Construction Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 6,1 PROPERTY OWisTER ( 1I TENANT Expansion tank 12.51 Name: TNHC OREGON LLC Fixture/sewercap 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:( ) Ice maker 12.51 !.0 APPLICANT toNTACT 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 CON I RACt OR 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 26824 PB Plan review (25%of permit fee) CCB Lie.:112220 PlumbingLic.no.: State surcharge(12n/n of permit fee) Authorized signature:•-kOr o TOTAL PERMIT FEE Print name:Mark Baleme ��\\t__ Date:10/12/2023 This permit application expires if a permit is not obtained within t80 days after it has been accepted as complete. °Fee methodology set by Tri-County Building Industry Service Board. I\Building'PermitslPLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COMAVEB) & ,-CA4— 'cl m f-� _1i�o a ', 11eol. UPIS ` ( - ( Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION ---SA y Zo7 Permit #: , Plan #: Floors: TA5(/ z3 --oth2S� Zf�0 l'k '3 Valuation: Covered Porch: 11 Basement 1 ( D. Bedrooms: C.( Deck: 1s` Floor ---G WC (toilets) 3 Deck Cover: �.— 21 d Floor 1 c 3'4 Lavatories 5 Patio Cover 3rd Floor Tub/shower �2 Accessory Struct. �— R-3 Total jt ' 'n Q Laundry Tray J — Water Heaterfe `t �►1 I / Gas / lec Garage 5: -Z Exhaust Vents 6- Gas Flue Vents ---- Total for Elec. [�7 ( Backflow Prey. urnac / Heat Pump <Pk ) # for Electrical LI/ BBQ �.___— Gas Fireplace �� #Fuel Lines FEES: Description: Fee Applies: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg $2.00 (over 11x17) .C, Info Proc/Arch: Sm $.50 (up to 11x17) (6 7 Metro CET: Residential Use (� School CET: District: Tigard CET: Admire Tigard CET: ODHCS LZ Tigard CET: AH Electrical Permit: Permit Fee: I Limited Energy: / 12% State Surcharge �/ Mech. Permit: Permit Fee: 12% State Surcharge / Plumbing Permit: Permit Fee: ✓V 12% State Surcharge .iV; Erosion Control: w/Permit - Ping 1:A Building\Forms\ResPlanCheckFees_Dec2O22=AA.doc 12/21/22 Page 1 City of Tigard Iiiq COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD , Building Permit #: /'iSr .� ` '*3 &�J Site Address: 13903 SW 165th Avenue c'Verified in Accela Project Name: River Terrace Town Center Lot/Unit #: 44 Proposal: New Single Detached SFR Zone: RES-C Housing Type: 21 SFR(E'Single Detached 0 Duplex❑Triplex 0 ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ElQuad❑Other Required Site Plan Elements: 21 3 copies of site plan on max 11x17" V Drawn to standard scale ❑ Relained lee,, drip line/ tree-rntrtection 21 North arrow V Street and site trees shown / labeled V Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity V Street names (N/A for SFR) VApplicant name and phone # ❑ Courtyard rcctanglc dimcnsioncd (if applicable) VLot and setback dimensions V Vision clearance triangle ❑ Existing Sti uctui cS &square f.otaye V Utility locations &easements i2f Footprint of new structure and FFE V Property corner elevations V Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbancc) lV Lot area and lot coverage percentage I '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 façade area V Building height dimensioned 21Total window and door area ia Façade dimensioned V Windows and doors dimensioned vi Garage doors dimensioned Requi an Elements: (Not required for SFR 0 Summary table that includes O Each story dimensioned otal floor area ❑ Each story floor area calculated ❑ Floor ar Planning Review The following standards have been met: 8'porch g Setbacks l/Front:12'building Rear: 3'alley Side: 3' Min/Max Street Side: 7' / Garage: 3' alley Height L5"Max. Height: 35' Proposed Height: 26'-5" ❑ Yes b N/A Landscape O Yes It N/A Screening (Quad only) V Yes 0 N/A % Window Coverage Yes ❑ N/A Garage (SFR Only) Parking (Other Res) V 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 O Yes N/A Fence ❑ Yes 0 No 'N/A Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995) 0 Yes ❑ No'1N/A Public Facilities Improvement (PFI) Permit: Required: 0 Yes 0 No Applied For: ❑ Yes ❑ No, stop intake ❑ Sensitive Lands: 1X Yes 0 No fa'Main Land Use Case #s: PDR2021-00004, 0 Conditions met 0 Applicant notified of land use expiratio e: Submit and pay for all a plicable dev permits by 1/31/2025.Final occ by 1/31/2027 Approved By Planning: / 1 °i ✓l vi iS Date: 11/9/23 IZ4 i 1 IZ3 Notes Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: i 1l1t1(1A-2_2.) Site Plans #: -17 Building Plans #: 5 Building Permit #: 2( uilding permit # entered o,n page 1 Workflow Routing: IV/Planning 1 /Engineering a Permit Coordinator [(Building Workflow Sign-off: Iign-off for Planning (include notes from planning review) Route Documents: R Engineering: (1) copy of permit application, (1) site plan, (1) building plan original plan review routing form. Building: original permit application, site plans, building plans, engineer and 4 tam calculations and tr t details, if applicable, etc. Permit Technician`: /l ✓1 j' 1 Z '2 Date: � ( / ?3 Notes: Engineering Review 0 PFI Permit: ['Slope at building pad: Z�/m 0/0 1'Conditions met prior to issuance of permit eEasements (encroachments) per engineering conditions of approval and plat I'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes irrNo � LIDA Facility on lot: El Yes Milo Add Fee: 0 Yes 0 No fa'Final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: 4 Date: '27/Z Revision 1: 0 Approve Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review Cy�nditions met prior to permit issuance (0 Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: xl`SDC Exemption: 0 Applied for 0 Received 0 Does not apply /,n]� 4 SDC Fees Entered: Wash Co Trans Dev Tax: JYes ID N/A w ^a4. , Tigard Trans SDC: /Yes 0 N/A (1:73 Deferred Parks SDC: /Yes 0 N/A Deferred O LIDA ❑ Yes N N/A :I K to Issue/Approved by Permit Coordinator: He Date: l' �' Z� ( Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: