Permit CITY OF TIGARD MASTER PERMIT
' ■ . ' COMMUNITY DEVELOPMENT Permit#: MST2023-00624
T I( ;1 It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2024
Parcel: 2S 106DD03800
Jurisdiction: Tigard
Site address: 13902 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot: 38
Project: River Terrace Town Center, Lot 38
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL ENGINEERING APPROVES&DEFERRED
SDC FEES HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 774 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1184 sf Garage: 502 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1958 sf Value: $364,540.38 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
Footing Drain: 0 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
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: 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 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 1958
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
15231 LAGUNA CANYON RD STE IRVINE,CA 92618
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $23,226.94
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. ATTEN : Or gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ac9_nn1_M1n thrn,, (lAP Q _fM_ono nhtain a nnnu of tha Helot nr dirant nivactinne to(limn hu Tallinn Fn3 919 10A7 nr 1 Ann 119 91A4
Issued By: (..Z ., Permittee Signature: SQ.e A)p\\C.a.t.C.oh
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential
FO R orrice St:()NIA Il
City of Tigard RECEIVE, .''eceived
Date/By: i0_ ,l, w Permit No.:/I f r 3" 56d'i13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
11111 ll Phone: 503.718.2439 Fax: 503.598.1960 C 15 1023 Date/By: / / 2,5
Other Permit:`j�,+,fk.j'�y t 3 :7`1 A-A,s2.
I I c n I:I> Inspection Line: 503.639.4175 Date Ready/By. , I nA �^� ^ Juris: ® See Page 4 for
Internet: www.tigard-or.gov Notified/Method: (J W 1A . R p I Supplemental Information
CITY Qr I I I11 i .i 'wi, t traAA
,.,..,,. .... r ` �,rs , „ r . . . : x <, :, . � .. ,3z ', r < . a: „ Kr r „ , �-
El 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
# � fiai 4 tr {r' ' r K work indicated on this application. eh t
MAIMMOVREVANItt4❑■ I-and 2-family dwelling ElCommercial/industrial Valuation: $ _g� ,
0 Accessory building ❑Multi-family Number of bedrooms: 4
0 Master builder 0 Other: Number of bathrooms:
s -. h A NOSJ W Total number of floors: 2 Z 0
...,{,.:: ..,* ''?,' �'.,.fi` ``-., .a?s ,.,,.,.. 3,, : :.,. .,. u:..: ... .:,,�.; .., •# rsrYrx'€......,,...s+A,`z` �s.,`,s,. 1/
Job site address:13902 SW 166th AVE New dwelling area: 1,958 square feet a'$q
City/State/ZIP:Sherwood/OR/97140 Garage/carport. ea: �;y�.square feet 77y
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: ►v 1tt1 square feet
Cross street/directions to job site: Deck area: \ square feet
SW JEAN LOUISF RD Other structure area: square feet
Subdivision:River Terrace Lot no.:38 Permit fees*are based on the value of the work performed.
parcel no: 2S 1060003300 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
x�� equipment,materials,labor,overhead,and the profit for the
"r :: is"r r-t ,"_y`=�4, .;� ,;� ^, ,�r r'. { - irfr/r� '; �.
o l`t r> ; x . �,� % . " work indicated on this application.
Valuation: $
Requesting Deferred SDC fees
Existing building area: square feet
New building area: square feet
x N ff P M> :f ti . W: . max, . , Number of stories:
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZtP:Irvine/CA/92618 Existing:
Phone:(503)310-7571 Fax:( ) New:
r '' 1.�� : 'c:. "`' s'trG' { > t ? ." ?C P"' ``. .'a,2, A`t,,:. ..,..;.
ter.
Businessname:TNHC OREGON LLC XF` r" '` Ar...:.::,-.,,
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: :( )
E-mail: fsandoval@nwhm.com D r I y�Q tJI9nU GD . ;:. �,; ..,,, � .:
m r t. t »r Commercial and residential prescriptive installation of
....,,f. ...,z.r„r/..Y.,..:tr .., ...`.'f:...£.. u:> „ r,,.,:'.. !;":r.,,-: :::.,�.. ':. ,}.,'.`,.�:�.��r :...'. a,� `':a 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:I rvi ne/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.:241108 Total fee due upon application: $201.60
Authorized signs `�i,t ,c�� This permit application expires if a permit is not obtained
�/��J within 180 days after it has been accepted as complete.
Print name:Frank Sandov it te: ,1Z- If.2oZ2. *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/ 023 440-46 1 3 T(1 1/02/C OM/WEB)
Mechanical Permit Application FOR OFFI('F ISF()NIA'
City of Tigard Received
Da[e/By: PermitNo.: C.III • 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
Phone: 503.718.2439 Fax: 503.5989, CEVED
Date/By: Other Permit:
T I GA RD Inspection Line: 503.639.4175 DEC 19 2023 Date Ready/By: J❑ris: Er See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
or 0TY .11 RC 4*carom.-USET
� Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alter I n rep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY U +CQ TRTTG"1'llJll fENUAL Q11f'MENT/SYi T MSFEES*'
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
El Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB Slitili 4T1ON ANI) LATION Heating/cooling:
Air conditioning 1 46.75
Job site address:13902 SW 166th 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
Subdivision:River Terrace Town Center Lot no.:38
Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
O SCRWTSON OF WORK K.; Gas fireplace/insert 1 33.39
' Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
2. PR TY*Wt R .' 43 TENANT -
Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
Address:15231 Laguna Canyon Rd STE 250 Clothotheess dry 1 33.39
Cler exhaust 1 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) S 23.32
Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32
AP is t T:.; ' 0 + ON 'A # ON 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 I
Range 1
E-mail:fandoval@nwhm.com Barbecue
i..> .< � 1 " Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other
1I
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: �u�c� * 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 440-4617T(I 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE(SSE ONLY
City of Tigard RECEIVE i Received
4 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: Permit#: /7e }'j .rY !`_
Plan Review �7j`,i V s/YJ1T'
Phone: 503.718.2439 Fax: 503.598.196q..C n 19 2023 Rea
Related Permit ii:
(JCI.
F 16 A R D Inspection Line: 503.639.4175 Ready Date/By: Jura- H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
� TYPE OF wOISITY OF TIGARD PLAN REVIEW
E D New construction ❑Addition/alteraBtIJILDING D1VIS1ON Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition Otherl 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 0 Floating buildings.
►:/ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 13902 SW 166th Ave ❑Addition of new motor load of system.
I OOHP or more. ❑`A","E","1-2","1-3",
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 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise Rd Description fQir. l Each I Total i .
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:38 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 1 168.54 4
Ea add'l 500 sq.ft or portion 3 33.92 1
DESCRIPTION OF WORK Limited energy,residential
NEW HOME CONSTRUCTION (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
51.
PROPERTY OWNER ' 0 TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Irvine CA 92618 601 amps to 1,000 amps 301-04 2
Phone:(503)310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or Email: Fsandoval@newhomeco.com
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
EZ) APPLICANT 0 CONTACT PERSON Branch circuits—ne ,alteration,or extension,per panel
A.E'ee for branch circuitsw with
Business name: THNC OREGON LLC 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 branch circuit 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 Hw Signal circuit(s)or limited-energy
y See Page 2 2 panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Troutdale, OR, 97060
Additional inspection(1 hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
CCB Lie.:112220 Electrical Lie.:C 1272 Suprv.Lie.:5782S Inspections for which no fee isspecifically listed(Vz hr min) 90.00/hr
Suprv.Electrician signature,required:"1 ..,..
ELECTRICAL PERMIT PEES
as a'tat.r. vn.c rats
Subtotal:
Print name:David Campbell Date:10/12/2023 IDPlan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4 ave 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.
IaBuilding'Permits\ELC_PerttritApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t i/05/COMLWEB
Plumbing Permit Application
Building Fixtures ��� ��1 Fol2 OFFIch: t�sl? ON1,v
Cityof Tigard ■r'1",-ed
g Permit No.: rii ..
IIIa 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BY:
0 Plan Review
Phone: 503.718.2439 Fak: 503.598.1960 DEC Other Permit No.:
Inspection Line: 503.639.4175
9 �o3Date/By:
"1 I C,A 11,11 Date Ready/By: Jam. NI See Page 2 for
Internet. www tigard-or.gov TIGARD
Supplemental Information
TYPE of NVORK pan f t�yG D FEE* SCHEDULE
BUILDING DIVIStON Forspecial information use checklist.
®New construction ❑DemolitionI
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling CICommercial/industrial SFR(2)bath 1 437.78
SFR(3)bath 500.32
0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 3902 SW 166th 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.: ' 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 l Lot no.: 38 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
Backwater valve 12.51
bsCltf> IpN.OF WdRtc`" ,.
Clothes washer 25.02
New Home Construction
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
It PROPERTY OWNER 0 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
t! AiirLiCiiNT ' ( (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)31 0-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRAG Water closet 25.02
IOR. .
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.:112220 Plumbing Lie.no.:26824 PB Plan review (25°Jo ofpennit fee)
i * State surcharge(12%of permit fee)
Authorized signature: JAVf\�,\T TOTAL PERMIT FEE
.L............
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.
i\BuildingtPermitslPLMU-PermitApp_dot 10/01/09 440-4616T(10/02/COMUWEB)
Ili _ ° Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION cNAst Z-c23
Permit #: C`rvs-17?s�2:3— d64,2,4 Plan #: ez Sb J p Cc) Floors:
Valuation: Covered Porch: Basement
Bedrooms: F Deck: 1" Floor l 7
WC (toilets) Deck Cover: 2"d Floor
Lavatories S. Patio Cover — 3'd Floor
Tub/shower 3 Accessory Struct. _ R-3 Total
Laundry Tray Water Heater \..
/ Gas (Elec-'-') Garage
Exhaust Vents S Gas Flue Vents - - Total for Elec. (60
Backflow Prev. urnac / Heat Pump CC\ # for Electrical ...3
BBQ -- Gas Fireplace #Fuel Lines
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) (V
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential Use School CET: District: \ %.e/vj
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: /
12% State Surcharge \/�
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge 17
Erosion Control: w/Permit-Ping
1:A Building\Forms\ResPlanCheckFees_Dec2022_A A.doc 12/21/22
Page 1
City of Tigard
s N COMMUNITY DEVELOPMENT DEPARTMENT
II
Building Permit Review - Residential
TIGARD
a
Building Permit #: /11.5 -1. ted'il
Site Address: 13902 SW 166th Avenue v Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 38
Proposal: New Single Detached SFR Zone: RES-C / C-C
Housing Type: vi SFR(E'Single Detached ❑ Duplex❑Triplex 0 ADU) 0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
tV 3 copies of site plan on max 11x17"
PI Drawn to standard scale 0 Rclaiiied Li erg, di i , Bile/ Li cc pi olcLtion
vI North arrow tZ Street and site trees shown / labeled
V Site address, project name, lot # 0 Table calculating tFcc canopy at maturity
V Street names (N/A for SFR)
vApplicant name and phone # nsioncd (if applicable)
Lot and setback dimensions gr Vision clearance triangle
O Existing str Jctuu cs &squm e-f.,otage V Utility locations &easements
vi Footprint of new structure and FFE 'i Property corner elevations
vi Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturboncc)
i 'Lot area and lot coverage percentage Ga'Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
'Drawn to standard scale 17Total façade area
'R(Building height dimensioned vTotal window and door area
ti Façade dimensioned
t 'Windows and doors dimensioned
VI Garage doors dimensioned
Requir an Elements:
(Not required for SFR ❑ Summary table that includes
O Each story dimensioned otal floor area
❑ Each story floor area calculated 0 Floor ar
Planning Review
The following tandards have been met:
8'porch
Setbacks Front:12'building Rear: 3'alley Side: 3' Min/Max Street Side: 7' / Garage: 3' alley
Height M'Max. Height: 35' Proposed Height: 25'-1t1/2°
❑ Yes It N/A Landscape
❑ Yes Et N/A Screening (Quad only)
it Yes 0 N/A % Window Coverage
'Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
vYes 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
O Yes 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
❑ Yes N/A Fence
❑ Yes 0 No 'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No 1N/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 0 Conditions met
❑Applicant notified of land use expiratio e: Submit and pay fo all applicable dev permits by 1/31/2025.Final occ by 1/31/2027
Approved By Planning: (VI Date: 11/9/23 (Z( I 'IZ
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved _ Date:
Building Permit Submittal
Original Submittal Date: 12 (/1 /223
Site Plans #:
Building Plans #:
Building Permit #: 43uilding permit # entered on page 1
Workflow Routing: nning VEngineering C'Permit Coordinator l3'Building
Workflow Sign-off: la'S�'.n-off for Planning (include notes from planning review)
Route Documents: R'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and�tiginal plan review routing form.
1'Building: original permit application, site plans, building plans, engineer and
/ �m calculations an rust details, if applicable, etc.
Permit TechniciAn: d Date: ' / '
Notes:
Engineering Review
❑ PFI Permit:
EWSlope at building pad:
PrConditions met prior to issuance of permit
IrEasements (encroachments) per engineering conditions of approval and plat
(Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes fNo
Assess Water Quantity Fee in-lieu: ❑ Yes l;No
LIDA Facility on lot: ❑ Yes 11 'No Add Fee: ❑ Yes ❑ No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /2/2T/13
Revision 1: ❑ Approved Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
Oonditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
9DC Exemption: ❑ Applied for ❑ Received „e'Does not apply �� /,
yC,
SDC Fees Entered: Wash Co Trans Dev Tax: ,BYes /A 6,1;141
Tigard Trans SDC: .rYes ❑ N/A� DeferredA-KIV
''' \!Parks SDC: s 0 N/A Deferred ��4�VW°LIDA ❑ Yes �l/A ( K__
pOK to Issue/Approved by Permit Coordinator: Date: t' �Y• let'Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date: