Permit (20) CITY OF TIGARD MASTER PERMIT
` COMMUNITY DEVELOPMENT Permit MASTER
MST2023-00642
Date Issued: 02/06/2024
T f C;A R f.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DD06100
Jurisdiction: Tigard
Site address: 13726 SW 165TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot: 61
Project: River Terrace Town Center, Lot 61
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: 5 First: 1352 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 4 Second: 1802 sf Garage: 576 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3154 sf Value: $568,836.66 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 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: 6 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'l 500 sf: 6 201-400 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 3154
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: $29,296.32
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. ATTENT • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: iQ,Q, J ULa,tum..
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.
i. .,
Building Permit Applicatign
RECEIVEDGE VV ED roR orrl(I: I SE()Nil
City of Tigard ((��C r� Received /� /�t/����t� d 111 LJ C I. �• 2023 Date/By: 1/ W p Permit No.:MS 1 V V 1�3'�U
"" 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review JJ „
_ Phone. 503.718.2439 Fax: 503.598.1 TIGARD
Z Other Permit.SWtlUti3.OMS5
1��TY OF 1 IGARD Date/By: �'vV
T I G AR
D Inspection Line: 503.639.4175 Date Ready/By: 1 ris: I � See Page 4 for
Internet www.tigard-or.gov -3UILDING DIVISION Notified/Method.I Supplemental Information
TYPE OF WORK D OATA:I-A ..F l ILY DWELLING
i]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 El Other: equipment,materials,labor,overhead,and the profit for the CAFFooit E OF CONSTRUCTION work indicated on this application. kkk
1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 20 5(Q SI'Di3•t
❑Accessory building El Multi-familyNumber of bedrooms: 5 J
❑Master builder El Other: Number of bathrooms: 35 4
JOB l ORMATION AND LOCATION Total number of floors: 2 2 7'
Job site address:13726 SW Avenue New dwelling area: 31 squarefeet
54 I.(3 v2
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 576 square feet l?)
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 80 square feet
Cross street/directions to job site: Deck area:
square feet
SW Jean I Guise Road Other structure area: square feet
QIv ED DATA:! E>MN R L-rISE CHECKLIST
Subdivision:River Terrace Lot no.:61 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: 2S 1060003300
equipment,materials,labor,overhead,and the profit for the
0E4€'Rtl' it* OF WORK work indicated on this application.
Requesting Deferred SDe- fees Valuation: $
Existing building area: square feet
New building area: square feet
.
I PROPERTY OWNER Q TENANT . 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:( )
ICAINew:
0 CONTACT: t BUILDING)<'I ill ll F) *
Business name:TNHC OREGON LLC ref &
Contact name:Frank Sandoval
Structural plan review fee(or deposit):
Address:15455 NW Greenbrier Parkway Suite 240 FLS plan review fee(if applicable):
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax::( ) Amount received:
E-mail: fandoval@nwhm.com/oregonpermits@newhomeco.com ' t11TU17ttL AILS LARi` LSYSTE F *
`:. . CtC11r(3sR. residential prescriptive installation of
• • Commercial and
. 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 Specialty Code checklist.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review
Phone:(503 )310-7571 Fax.( )
and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCB lic.:241108
Total fee due upon application: $201.60
Au tlZ d$ ,i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank nd va /Jennifer M'►, Z ermott Date: (2 , 4, 1023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP- SPermitApp.doc 1 /25/2023 440-4613T(I1/02/COM/WEB)
r .
Mechanical Permit Appiicrii � FON OFFICE I SE oyl.l
City of Tigard L.�EIV � ReceivedD M 1�iti3� i \OA%
Date/By:III Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972 � 2 2023
sill Phone: 503.718.2439 Fax: 503.598.11. Plan Review
Date/By: Other Permit
1-I G A R D Inspection Line: 503.639.4175 Date Read /B J rs
Internet. www.tigard-or.gov y ET See Page 2 for
CITY OF TIGARD Notified/Method: Supplemental Information
13UILDING DIVISION(
TYPE OF WORK 1 IMZRLI i>..FEF>*`SO iEISIRLE—USE t- el(LI St..
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:$
CATEGORY OF CONSTRUCTION
dwelling 1 tEI'TMA.LE UI ENT/$YS . ES*
® l-and 2-family g ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder
❑Other: Description Qty. Ea. Total
JOB.SITE INFORMATION AND'LOCATION Heating/cooling:
Job site address:13726 SW 165th ave Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91
Suite/bldg./apt.no.: Project name:River Terrace Town Center Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
SW Jean Louise rd 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:River Terrace Town Center Lot no.:61 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2s1060003300 Water heater 23.32
I 1 33.39
ESCIt TON OE- ORT Gas fireplace/insert
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
PRO�TY.OWNER. ❑ TEAM C: Other: 23.32
' Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
Address:15231 Laguna Canyon Rd STE 250 equipment 1 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)310-7571 Fax:( ) Attic/crawlspace fans 23.32
fa APPUC3 "T` ' 0i coNmer 1PE O..N:: . .... 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.
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
Range
E-mail:fandoval@nwhm.com
Barbecue
Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
Adare55:4200 NW Leisy rd , : *cam* :,ITEE
Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Phone:(971)205 4989 ( ) Plan review(25%of permit fee)
Fax:
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
'�(/,q� This permit application expires if a permit is not obtained within 180
C_ ^"", Z71. � days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
I:\Building\Permits\MEC_PermeApp_0401 13.doc 440-4617r(I I/02/COM/WEB)
Electrical Permit Applica CEI V E
FOR OFFICE l SE(ATN
City of Tigard (E C 2 ' 2023 Received ��A A_w A O� 1,
14 w 13125 SW Hall Blvd.,Tigard,OR 9 U Date/By: Perntit#: '1 IVRV�•IV(J•
Phone: 503.718.2439 Fax: 503.548.1960 Plan Review
Date/B Related Permit#:
Inspection Line; 503.639.4175 CITY OF TIGARD y'
F I G A R D Ready Date/By: Suns ® See Page 2 for
Internet. www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0Service or feeder 400 amps or more 0Building over three stories.
ID Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or
►:/ 1-and 2-familydwellingP ❑Floating buildings.
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
0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: I Job site address: 13726 SW 165th Ave o Addition of new motor load of system.
100HP or more. ❑"4" "E" "i-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.#: I Project name: RTTC 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
SW Jean Louise Rd. Description I Qty. I Each I Total I •`
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center I Lot#:61 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'I 500 sq.ft.or portion 33.92 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
tia
PROPERTY OWNER ,, 0 TENANT Renewable Energy 0 See Page 2
THNC OREGON LLC Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70
•
Address: 2
15231 Laguna Canyon Rd STE 250 201ampsto400amps 133.56 2
City/State/ZIP: Irvine CA 92618 401 amps to60oamps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(503)310-7571 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Fsandoval@newhomeeo.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
a} APPLICANT Branch circuits—new,alteration,or extension,per panel
� CONTACT PERSON A.Fee for branch circuits with Business name: THNC OREGON LLC above service or feeder fee,
Contact name: Frank Sandoval
each branch circuit 7.42 2
B.Fee for branch circuits wahout
Address: 15455 NW Greenbrier Parkway#240 service or feeder fee,first s6.ls
branch circuit 2
city/State/Z1P: Beaverton OR 97006 Each add'l branch circuit 7 42 2
Phone:(503)310 7571 Miscellaneous(service or feeder not included)
I Fax::( ) 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
Business name:Development Northwest Inc., DBA Wolcott Electrical Signor outline lighting 6784. 2
2
Address:1075 W Historic Columbia River Hwy Signal circuit(s)orlimited-energy
panel,alteration,or extension. Cl 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 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.:112220 I Electrical Lic.:C 1272 I Suprv.Lie.:5782S specifically listed('!r hr min) 90.00/hr
Suprv.Electrician signature,required:14�.� ELEG TIUCAL PERMI FEES
Subtotal:
Print name:David Campbell J Date:10/12/2023 o Plan Review Required(25%of permit fee):
��a State surcharge(12%of permit fee):
Authorized signature: 4it .ar 4 k0 TOTAL PERMIT FEE:
fPrint name:Malachi Wolcott This permit application expires if a permit is not obtained within 180
Date:10/12/2023 Number of inspections allowed per permit.
t:lBuildinglPerrrutslELC_PermitApp_ELR_ERE.dac Rev 06i171201 S *
440-4615T(t Vo5/COM/WEB
Plumbing Permit APPlieet
Building Fixtures
CityOf Tigard DEC 2 2023 Received %/\n„L� ctI ^,
Hal DatcBy: Permit No.: ,W • a!i
0 13125 SW Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Faz: 503 Other Permit No.
Inspection Line: 503.639.4175 1 1 uF TIGARD Date By:
T'I G!t Ik I7 pE\ Date Ready/By: ions H See Page 2 for
Internet: www tigard-or gov BUILDING DIVISION'. Notified/Method. Supplemental Information
TYPE OF WORK FEE*SCHEDULE
®New construction ❑Demolition For special information Ilse checklist.
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 0 Conunercial/industrial SFR(2)bath 1 437.78
0 Accessory building 0 Multi-family SFR(3)bath 50032
Each additional bath/kitchen 25.02
0 Master builder ❑Other:
Fire sprinkler( sq.II) fage 2
.
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13726 SW 1 65th 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 I Lot no.: 61 Fixture or item:
Tax map/parcel no.: 2S 1060003300 Backflow preventer 31.27
DESCRIPTION OF WOE Backwater valve 12.51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
9i PROPERTY OWNER I Q TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewer cap 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
l41 APPLICANT i*1 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
Water closet 25.02
CONTRACTOR
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 pennit fee)
1 1222� Lie.no.:
i ` State surcharge(12%of permit fee)
Authorized signature:./1 A o TOTAL PERMIT FEE
Print name:Mark Baleme,,, ��y�f" 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:\Butiding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/CONVWEB)
Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION JJ(y 2-02-3
Permit #: tyv5Tio 23 C)Q L2(.{Z Plan #: SO Ll Q /6\ Floors: 2
Valuation: Covered Porch: , l > Basement
Bedrooms: 5 Deck: 1" Floor
t 352
WC (toilets) 9. Deck Cover: _________ 2"d Floor t'3 b2_
Lavatories ( 2 Patio Cover 3`d Floor
Tub/shower 9 Accessory Struct. R-3 Total
Laundry Tray Water Heater / Gas Elec Garage 7 c_e
Exhaust Vents LO Gas Flue Vents - Total for Elec.
730
Backflow Prev. 0=110 Heat Pump /Ckc) # for Electrical
Le
BBQ ___-®__ Gas Fireplace #Fuel Lines 3
y.."-----S
FEES: Description: Fee Ap li s: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) c;-2
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: ResidentiaseVT
School CET: District: I. SS
Tigard CET: Admin
Tigard CET: ODHCS t/�
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
Erosion Control: w/Permit - Ping
1:A Building\Forms\Res PlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
1,11 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: tiT1/MS .1101 b A I
Site Address: 13726 SW 165th Ave 0 Verified in Accela
Project Name: RT Town Center Lot/Unit #: 61
Proposal: New detached SFR Zone: RES-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex 0 Triplex❑ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale 0 R.ta;..J IA L-c,, di ip Luc/ 1.ex. pi erection
0 North arrow 0 Street and site trees shown/ labeled
0 Site address, project name, lot # turity
0 Street names (N/A for SFR)
O Applicant name and phone # applicable)
0 Lot and setback dimensions 0 Vision clearance triangle
O G.I.,J1ly all ua.LUI I.,Wu,,,, P,,J14y., 0 Utility locations &easements
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned@IL•1449*(.001.13410.0.111
0 Lot area and lot coverage percentage 0 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
0 Drawn to standard scale 0 Total facade area
O Building height dimensioned 0 Total window and door area
0 Facade dimensioned
O Windows and doors dimensioned
0 Garage doors dimensioned
Re oor Plan Elements:
(Not required for 0 Summary table that includes
❑ Each story dimensioned 0 Total floor area
0 Each story floor area calculated ❑ o r story
Planning Review
The following standards have been met:
Setbacks 0 Front: 12/8 Rear: 15/10 Side: 3 Min/Max Street Side: 7
/ Garage: 20
Height 0 Max. Height: 35 Proposed Height: 28'
O Yes 0 N/A Landscape
❑ Yes 0 N/A Screening (Quad only)
O Yes 0 N/A % Window Coverage 23%
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)
O Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes 0 N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Ye N/A Unit Count:
❑ Yes 0 N , of Width and Size
❑ Yes ❑ N/A Pat' _
Additional standards for -• rtyard Units and Cottage Clusters only:
0 Yes 0 N/A Unit Area:
❑ Yes 0 N/A Floor Area (per story)
O Yes 0 N/A Courtyard
O Yes 0 N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
O Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: 0 Yes 0 No, stop intake
fl Sensitive Lands: Ol Yes ❑ No
o Main Land Use Case #s: PDR2021-00004 0 Conditions met
0 Applicant notified of land use a 'ration date: Submit development plans by 1/31/25. Final occupancy by 1/31/27
Approved By Planning: __ ✓1 n I Date: 12/20/23 17 7 Z1(Z3
Notes
Revision 1: ❑ Approv .=1 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 1/ JJJdyU�--
Site Plans #:
Building Plans #:
Building Permit #: Building permit # entered on page 1
Workflow Routing: U'Planning VEngineering 'Permit Coordinator Building
Workflow Sign-off: 'Sign-off for Planning (include notes from planning review)
Route Documents: dEngineering: (1) copy of permit application, (1) site plan, (1) building plan
al}d original plan review routing form.
64 Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. n
Permit Technician: ' 00 Date: Vti(ti8 11iYl,
Notes:
Engineering Review
0 PFI Permit:
111 Slope at building pad: fax
oh
/1i1 conditions met prior to issuance of permit
[Easements (encroachments) per engineering conditions of approval and plat
Pa'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C'I�lo
Assess Water Quantity Fee in-lieu: 0 Yes 4/1Sio
LIDA Facility on lot: 0 Yes E-K6 Add Fee: ❑ Yes 0 No
Final Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: Date: //Z-/Z 4
Revision 1: 0 Approve Not Approved Date:
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Permit Coordinator Review
enditions met prior to permit issuance
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A ❑ ENG Revisions Required: l,� Date notified applicant:
`� 3DC Exemption: 0 Applied for 0 Received ,�l Does not apply
C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A . ityd
Tigard Trans SDC: Yes ❑ N/A (Deferred
Parks SDC: Yes ❑ N/A Deferred i+ , O ��
LIDA ❑ Yes �/A F .J
OK to Issue/Approved by Permit Coordinator:70
Date: l • C( ` [/�
ife ��
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