Permit (2) CITY OF TIGARD MASTER PERMIT
-44
`�1 a COMMUNITY DEVELOPMENT Permit#: MST2023-00185
Date Issued: 06/22/2023
T'G R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC25000
Jurisdiction: Tigard
Site address: 15707 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot:
Project: River Terrace Crossing, Lot 115
Project Description: New detached dwelling w/190sf covered deck. NO FINAL INSPECTION UNTIL DEFERRED SDC
FEES HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1971 sf Basement: 1210
sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 4 Second: 1209 sf Garage: 708
g sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 4390 sf Value: $717,579.70 Rear: 10
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 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: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 7 Clothes Dryers: 2
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 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: 9 201-400 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 4390
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
11815 NE 99TH ST#1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98686 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $33,320.92
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 you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nrN-11(11A thrn,, AR QF9-n111-anon v nhtain a nnnw of tha rnlac nr rlirart ra iactinne to rN INC by rallinncrl'2 919 10M7 nr 1 Rnn'M9 91AA
Issued By: 7741,4 Permittee Signature: / e'r 2 l t rgii o f
Call 503 9.4175 by 7:00 a.m.for the next available inspection date. I/
This permit card shall 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.
,l
Building Permit Application
Residential I OIZ O1 I It I. l Sl O\l.l
City of Tigard Received _
`J b �'"""" '�" 'By ` Permit No.,/y� }� •�
13125 SW Hall Blvd.,Tigard,OR 97223 t r� G / ' "�l J' �j �L�l t
IF Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ( Other Permit:c 41.7 442
I IG1ifl)
Inspection Line: 503.639.4175 Date Ready/By: Julia: a See age 2 for
Internet: www.tigard-or.gov t/5 P`,j 3 2023 Notified/Method: , 15 '4 jS•NO ':b7..46 I Supplemental Information
New construction ❑Dem` n.'. „ x y Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ID Other:
equipment,materials,labor,overhead,and the profit for the
i work indicated on this application. (�
® I-and 2-family dwelling ElCommercial/industrial Valuation: _. +
�ctt']
❑Accessory building El Multi-familyNumber of bedrooms: 5
❑Master builder El Other: Number of bathrooms:_�,5�
Total number of floors: 2 5-0 /b
Job site address:15707 SW Vanderwood Ave New dwelling area: 4390 square feet
City/State/ZIP:Tigard,OR Garage/carport area: 708 square feet /9-71
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 39 square feet /�J 0
Cross street/directions to job site: Deck area: 190 square feet
Others ? - . : :a C1 U square feet
Subdivision:River Terrace Crossing I Lot no.:115 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S108DC10700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
r_. . _~ ` , work indicated on this application.
New SFR Valuation: S
Existing building area: square feet
New building area: square feet
x
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 9941 Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax:
Business name:Pacific Lifestyle Homes
Structural plan review fee(or deposit):
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address:11815 NE 99th Street,Suite 1200
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98682
Amount received:
Phone:(360)213-0809 Fax::( )
E-mail:permits*baildplh.com 3 �: + .� �,. t._._vi �.._ ,-� _ ,. � � t_s-,,�`���:
' t • y '`_ � rr) Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name:Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same Solar Installation Specialty Code checklist.
City/State/ZIP:Same Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit tee): $21.60
CCB tic.:173524
Total fee due upon application: $201.60
Authorized signature: >�t?a �v . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:5/3/2023 'Fee methodology set by In-County Building Industry
Service Board.
I:\Building\Pemnits.BLJP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application r 1.OR 01,1 1( 1 l 51':(1y►.1
rC _ • '", s L.,''
'' Received
City of Tigard DateB Permit#: A'.;- ' ti►
13125 SW Hall Blvd.,Tigard,,OR 97223 i plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIG1{ [)
Inspection Line: 503.639.4175 Ready Date/By: hurls: FA8 See Page 2 for
Internet: www.tigard-or.gov CITY OF TiriA 1 Notified/Method: Supplemental Information
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition El Other: ElService or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
_ _ _ ,, _ .. .____ _ _ exceeds 10.000 amps at I50 volts or ❑Floating buildings-
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
, ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:15707 SW Vanderwood Ave 100RPormore. ❑`A' `E°,"1-z",°t-3',
City/State/ZIP:Tigard,OR ElSix or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.I: Project name:River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross stied/directions to job site: `,,
r
Description Qty. Each Total *
New residential single-or multi-family dwelling unit,
Subdivision:River Terrace Crossing Lot#:115 Includes attached garage.
Tax map/parcel#:2S108DC10700
1.000 n less 5 168.54 4
Fa add'l 500 sq.ft.or portion 1 33.92 1
Limited energy,residential
(with above ft.) 75.00 2
New SFR ( ��
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
s ` ,= !"..a'rllla or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 100.70 2
Address:11815 NE 99th St.,Suite 1200 201 amps to 400 amps 1 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98682 601 amps to 1,000 amps 301.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permits@buiidpih.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: Daie: 401 amps to 599 amps 168.54 2
Branch eirenits—new,alteration,or extension, r panel
A.Fee for branch circuits with
Business name:Pacific Lifestyle Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name:Kellie Franklin B.Fee for branch circuits without
Address:11815 NE 99th St.,Suite 1200 service or fe er fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98682 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax: :( ) Each manufactured or modular 67.84 2
Email permits@buildplh.com dwelling,service and or feeder
Reconnect only 67.84 2
l i s..' T: ..':... Pmrg1 or itTigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2S90 SE Brookwood Ave. Signal cif" an(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Ilillslroro,OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(l hr min) 66.25./hr
Phone:(503)643-4552 Fax:(503)642-7925 Investigation(1 br min) 90.00/hr
Email:permits(uIgarnereiectric.com Industrial plant(1 hr min) 78.181 hr
Inspections for which no fee is 90 00!hr
CCB Lie.: 121159 Electrical Lie.: 34-305C Suprv.Lie.: 3707-S Twat listed rir hr mm
1;g7 4 :qfi i 7 , a�ri'i�e ^z "=r., --am^+ay..s a;3 ,
Suprv.Electrician signature,required:ff'% ,, . ., Subtotal:_ .. i".
Print name: Charles Gamer Date:5/3/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 34 $ ,L TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Brittany Burian Date:5/3/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
L73addog=Panots.ELC Panut gp ELR ERE.doc Rev06/17/2015 440-4615TOli051COM'wEB
Mechanical Permit Application FOR OH 1( 1.\
City of Tigard Received
u 13125 SW Hall Blvd.,Tigard,OR 97223 r � t�
• Phone: 503.718.2439 Fax: 503.598.1960 '— r Other Permit:
1 1 t P I, Inspection Line: 503.639.4175 Date Ready/By: Imis: See Page 1 for
w.Internet: wwtigard-or.gov '"
1-,; ,i �fied/Method: Supplemental Information
® ❑Addition/alteratlonlrepl.n Ctlt t ', Mechanical permit fees*are based on the value of the work
New construction
i performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Uther: mechanical materials,equipment,labor,overhead,and profit.
Value:
® 1-and 2-family dwelling ❑Commerciallindustrial El Accessory building For special information use checklist
❑Multi-family El Master builder El Other: Description I Qty. I Ea. I Total
1 Heating/cooling:
Air conditioning 46.75
Job site address:15707 SW Vanderwood Ave Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts,vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name:River Terrace Crossing Duct work 23.32
Cross street/directions to job site: Hydronie hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:River Terrace Crossing Lot no.:115
Other. 23.32
Other fuel appliances:
Tax map/parcel no.:2S108DC10700 Water heater 23.32
Gas fireplace/insert 2 33.39
Flue vent for water heater or gas
New SFR fireplace _ 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/fluefvent 23.32
Other 23.32
Environmental exhaust and veatliation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
Address:11815 NE 99th St.,Suite 1200 equipment 1 33.39
Clothes dryer exhaust 2 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 7 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
o- € Other 23.32
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name:Permit Coordinator-Kellie Frnaklin Furnace,etc.
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)213-0809 Fax::( ) Fireplace 2
Range 1
E-mail:permits@buildplh.com Barbecue
Clothes dryer(gas)
tc 's ar:" d' s_ ,;'.`.. . . c. 1 r...
Other
Business name:Wolcott Plumbing mr
Address:1075 West Historic Columbia River HWY Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum pt. ut fee(390.00)
Plan review(25%ofpermit fee)
Phone:(503)667-1781 Fax:( ) State surcharge(12%ofpennit fee)
CCB lic.:112220 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:Xk g:42. pia^r o ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Kellie Franklin Date:5/3/2023
I:'Building?Permits‘MEC_PennitApp_0401l3.doc 440-3617T(11)02/COM/WEB)
J
Plumbing Permit Application
Building Fixtures '' 1,
City of Tigard Received
e d Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 t-1,,';( 9 ^ii DateBy: f )�� jj 3 Sj�"
C - v%,. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Pennit No.:
1.IC;`�; i /Inspection Line: 503.639.4175 r`e1 Cr r Date Rea huts: El See Page 2 for
Internet: www.ti and-or. ov i" 3 9 Ti
g g '- a NotitiedYdlMethBod: Supplemental Information
®New construction ❑Demolition For special information use checklist
Description I Qh'- I Ea. I Total
❑Addition/alteration/replacement ❑Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)
SFR(1)bafli 312.70
®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 1 500.32
❑Master builder Each additional bath/kitchen 1 25.02
❑Other: Fire seer(51198 sq.ft.) Page 2
Site utilities:
Job site address:15707 SW Vanderwood Ave Catch balm or area dram 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing dram(no.linear ft.:_) I Page 2
Suite/bldg./apt.no.: I Project name:River Terrace Crossing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 8 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear fl_: ) Page 2
Water service(no.linear IL:_) Page 2
Subdivision:River Terrace Crossing I Lot no.:115 Fixture or item:
Tax map/parcel no.: 2S108DC10700 Baekflow preventer 1 31.27
Baekwatervalve 1 12.51
Clothes washer 2 25.02
New SFR
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
1
Expansion tank 12.51
Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99t6 Street,Suite 1200
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)213-0809 Fax:( ) Ice maker 12.51
Interceptorlgrease trap 25.02
Medical gas(value:$ ) Page 2
Business name:Pacific Lifestyle Homes
INunier 12.51
Contact name:Permit Coordinator-Kellie Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 996 Street,Suite 1200 Sink/basin/lavatory 9 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 4 12.51
E-mail:permits@buitdplb.com Urinal 25.02
-, -2 J x • ' `. L - 4 Water closet ' 4 25.02
Water heater 1 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.: t/lD- U(/'�v
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: / ell.a P4adeld,;z, 1'1'lI TOTAL PERMIT FEE
Print name:Kettle Franklin Date:5/3/2023 Thispermit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
'Fee methodology set by Tn-County Budding Industry Service Board.
t--',Boilding,Paotitr' U-PawitApp.doe 10i0109 4404616T(10/02/COM'WEB)
City of Tigard
11, q COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit#: /n57 V?3 / --
Site Address: 15707 SW Vanderwood Ave X Verified in Accela
Project Name: River Terrace Crossing Lot/Unit#: 115
Proposal: New Single Detached SFR Zone: RES-C
Housing Type: X SFR(N Single Detached 0 Duplex 0 Triplex 0 ADU)0 Rowhouse❑Cottage Cluster 0 CYU❑Quad 0 Other
Required Site Plan Elements:
X 3 copies of site plan on max 11x17"
X Drawn to standard scale
(North arrow X Street and site trees shown/ labeled
X Site address, project name, lot # tree cr epy ]e' •n,t+•sil-y
1 Street names (N/A for SFR)
X Applicant name and phone # 0 Ca..lie.J .ccle„yl.. J;mc i3;6. ..J (;I.,,NC,..able)
N Lot and setback dimensions ❑ Vision clearance triangle
0 C,.;.l;..y ..l...ct,.....B._. ,.....e f.,L .. X Utility locations&easements
N Footprint of new structure and FFE N Property corner elevations
1 Sidewalk/driveway dimensioned
X Lot area and lot coverage percentage It Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
X Drawn to standard scale X Total facade area
X Building height dimensioned X Total window and door area
X Facade dimensioned
X Windows and doors dimensioned
X Garage doors dimensioned
Requw Elements:
(Not required for SFR 0 Summary table that includes
❑ Each story dimensioned oor area
❑ Each story floor area calculated 0 Floor area pe
Planning Review
The following standards have been met:
Setbacks ❑ Front: 8' Rear: 10' Side: 3' Min/Max Street Side: 8' / Garage: 20'
Height 0 Max. Height: 35' Proposed Height: 25'- 8 1/2"
0 Yes N/A Landscape
❑Yes N/A Screening (Quad only)
❑Yes N/A 0/0Window Coverage
❑Yes N/A Garage (SFR Only) Parking (Other Res)
❑ Yes 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:
0 Yes N/A Unit Count:
0 Yes l N/A Lot Width and Size
0 Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑Yes N/A Unit Area:
0 Yes N/A Floor Area (per story)
0 Yes N/A Courtyard
0 Yes N/A Fence
•
❑ Yes 0 No XN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No XN/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: 0 Yes 0 No, stop intake
a4 Sensitive Lands: 0 Yes X No
El Main Land Use Case #s: PDR2016-00016/PDR2018-00005 0 Conditions met
❑Applicant notified of land use expiration
Approved By Planning: Date: 4/20/23
Notes RT PDdesign standards not applicable.g No wi dow%,entrance standar s,garage standards apply,requirements were added to the residential
it ev ssonnjll:aftere14 wroved U NotTAroved
11 u❑ HHpp pproved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: V8123
Site Plans #: '3
Building Plans #: !�J5
Building Permit #: -� ttu'Iding permit# entered on page 1
Workflow Routing: €.. anning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: -off for Planning (include notes from planning review)
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and opginal plan review routing form.
wilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: d —7�`. .� Date: j''l ye
Notes: r%v
Engineering Review
❑ PFI Permit:
"Slope at building pad: 2P�i 0/0
'//i) f*Conditions met prior to issuance of permit
ditasements (encroachments) per engineering conditions of approval and plat
1TWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑Yes e'No
Assess Water Quantity Fee in-lieu: ❑ Yes frNo
LIDA Facility on lot: ❑ Yes (No Add Fee: ❑ Yes ❑ No
""Final Plat Recorded
0 NOT Approved: Date:
Notes:
-
Approved By Engineering: Date: -S/20...3
Revision 1: El Approved Not Approved Date:
Revision 2: El Approved ❑ Not Approved Date:
Permit Coordinator Review
it/Conditions met prior to permit issuances., _ _
'►pproved, NOT Released: Date notified applicant:--1 7 v v.t , J• -
O ENG Revisions Required: �/ Date notified applicant:
`SDC Exemption: ❑ Applied for ❑ Received koes not apply
sySSDC Fees Entered: Wash Co Trans Dev Tax: (7 Yes ❑ N/A
Tigard Trans SDC: ❑Yes El N/A E Deferred
Parks SDC: ,D Yes ElN/A Deferred
LIDA ❑ Yes 9'N/A
I�OK to Issue/Approved by Permit Coordinator: k\ ?L! ,t�//" , Date: S t 2 Z5Z3
Revision 1: El Approved ❑ Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: \51(it (,
W U J/1 urod U6
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N " Transmittal Letter
r I(J A k n 13125 SW Hall Blvd. • Tigard,Oregon 97223 • 503.718.2439•www.tigard-or.gov
TO: Allvson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
IV
FROM: Shannon Miller JUN 8 2023
COMPANY: Pacific Lifestyle Homes Dui Y ONF TIGDI ARD
PHONE: 360-931-8177N/f"i
EMAIL: ShannonMCctbuildplh.com
RE: shannonm( )buildplh.com MST2023-00185
(Site Address) (Permit Number)
River Terrace Crossing Lot 115
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: Description:
Additional set(s)of plans. 3 Revisions: Al.0
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 1) Response: We will insulate under the slab 24" horizontally.
Please see revised sheet A1 .0 details D. E. F & G on the foundation plan
2) Response: Please see revised sheet A1 .0 for updated ventilation calc
and vent symbol on foundation plan.
FO O} _'ICE USE ONLY
Routed to Permit Technic' : Date: ( ,(C 3 2� Initials: /r
Fees Due: ❑Yes No Fee Descriptio : Amount Due:
e $
N...tb l _ $
$
p,-
Special
Instructions:
Reprint Permit(per Pp: ❑Yes No ❑Done
Applicant Notified: V Date: 6 tS 0/11A • alp F,Yyta/Rd v AJii• Initials: WO