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05-May (7) CITY OF TIGARD MASTER PERMIT ` II i ' COMMUNITY DEVELOPMENT Permit#: MST2023-00238 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2023 Parcel: 2S1060003301 Jurisdiction: Tigard Site address: 13765 SW 165TH AVE Subdivision: RIVER TERRACE TOWN CENTER Lot: Project: River Terrace Town Center, Lot 83 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1173 sf Basement: 112 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1184 sf Garage: 502 DwellingUnits: 1 9 sf Front: 12 Smoke Yes Third: 0 sf Right: 3 Detectors: Total: 2469 sf Value: $402,833.89 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amplvolt: 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 Prior to 15231 LAGUNA CANYON RD STE IRVINE,CA 92618 Pour 250 PHONE: PHONE: 503-312-6213 FAX: Total Fees: $24,004.66 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 0S9_nn111Mn rhrnunh CI _nn1_0non Vn,,may nhfain a rnn,of fha n ilac nr Aran}ni ieefinne to(II MR ha rallinnnC cn7 9'17 10A7 nr 1 Ann 949 99dd Issued By: Permittee Signature: U'e aypli(JA,fA Jn 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 lob site at the time of each inspection, Building Permit Application 'l 't c . Residential EIr,kg 2 2 Lv�� R � Received �3 oa3 �j City of Tigard DateBy: 3� a-, PeT� g 13125 SW Hall Blvd.,Tigard,OR 97223OF Plan Review �p�� 114 CITY TIGAflD (?�(Jc-- of iY,�1�-b3 ® b 1Sa�- Phone. 503.718.2439 Fax: 503.598.196 ateBy: °BUILDING DIVISIONS Jugs ® See e4for T I.;\RI) Inspection Line: 503.639.4175 ace ReadyBy, S Internet www.tigard-or.gov Notifi�ed/Method. Ilia S 23 AF Th.Q Supplemental Information f J TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑a 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 'S\ CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $155121d L1OZ--/ J . ❑t 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: X I+ 0 Accessory building 0 Multi-family ^� El Master builder III Other Number of bathrooms: �J JOB STFE INFORMATION AND LOCATION Total number of floors pl Zq 1 Job site address:13765 SW 165th ave New dwelling area: � square feet `((lll City/State/ZIP:Sherwood/OR/97140 Garage/carport area..3efr552_square feet I I13 Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: square feet ( Z ll I Cross street/directions to job site: Deck area: square feet SW Jean Louise rd Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision'River Terrace Lot no.:83 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no parcel no: 2S1060003300 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: S RI NIlPsting Deferred SDC fees Existing building area: square feet New building area: square feet 19 PROPERTY OWNER r, ❑ 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:( ) New: Il APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:TNHC OREGON LLC Structural plan review fee(or deposit): Contact name:Frank Sandoval FLS plan review fee(if applicable): Address:15455 NW Greenbrier Parkway Suite 240 Total fees due upon application: City/State/ZIP:Beaverton/OR/97006 Amount received: Phone:(503) 310-7571 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: fandoval@nwhm.com Commercial and residential prescriptive installation of CONTRACTOR 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 Specially Code checklist. City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00 Y and administrative fees): Phone:(503 )310-7571 Fax:( ) State surcharge(12%ofpermit fee): $21.60 CCB lic.:241108 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Frank Sandoval 5/2 Z/'GQZ3 *Fee methodology set by Tri-County Building Industry Date: Service Board. L1Building1 Permits 1BUP-RESPemtitApp.doc 01/25/2023 440-4613T(I I/02/COM/WEB) Mechanical Permit Application FOR OFFICE I SF:O\i., Received ���I/� �s�,�s City of Tigard Date/B Pam/-t e 1 0"✓ ! -Do �38 q 13125 SW Hall Blvd.,Tigard,OR 97223 y Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit D 1 1(,.,Ii U Inspection Line: 503.639.4175 Date Ready/By: kris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value.$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling E 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: Air conditioning 1 46.75 Job site address:13765 SW 165th ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91 Heat pump 61.06 Suitc/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.:83 Other fuel appliances: Tax map/parcel no.:2s1060003300 Water heater 23.32 • DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 - Flue vent for water heater or gas NEW HOME CONSTRUCTION fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT 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 33.39 City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: (503 a 10-7571 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON 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 CONTRACTOR Clothes dryer(gas) ______ Business name: Pro Heating and Cooling, INC Other MECHANICAL PERMIT FEES* 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 lie.: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: Z:)!llLC'JL * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:3/17/2023 I:tBuilding1Permiis MEC_PermitApp_0401 I Idoc 440-461 Tr 01/02/COM/WEB) otivt=rola Electrical Permit Application, 2 2 ,,}i,,,, FOR OFFICE 'I.i),I , City of TigardS: Received 13125 SW Hall Blvd.,Tigard,OR .24'f, Hai 0./144 Date/By: P"TMita'ms1—zoz3" 00238 Phone: 503.7182439 Fax 51:off: if 1:, % ,r r.+ ft Review n. Plan Date/By: Related Pemut#: Inspection Line: 503.639.4175 Ready Date/By: -- /,,,�,_ Internet: Www.tigard-or.gov Dlotified/Method El See Paget for Supplemental Information • TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)! 0 Service or feeder 400 amps or more 0 Building ever three stories. ❑Demolition 0 Other: : where fee available fault current [Wearies and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. ®I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural Other: ❑anp Fire�p l other installations. buildings. ❑Multi-family 0 Master builder JOB SITE INFORMATION AND LOCATION g larger sepan ael5d deriVA ved Emergency system. larger separately derived Job ( solo site address: 13765 SW 165th ave ❑Addition of new motor load of system. 100HP or more_ City/State/ZIP: Sherwood/OR/97140 D Six or mom residential units. occupancy. I]Health-care facilities, ❑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 rdriom I on. i Each Taal New residential single-or multi-family dwelling unit Subdivision: River Terrace Town Center I Lot#:83 Includes attached garage. Tax map/parcel4: 2s1060003300 I,000sq.ft or less 168.54 4 DESCRIPTION OF WORK tdd'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.R) 75.00 2 12 PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2 Name: THNC OREGON LLC Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 • Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 133.56 2 City/State/ZIP: Irvine CA 92618 401 a �to600 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(503)310-7571 l 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 RI APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel Business name: THNC OREGON LLC A.Fee for branchcrcuitswith above servicebranchcircuit fir feeder fee, Contact name: Frank Sandoval each 7.42 2 B.Fee for branch circuits without Address: 15455 NW Greenbrier Parkway#240 service or feed" ,s� s6.lg 2 branch circuit City/State/ZiP: Beaverton OR 97006 Each addl branch circuit 7.42 2 Phone:(503)310-7571 Miscellaneous(service or feeder not included) Fax::( ) Each manufactured or modular dwelling,servceand or feeder Email: Fsandoval@newhomeco.com 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle Business name:Development Northwest Inc., DBA Wolcott Electrical Signora line lighting 67.884 2 Address: 1075 W Historic Columbia River Hwy Signal circuit(s)or limited-energy SeePage2 2 panel,alteration,or extension. City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 1 66.25/hr Phone:(503)853-9420 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(Ihrmin) 78.18/hr Inspections for which no fee is CCB Lic.:112220 l Electrical Lic.:01272 l Suprv.Lic.:5782S specifically listed(Y hr min) 90.00 hr Suprv,Electrician signature,regtaired:"o'"'°i ELECTRICAL PERMIT FEES °"°" .,OnU.an,..,,,, Subtotal: Print name:David Campbell 10/12/2023 v (25% permitfee): p Date: ❑Plan Review Required of d //}} State surcharge(12e%of permit fee): -,v Authorized signature: '-.h 4?iW TOTAL PERMIT FEE: Printname:Malachf J. Wolcott Thu permit application expires if a permit is not obtained within ISO j Date:10/12/2023 I days after it has been accepted as complete. j Lv3uildurglperroittlEt,C_yenrutapp_el.RERE.eo<Rey e6/nrzols ' Number of inspections allowed per permit, 440-4615T(1 Iros/COM/WEB • • RECEIVE® Plumbing Permit Application Building Fixtures fI ' 2 2 *A FOR OFFlcI. i `;h oNLS CityofTi and �y 1 t • ♦ Received MST20 g3a g • . ♦, a Permit No.: �,.i ` rw l Date/kl: 3-O t7 ,�- q 13125 SW Hall Blvd.,Tigard,O'„'. , 1. 1;'� .1%) 1„+��$., Plan Review >t Phone: 503.718.2439 Fak: 50'•a• �•:'=i Other Permit No.: Date/By: 1 I OP It I I inspection Line: 503.639.4175 • Date Ready/By: hair ®See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information rise checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes IOo ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 lla 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: • Job site address: 13765 SW 165th ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Sherwood/OR/97140 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: RTTC Manufactured home utilities 50.03 Cross street/directions to job site: SW Jean Louise rd Manholes 18.76 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.: 83 Fixture or item: Tax map/parcel no.: 2s1060003300 Backllow 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 25.02 121 PROPERTY OWNER I. 0 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 l${.APPLICANT 131 CONTACT PERSON Interceptor/grease trap 25.02 Business name: THNC OREGON LLC Medical gas(value$_) Paget 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 Urinal 25.02 E-mail: • 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.:112220 Plumbing Lic.no.:26824 PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized sigttature:4 YYY 41‘..............._ TOTAL PERMIT FEE Print name:Mark Baleme Date:10/12/2023 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fce methodology set by Tri-County Building Industry Service Board. I:bBoildiogbPermils\PLMU-PeralApp.det 10/01/09 440.46I6T(IO/02/COMIWEB) A GEOTECHNICAL ti eArvi—cr- rat REPORT 6a REQUIRED BEFORE THE FOOTING---rk, INSPECTION IS AppRovsc Building Division y ,'- evazgamtegIA,to qfflo- -- '6 ne & Two-Family Dwelling r I G A RD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION JO(c/ l oiZ- lJ Permit#: m s7 3_c 2J 2:1 Plan #: L)(2j`] ACE• Floors: 2 Valuation: Li al <a 33,t6`1 l/Covered Porch: ^ J" Basement J 1 Bedrooms: V" H Deck: 1" Floor I 1 -13 WC (toilets) —2 Deck Cover: 2"d Floor 1. 1 (8 L' Lavatories S Patio Cover 3rd Floor Tub/shower Accessory Struct. R-3 Total 24 vi Laundry Tray ,- Water Heater ` / Gas CL{ec Garage 50Z Exhaust Vents 5 Gas Flue Vents Total for Elec. q--1 l Backflow Prey. ' / Heat Pump # for Electrical `Jl BBQ -----, Gas Fireplace NI p.-"S #Fuel Lines ) FEES: Description: Fee Apph : Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) 2 S Info Proc/Arch: Sm$.50 (up to 11x17) 78 Metro CET: Residential ✓ School CET: District Tigard CET: Admin I/ Tigard CET: ODHCS Tigard CET: AH 1.7 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 I:\Building\Forms\ResPlanCheckFees_Dcc2022_AA.doc12/21/22 Page I f i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit#: � ��� 00 - b Site Address: 13765 SW 165th Avenue El Verified in Accela Project Name: River Terrace Town Center-New Home Co. Lot/Unit #: 83 New Detached SFR Proposal: Zone: Res-C Housing Type: 1 SFR(1 Single Detached El Duplex❑Triplex El ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑ Other Required Site Plan Elements: 1 3 copies of site plan on max 11x17" l Drawn to standard scale 1 North arrow M Street and site trees shown / labeled El Site address, project name, lot # ❑ Table calculating tree canopy at maturity 1 Street names (N/A for SFR) 1 Applicant name and phone # ❑ Courtyard rectangle dimcn;,ioncd (if applicable) ® Lot and setback dimensions 1 Vision clearance triangle ❑ Existing structures &3quarc footage 1 Utility locations &easements 1 Footprint of new structure and FFE 1 Property corner elevations 1 Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance) ® Lot area and lot coverage percentage ® Erosion control Required Elevation Plan Elements: (For SFR: caics needed only on street-facing) Summary table with calculations for: 1 Drawn to standard scale E Total facade area El Building height dimensioned ® Total window and door area 1 Facade dimensioned 1 Windows and doors dimensioned 1 Garage doors dimensioned or Plan Elements: (Not required for mary table that includes ❑ Each story dimensio I floor area oor area calculated El Floor area pe Planning Review The following standards have been met: 8'(porch) N/A N/A Garage: 3'(alley-loaded) Setbacks I Front: 12' Rear: 3' Side: 3' Min/Max Street Side: / 9 y Height 1 Max. Height: 35' Proposed Height: 26'5" • Yes ❑ N/A Landscape El Yes 1 N/A Screening (Quad only) 1 Yes ❑ N/A % Window Coverage Garage standards not applicable-not fronting a public street ❑ Yes 1 N/A Garage (SFR Only) Parking (Other Res), El Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes 1 N/A Other building design standards (Rowhouse only) ❑ Yes El N/A Accessory Structure Standards ❑ Yes 1 No Qualifying pre-existing unit exempt from standards (Cottage unit only) mod 'onal standards for Co Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes ❑ it ❑ Yes ❑ of Wi Size ❑ N/A Pathway lional standards for Court nits and Cottage Clusters only: ❑ Yes Unit Area: ❑ Yes ❑ N/A ea (per story) ❑ Yes ❑ Courtyar N/A Fence f N. ❑ Yes ❑ No ®N/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995) El Yes ❑ No ©N/A Public Facilities Improvement (PFI) Permit: Required: 0 Yes CI No Applied For: ❑ Yes CI No, stop intake Ed Sensitive Lands: RI Yes CI No ® Main Land Use Case #s: PDR2021-00004 ❑ Conditions met ®Applicant notified of land useeplra ipn date: Submit and pay for all applicable dev permits by 1/31/2025.Final occ by 1/31/2027 Approved By Planning: �_— Date: 5/16/2023 Notes Permit can be issued prior o final plat approval but not prior to conditions being met on PDR Revision 1: ❑ Approved El Not Approved Date: Revision 2: CI Approved CI Not Approved Date: Building Permit Submittal Original Submittal Date: S P')-/ 2- ' Site Plans #: Building Plans #: Building Permit #: C .Building permit # entered on page 1 8 Workflow Routing: �KPlanning Engineering l�.Permit Coordinator Sp Building Its Workflow Sign-off: fASign-off for Planning (include notes from planning review) Route Documents: E Engineering: (1) copy of permit application, (1) site plan, (1) building plan 1- and original plan review routing form. Ig1Building: original permit application, site plans, building plans, engineer and ,35 beam calculations and trust details, if applicable, etc. I / Permit Technician: .- Date: ? ` I ' � 1 4 Notes: Engineering Review ❑ PFI Permit: b1 e'Slope at building pad: 2-J;7, Wo ❑ onditions met prior to issuance of permit 0 asements (encroachments) per engineering conditions of approval and plat (1. ❑ ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No . Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: 0 Yes ❑ No Add Fee: ❑ Yes ❑ No . • Final Plat Recorded 0 NOT Approved:ir Date: Notes: Approved By Engineering: - } Date: ��//2_3 Revision 1: 0 Approved ❑ Not Approved - Date: Revision 2: 0 Approved ❑ Not Approved Date: Permit Coordinator Review (^• 1 `2n' onditions met prior to permit issuance (/Approved, NOT Released: Al— Date notified applicant: I2a f z 23 VVV CIENG Revisions Required: Date notified applicant: 17'SDC Exemption: ❑ Applied for ❑ Received Does not apply ,SDC Fees Entered: Wash Co Trans Dev Tax: /Yes CI N/A Tigard Trans SDC: Yes ❑ N/A )Zr Deferred Parks SDC: VYes ❑ N/A f1 Deferred LIDA ❑ Yes II N/A n AIK to Issue/Approved by l O- `�' Z3 / pproved Permit Coordinator: Date: Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: 0 Approved 0 Not Approved _ Date: City of Tigard Deferral Until Occupancy Request T I GARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then upon land use approval(TMC 3.24,as amended by Ordinance No. 21-09). Date: 6/26/2023 Site Address: 13765 SW 165th Ave Project Land Use Case or Name: River Terrace Town Center Building Permit#: MST2023-00238 Tax Lot Lot 83 Total Parks $11,830.00 #: Amount*: TDT Total TSDC Amount: N/A Amount*: $12,004.00 *The total TSDC amount shown bove is the sum of$ 7,760.00 for TSDC-Improvement,$ 448.00 for TSDC- Reimbursement, and for TSDC-River Terrace,if applicable.. 3i-1GI t. .DO 1,887.00 for*The total Parks SDC amount shown above is the sum of$ 6,812.00 for Parks-Improvement, Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace. This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, until occupancy. Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance of the occupancy permit. In requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final inspection or issuance of an occupancy permit. 1'DT may only be deferred if the TDT is greater than the amount for a single-family residence. I further understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of issuance of the building permit. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. • Property Owner: Date: Developer: —� Date: Permit Coordinator: AV)) Date: 6/26/2023