10-October (7) CITY OF TIGARD MASTER PERMIT
t 1 COMMUNITY DEVELOPMENT Permit#: MST2023-00522
TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2023
Parcel: 2S 1060003300
Jurisdiction: Tigard
Site address: 16583 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 87
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: 107
sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1184 sf Garage: 502
Dwellin 9 sf Front: 12 Smoke
9 Units: 1 Third: 0 sf Yes
Right: 3 Detectors:
Total: 2464 sf Value: $452,919.24 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
FootingDrain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0
Backwater Value: 1
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
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,500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Y
Other: N Other Description: Ecompasing;
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2464
Owner: Contractor:
AG EHC II(NWHM)MULTI STATE 2 LLC TNHC OREGON LLC Required Items and Reports(Conditions)
BY THE NEW HOME COMPANY INC 15231 LAGUNA CANYON ROAD 1 Ersn Cntrl 503-639-4175
BY KAWANAMI,MARK SUITE 250 2 Geo Tech Required
15231 LAGUNA CANYON RD STE IRVINE,CA 92618
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $25,829.08
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
QF9-r1f11-rV11 n Ihrn AR QS9-nM-111)Qn nil v nhfnin a rnmi of tha n dac nr r✓irurt nnacfinne 1n nl ear M,rallinn Fii 919 1 QA7 nr 1 Ann 119 9'311.4.
Issued By: Permittee Signature: JAY ey r ! 1 e 4 r
Call 3.639.4175 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received 1 AL�(� sn� n052
Date.By. ICI 10( Permit No.: `V r.J` (,J I . (�
U 13125 SW Hall Blvd.,Tigard,OR 97223 O L`T , 0 2023 •
Plan Review II V
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (u t% Z/ Other Permit:St -',(}0) ' 00;ti .
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 4 for
"""'RD CITY OFTIGARD Notified/Method: IO(2ro/ S AF TI:S
Interne[. www.tigard-or gov Supplemental Information
BUILDING DIVISION _ ,p,.. .
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑' 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 Z
CATEGORY OF CONSTRUCTION work indicated on this application
���' `�
❑� I-and 2-family dwelling El Commercial/industrial
Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms: 4
❑ Master builder ❑Other: Number of bathrooms: �v;
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 a110(p
Job site address:16583 SW Jean Louise re New dwelling area: 2464 square feet l ( RL
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 502 square feet 1 l-1 3
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: 215 square feet 'Eta
Cross street/directions to job site: Deck area: square feet
SW Rjvpr Tprraf.e hlvri Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Lot no.:87 Permit fees*arc 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
Req.testing Deferred SDr fees
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 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:
® APPLICANT 0 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: :( )
E-mail fsandoval@nwhm.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TN HC 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.
Permit Fee(includes plan review
City/State/ZIP:Irvine/CA/92618 and administrative fees): $180.00
Phone:(503 )310-7571 Le Fax:( ) • State surcharge(12%ofpermit fee): $21.60
CCB lic.:241108 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Frank Sandoval Date. Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-46 13T(1 l/02/COM/WEB)
Mechanical Permit Applicat FOR OFFICEI SE ONLY
City of Tigard ICEIVED Received OFFICE Permit No.:
Date/By: M5T 2023 00 j ZZ
14
sa 13125 SW Hall Blvd.,Tigard,OR 97223 q Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 OCT 0 2023 Other Permit:
Da a/By:
JIG A RD Inspection Line: 503.639.4175 Date Ready/By: orris:
Internet: www ti rd-or. ov y See Page 2 for
g CITY OF TIGARD Noti fied/Metho d: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
' Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value.$
CATEGORY OF,CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® I-and 2-family dwelling D Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB sin: INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address:16583 SW Jean Louise rd 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
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
SW River Terrace blvd Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 4675
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:River Terrace Town Center Lot no.:87 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
fir- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
1 ® PROPERTY OWNER ElTENANT 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)310-7571 Fax: ( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
S14.15 for first four;S4.03 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:fsandoval@nwhm.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC other MECHANICAL PER
MIT FEES
Address:4200 NW Leisy rd Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Phone:(971 )205 4989 Fax:( ) Plan review(25%of permit fee)
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: C122, PLi'f'r'4, * Fee methodology set by Tri•County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
HBuilding\Paemits\MEC_PermilApp 040113.doe 440-4617r(I I/021COM/WEB)
Electrical Permit Applicatio@ EC E I VE D FOR OFFICE USE ONLY
City of Tigard r► Received ms-oat.-on��
DeceBy Permit#: S
II l • 13125 SW Hall Blvd.,Tigard,OR 97223 n fv T Plan Review
0 Phone: 503.718.2439 Fax: 503.598.1969tL 1 0 2023 I Date/By: Related Permit a:
<�A R 1-) Inspection Line' 503.639.4175 Ready Date/By: lure: lied See Page 2 for
'.
Internet: wwwtigard-or.gov CITY OF TIGARD Notified/Method: I Supplemental Information
TYPE OF liblikUING DIVISION PLAN REVIEW
`:/ New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition0 Service or feeder 400 amps or more 0 Building over three storms.
0 Other: where the available fault current 0 Marines and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑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: 16583 SW Jean Louise rd ❑Addition IOOHP or ofmoew motor load of sys r n
more. ❑"A""E""1-2» "t-3"
City/State/ZIP: Sherwood/OR/97140 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt 4: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW River Terrace blvd aese,ipnra I Qty. I Each j Total I
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:87 Includes attached garage.
Tax map/parcel#: 2s1060003300 1,000 sq,ft.or less 168.54 4
Ea add'I 500 sq.ft.or portion 33.92 1 j
DESCRIPTION OF WORK Limited energy,residential
75.00 2
NEW HOME CONSTRUCTION (with above sq.i.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy
I i PROPERTY OWNER 0 TENANT ❑ 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
Branch circuits—new,alteration,or extension,per panel® APPLICANT ❑ CONTACT PERSON
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee, 7.42 2
each branch circuit
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
Phone:(503)310 7571 Fax:: Miscellaneous(service or feeder not included)
( ) 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 HwySignall,alteration.
or limited-energy
0 See Page 2 2
panel,ghemtion,or extension.
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.:112220 Electrical Lic.:C 1272 Suprv.Lie.:57825 specifically listed('Vs hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:'17c,1 Subtotal:
o.,u r„mrui(DO MINI Midi ron
Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4 haz 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 bits been accepted as complete.
t Number of inspections allowed per permit. f
1:'auildinglPeruvts\ELC_PemutApp_ELR_EREdoc Rev 06/17/2015 4404615T(I I/a5/COMM1JEB
LCEIVED
Plumbing Permit Application
BuildingFixturest'CT 10 2023
FOR 01,F1 CI,. 1 SE ONLY
City of Tigard ITY OF TIGARD Received 1AS11,pti3 QQti
■ Date iv Permit No:
,"� 13125 SW Hall Blvd.,Tigard,OR 4 DING DIVISION ev
r1 Q Pltone: 503.718.2439 Faz: 503 5 Plan Review
Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Read-/U
Internet: tvww.tigardor.gov 1 t luris: ® See Page 2 for
Notified/Method: Snpplensental lurnrmatinn
TYPE OF WORK FEE° SCHEDULE
la New construction 0 Demolition For special information use checklist.
Description Iliiy. I Ea, I Total
❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
'CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling ❑Conmlercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
-- Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16583 SW Jean Louise Rd 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/hldg./apt.no.: Project name: RTTC Manufactured home utilities 50.03 -
Cross street/directions to job site: Manholes 18.76
SW River Terrace Blvd Rain drain connector 18.76
Sanitary sewer(no linear ft.:_) Page 2
Storm sewer(no_linear fl.: ) Page 2
Water service(no.linear ft.' ) Page 2
Subdivision: River Terrace Town Center I Lot no.:
87 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve _ _ 12,51
New Home Construction Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewer cap 25.02
Address: 15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
® APPLICANT 0 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
CONTRACTOR
Water closet 25.02
Water heater 37.52
Business name:Wolcott Plumbing _ Water piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale OR. 97060 Subtotal
Phone;( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:112220 Plumbing Lie no.: permit 26824 PB Plan review (25%of peit fee)
^
A 1C`J State surcharge(12%of permit fee)
Authorized signature:4 �C«CTTT
1\ 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.
"Fee methodology set by Tri-Cotmty Building Industry Service Board.
IlauildinalPennifslPL.M1.1-PermitApp.doe 10/01;09 440.4616T(10/O2/COMIWEB) •
71 a A GEOTECHNwu Building Division
REPORT IS REGIUIR�-` One & Two-FamilyDwelling
TIGARD °PF'rHETHEFOOTING g
-'^'+s +s APPRO" Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION t.y -7A7-3
Permit #: ��i , 0c)50 a Plan #: L(45''6 Floors:
Valuation: ii `�521 9 9 2y Covered Porch: I Basement
Bedrooms: 9 Deck: 1" Floor \ \,-
WC (toilets) -3 Deck Cover: 2nd Floor l+ f�1
Lavatories 5 Patio Cover - , 3' Floor
_ Z�`j
Tub/shower '3 Accessory Struct. - R-3 Total 2 '-1
y 6t
Laundry Tray Water Heater / Gas Garage C 2 l
Exhaust Vents S. Gas Flue Vents �/W
�- Total for Elec. P./ _
Backflow Prey. / Heat Pump�PiC ) # for Electrical 9
BBQ _— Gas Fireplace ` ,�� #Fuel Lines 3
FEES: Description: Fee Ap : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm $.50 (up to 11x17) Qrj
Metro CET: Residential �/�
School CET: District: cr
Tigard CET: Admin o
Tigard CET: ODHCS
Tigard CET: AH 1 .
Electrical Permit: Permit Fee: f
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee: , Vi
12% State Surcharge
Erosion Control: w/Permit-Ping
I:\Building\Fonns\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review Residential
TIGARD
Building Permit #: MS1 2O2i2, -CDS'L2
Site Address: 16583 SW Jean Louise Rd 0 Verified in Accela
Project Name: RT Town Center Lot/Unit #: 87
Proposal: New detached SFR Zone: RES-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale fl ItOt0111oU Lice,, 1.1111-I III IC/ t, N,.,Lection
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # ❑ T_LI_ _ I_ L 1;.., L.__ __.._ t ...maturity
O Street names (N/A for SFR)
0 Applicant name and phone # ❑ Courtyard rcctanglc dimcncioncd (if applicable)
O Lot and setback dimensions
❑ CALL'.IV all UIIU 40 &�y ,, A.,1...y.. 0 Utility locations &easements
O Footprint of new structure and FFE 0 Property corner elevations
O Sidewalk/driveway dimensioned
O 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:
O Drawn to standard scale 0 Total facade area
O Building height dimensioned 0 Total window and door area
O Facade dimensioned
O Windows and doors dimensioned
Alley load
Re loor Plan Elements:
(Not required for ❑ Summary table that includes
❑ Each story dimensioned ❑ Total floor area
❑ Each story floor area calculated ❑ r story
Planning Review
The following standards have been met:
Setbacks 0 Front: 8/12 Rear: 3 alley Side: 3 Min/Max Street Side: 7 / Garage: 3 alley
Height 0 Max. Height: 35 Proposed Height: 26'
0 Yes ❑ N/A Landscape
❑ Yes 171 N/A Screening (Quad only)
0 Yes ❑ N/A % Window Coverage 22%
❑ Yes 0 N/A Garage (SFR Only) Parking (Other Res)
0 Yes ❑ 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 s N/A Unit Count:
❑ Yes ❑ N • of Width and Size
❑ Yes ❑ N/A Pat'• -
Additional standards for rtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
0 Yes ❑ N/A Fence
❑ Yes ❑ Nor 1N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
(a Sensitive Lands: m Yes ❑ No
o Main Land Use Case #s: PDR2021-00004 m Conditions met
m Applicant notified of land use expiration date: Permits by 1/31/25. Final by 1/31/27
Approved By Planning: Date: 10/2/23
Notes
Revision 1: ❑ Ap ed ❑ Not Approved Date:
Revision 2: ❑ Ap roved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: l0 ko I23
Site Plans #: 5
Building Plans #: 5
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: Kf Planning.'Engineering hermit Coordinator 0Building
Workflow Sign-off: 0 Sign-off for Planning (include notes from planning review)
Route Documents: p Engineering: (1) copy of permit application, (1) site plan, (1) building plan
/and original plan review routing form.
,PJ Building: original permit application, site plans, building plans, engineer and
?"--7,---...------beeaam calculations and trust details, if applicable, etc.
Permit Technician: Date: 1b1Z�' (23
Notes:
Engineering Review
❑,FI Permit:
�/ r Slope at building pad: e�i7
f� 9 IeConditions met prior to issuance of permit
ir_Easements (encroachments) per engineering conditions of approval and plat
rWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes IPA°
Assess Water Quantity Fee in-lieu: ❑ Yes &No
� LIDA Facility on lot: ID Yes P- Io Add Fee: ❑ Yes ❑ No
b'Final Plat Recorded
0 NOT Approved: Date:
Notes: „.....„------ pp
Approved By Engineering: Date: ld//1/2-
Revision 1: 0 Approved ❑f of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
0
NG Revisions Required: Date notified applicant:
1, DC Exemption: 0 Applied for ❑ Received `, Does not apply
,SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes ❑ N/A /❑ Deferred
Parks SDC: Yes 0 N/A ❑ Deferred
LIDA ❑ Yes fll/A 1
K to Issue/Approved by Permit Coordinator: -tYI �Q
ce
`\ / \ Date: ( 0 —1 �'��
Revision 1: ❑ Approved ❑ Not Approved \ ' Date:
111 Revision 2: ❑ Approved 0 Not Approved Date: